19 Feb Data to Drive Health Payer Consumerism in 2020

At the tail end of 2019, PricewaterhouseCoopers (PwC) stated that consumerism will play greater role in how payers make deals, use technology, hire, pursue equity, and spend in 2020.

On the heels of this study, a new report found that data sharing, Social Determinants of Health (SDOH), and simpler language will all drive how payers embrace consumerism this year.

The report highlighted how payers are sharing patient satisfaction scores, HEDIS and star ratings, as well as health outcomes data. They are also focused on the following five SDOH factors: 1) Income; 2) Housing; 3) Health Literacy; 4) Education; and 5) Food Insecurity.

Though the study found that payers and providers are not fully aligned when it comes to interoperability, and providers are more focused on public health issues like vaping and controlled substances. Meanwhile, payers are leading in areas such as income disparity, housing and improving health literacy.

As highlighted on the IMAT blog last week, the American Medical Group Association (AMGA) sent a letter to Congress that highlighted how data access ensures more accountability between the provider and the payer regarding a patient’s care.

The key takeaway not readily apparent from the new consumerism study is that health data should be the foundation for all payer and provider efforts – and it will play a critical role in advancing all care efforts.

Driven by its C3 Framework, which ensures that all health data is Clean (C1), Comprehensive (C2), and Current (C3), IMAT Solutions allows health payers to leverage clinical and claims data to improve quality reporting, risk adjustment, coding efforts and care management interventions.

The company’s NCQA-certified platform addresses the challenge of managing, normalizing and querying huge data sets in real-time, enabling users to access structured and unstructured patient information.

For more information on how payers can best harness their data for improved analytics, interoperability and outcomes, please click here.