Yet, after decades of evolving physician incentives and value-based care models, we still face growing prevalence of chronic disease, unprecedented levels of mental health challenges, and uncontrollable cost trends. We thought that population health would change things, but that’s clearly not enough.
As an industry, we have scratched the surface on this aspect of care through telephone disease management and integrated team-based care. The truth is that value-based care has not been provided with the tools needed to provide day-to-day health support.
What gaps can digital platforms address?
People have depression, hypertension, diabetes, stress, and sleep health problems all at the same time. People need wellness, mental health, and chronic disease management at the same time. We’re not supposed to send them in 10 directions. This has been recognised by many advanced primary care models with multidisciplinary care teams.
With digital technology, we can do multidisciplinary, integrated care, virtually. We can ensure that we provide appropriate personalised pathways for members who are unable to afford drugs, need culturally appropriate dietary plans, or face mental health challenges before they can make physical progress.
In short, digital platforms can take us to the next level of scale and customization. We’re not supposed to settle for fragmented point solutions.
Who controls the platform?
Is it the payer or the provider who owns the digital platform? The industry is booming with digital solutions, all with a transformational promise. Platforms that win are those that consumers use. Consumerism is so simple. It’s easy to get lost in all the complexity of interoperability and combine data sources from electronic medical records with social determinant claims.
At the end of the day, consumers are the source of the truth about health, and we must have the privilege of stewarding their information and promoting their health. We need to convince them that any digital platform we offer will truly serve and support their health needs.
How can we shape the next chapter in value-based care?
The Triple Aim has been a long-standing goal of value-based care: improving population health, lowering per capita costs, and improving patient experience. As a result of investing in value-based care, we have seen some positive signs of cost reduction and quality in selected populations in some disease categories and in some parts of the country, but we are far from making universal progress towards the triple objective. As CMS Administrator Seema Verma put it, “the return on investment was poor.”
The next chapter of value-based care should measure engagement as our lives depend on it. We should combine the full range of human and digital activities, both synchronous and asynchronous. We should repay digital consumer health services and encourage referrals to physicians to encourage adoption. We should unleash the power and convenience of digital tools to move the needle to value-based care. Read more from source