Connecting Care Providers: Building a Digital Platform for Health
Imagine a world where care providers can spend more time focusing on patients, as payers alleviate burdensome paperwork. Imagine care providers being able to better coordinate care with their patient and the broader team through the ability for all parties to access the patient's latest health information.
Imagine care providers getting near-real-time, up-to-date health data so that they can focus on the patients who need them most, while driving the best outcomes possible. Imagine care providers being alerted of potential care gaps and receiving patient insights driven by artificial intelligence (AI) within their current workflows and tools — rather than logging into or learning another system.
This platform supports care providers with the infrastructure to change the way care is delivered. We are building Health OS to facilitate and enrich collaboration between care providers and payers with more complete and timely clinical data sharing, bidirectional consumer insights, automated processes, and industry-defined application programming interfaces (API) that allow for data exchange. These platform integrations and capabilities work together to:
- Enhance value-based care arrangements.
- Improve quality performance.
- Reduce administrative burden.
- Create a vertically integrated care network.
Health OS is connected to almost 200 health systems to date,1 with a continued focus on increasing connectivity to all major health systems that serve our consumers.
Enhancing Value-Based Care
Health OS will virtually connect a network of care providers to manage patient care effectively under value-based payment arrangements. This important care management function is enabled by the platform's Digital Chart Retrieval capability that allows health plans to source charts from connected EHRs to ensure completeness in a person's risk profile, which is important for appropriate reimbursement rates, high-risk patient engagement, and driving care plan adherence. Leveraging Health OS enables care providers in value-based payment arrangements to target the most pressing needs across their patient panel with near-real-time information and make the right referrals or the right intervention.
Spotlight: Health OS in Action
A Southern U.S. health system recently implemented Health OS for their Medicare Advantage (MA) population of roughly 10,000 patients. Of this population, 9,274 MA patients had their data received through Health OS, and it was leveraged to improve care gaps, cost-of-care savings, and prior authorization digital conversion rates.
The implementation of Health OS at this health system was so successful that they decided to expand their membership to include lines of business beyond Medicare.
Ultimately, Health OS is being built to enable our consumers and their entire care teams by delivering predictive, proactive, and personalized care experiences. Coupling the data and technology integrations within our system with traditional networks creates the foundation for a digitally led care network that helps address physical needs and improve experiences for health plans, care providers, and patients. Health OS will enable us to elevate and advance healthcare, one medical record at a time.