In recent months, more and more medical professionals are leaning towards the value-based networks. While the transition from the volume-based fees for service to the value-based care pushes medical professionals to rethink the manner in which they do business, this transition results in a very large influx of data.
According to a special report recently released by fiercehealthpayer.com, data is the means of guidance for all the different types of collaboration that pertains to new-founded relationships between payers and providers. The data allows the providers in the healthcare industry to effectively track, to measure, and to communicate with patients.
As a result, the patients’ needs are met by managing chronic health conditions through specially-designed interventions.
The ultimate goal of any healthcare provider that is pushing for value-based networks is to ensure that all of their patients receive the care that they need. Today, medical care is often provided through a set standard according to a patient’s medical condition; however, value-based networks opt to ensure that patients receive the medical care that they need based on their family medical history and personal medical history.
For example, a person with diabetes should not be expected to follow a uniform medical treatment plan that is followed by ALL diabetics. Instead, the person should be treated based on their individual health needs. In order to ensure that the proper individualized treatment is provided to patients, large amounts of data will need to be used to transform the delivery of healthcare.
Let’s take Cigna, for example. This is considered to be one of the absolute largest of health insurers within the United States of America. This company ensures that it shares all of its data with the entire list of providers that is within its network.
Each year, this insurance company experiences millions of claims. If data was not openly provided, the claims processes would be tremendous. However, the information that is shared with the providers of healthcare for the patients that the claim is in reference to allows providers to do their job quickly and effectively.
Cigna strives to meet the provider at the point in which they start caring for a patient. This makes the entire process of the value-based network much easier for all that is involved. It is as simple as that. If data delivery is made so that it suits the needs of the providers, the healthcare industry and the value-based network concept is not nearly as complicated.
