Exchanges 3.0? How health insurance marketplaces are evolving

Consumers are buying health insurance in new ways these days, while still turning to in-person help for making a choice — even in the age of the online economy.

The end of January brought the end of open enrollment for the third year of the exchanges, a key part of the Affordable Care Act. It’s been a rocky trip for all involved, especially consumers, many of whom were digital-savvy purchasers of all kinds of goods and services before the ACA.

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Apps vs Providers – Why only 2% of patients are using hospital-provided mobile apps?

You can lead a health care consumer to your mobile app, but you can’t make them use it, suggests a new report from consulting firm Accenture. It found, in a survey of 100 large U.S. hospitals, that just 2 percent of their patients are using hospital-provided mobile apps, even though two-thirds of the hospitals made them available.

The problem, Accenture said, was that the hospitals largely failed to provide consumers with the kinds of functions they want most. For consumers, those are access to medical records, the ability to make appointments, and an option to request prescription refills. Just 11 percent of the surveyed hospitals offered those functionalities.

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EHRs as the “Operating Systems” of Healthcare?

As of March 2015, 779 health IT vendors supplied certified EHR products to 490,575 health care professionals participating in the CMS EHR Incentive Programs and/or ONC REC Program. 30 of them are big players, primary, and 749 supply secondary EHRs to participating health care professionals. Surprisingly, market share hasn’t changed much in 10 years – so what does that mean to the EHR systems? Are we at the tipping point of disruption?

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Why Consumer Success Depends On Business Processes 2/2

3 things to know about the future of provider networks and partnerships

Along with consumers who increasingly have a choice of insurance, a health plan’s business processes can impact the kinds of providers they attract, setting the stage for future relationships in the new alternative payment, value-based world.

Primary care practitioners and specialists may be leery of investing their time and money in new value-based contracts if there is not some indication that it will be easier for them to take new patients, get paid regularly, ask questions and reasonably adjudicate payments for disputed treatments.

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Why Consumer Success Depends On Business Processes 1/2

Navigating consumers: The hidden technology metric

Healthcare is changing, but health insurers need to change faster in some underappreciated areas to prepare for the most monumental shifts. Here’s what we know and what we don’t about the consumer imperative.

Though removed from health plan customers in some ways, as they experience it, modern, sustainable business processes and IT are necessary for convenient, quality healthcare—and for insurers to keep their business.Today, in the new healthcare economy, business processes are becoming a metric for the patient and health plan member experience.

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Last days of October or “before we change our clocks”

October has definitely been a busy month for digital health… and us 😉

We started strong at the Health 2.0 Fall Conference where we sponsored a special event called the Launch! where ten startups companies unveiled their products for the very first time!

As a sponsor of the Launch! Voja Lalich, our CEO, was on stage talking about the future of digital health, and our efforts to contribute to the disruption in Health IT. Check out the 3 minute video discussion between Matthew Holt, Co-Chairman of the Health 2.0 and Voja by clicking HERE.

Or read the transcript in the description bellow the video here.

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And Then There Were Three: IT Considerations of Payer Mergers

Part 2: Five Services via Technologies Payers Should Provide

In the previous post, we discussed how IT tools can facilitate the process of payer mergers. Certainly, members can also benefit from innovation during and after similar corporate transitions. There are ways in which we believe our customers can improve their own experience while benefiting from more informed and adherent patients.

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And Then There Were Three: Digital Technological Considerations of Payer Mergers

Part 1: Implications for Payers

It is no secret that there is an incredible consolidation in the healthcare payer space. There is a prevailing wisdom that the ACA (Obamacare) has fueled this activity.   Others, including former Obama administration adviser Steve Rattner claim that consolidation began with the depression of 2008. Regardless of when it started, the extreme to which these mergers and acquisitions have occurred are both eye-opening and making us give thought to their implications. Deals of the magnitude of Anthem-Cigna and Humana-Aetna would have had regulators reeling decades ago.

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5 Things Subscribers Want in mHealth Tools

The Affordable Care Act (otherwise known as Obamacare) has significantly transformed the health insurance landscape from a number of perspectives. It has led to market consolidation, grown the ranks of subscribers by the millions, created a consumer-driven market, and potentially paved the way for technology to improve the payer-subscriber relationship. We will highlight what we consider digital tools that address the growing needs of this transformation from the consumer standpoint. Some of these exist and some are in development, but all are seen as ‘must haves’ for success.

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