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Sponsored Content Provided By Deloitte
This content was created by and paid for by an advertiser. The Crain's editorial department was not involved in the creation of this content.
February 18, 2019 11:00 PM

Health plan solutions can help improve patient care, but will providers adopt them?

Collaborating for care delivery can create a superior member and patient experience

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    Most health plans have traditionally played a limited role in the provider and patient care experience, but this is changing rapidly. Increasing medical costs coupled with competition from disruptive players are causing many providers to rethink their care models, sources for data, and insights. These pressures are also causing health plans to rethink their growth strategies and the nature of their provider relationships. Health plans' M&A, partnership, and investment activities are shifting from horizontal to vertical, as they join forces with health care providers, retail pharmacies, and pharmacy benefit managers (PBMs).1 Some employers are experimenting with direct provider contracting and offering employees their own primary care, altogether bypassing traditional insurers.2 New entrants bring a commitment to customer experience, a track record of reducing costs, and unparalleled analytics expertise, promising to reinvent the customer experience in health care.3

    Download "Health plan solutions can help improve patient care, but will providers adopt them?"







    As health plans consider how to compete for the customer, (i.e., the member, patient, caregiver), collaborating with health care practitioners on the frontlines of delivering care can be a way to create a superior member and patient experience, improve outcomes, and lower costs.

    Are health care practitioners interested in working with health plans and are they willing to adopt the solutions health plans might offer to improve patient care? The Deloitte Center for Health Solutions conducted a study to help answer this question. Explore the results here.

    Footnotes
    1. Zachary Tracer, “30,000 strong and counting, UnitedHealth gathers a doctor army,” Bloomberg, April 9, 2018; Kenneth R. Gosselin, “CVS-Aetna deal driven by competitive threats in health care,” Hartford Courant, December 3, 2017; Steven Porter, “Cigna's Express Scripts purchase intensifies PBM market shakeup,” HealthLeaders, March 8, 2018; Reed Abelson, “Merger of Cigna and Express Scripts gets approval from Justice Dept.,” New York Times, September 17, 2018.
    2. Les Masterson, "More employers go direct to providers, sidestepping payers," Healthcare Dive, March 14, 2018.
    3. Clayton M. Christensen, Andrew Waldeck, and Rebecca Fogg, “The innovation health care really needs: Help people manage their own health,” Harvard Business Review, October 30, 2017; Kevin Truong, “How Oscar Health's CEO charts its path forward in a changing payer landscape,” MedCityNews, October 17, 2018; Chas Roades, “Talking with Oscar, a new kind of health insurer,” Gist Healthcare, August 16, 2018; Zachary Tracer, “Amazon-Berkshire- JPMorgan health venture takes aim at middlemen,” Bloomberg, June 24, 2018; Dylan Scott, “Why Apple, Amazon, and Google are making big health care moves,” Vox, March 6, 2018.
    About the Authors:

    Leslie Read is a principal with Deloitte Consulting LLP, and leader of our Health Plans Customer Transformation Solutions.

    Sarah Thomas is the managing director of the Center for Health Solutions, part of Deloitte LLP's Life Sciences & Health Care practice.

    Sponsored By:


    deloitte logo

    Innovation starts with insight and seeing challenges in a new way. Amid unprecedented uncertainty and change across the health care industry, stakeholders are looking for new ways to transform the journey of care. Our US Health Care practice helps clients transform uncertainty into possibility and rapid change into lasting progress. Comprehensive audit, advisory, consulting, and tax capabilities can deliver value at every step, from insight to strategy to action. Our people know how to anticipate, collaborate, innovate, and create opportunity from even the unforeseen obstacle.

    Learn more at http://www.deloitte.com/us/providers.

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