AUTHORIZATIONS EASIER PAYER TOOLS ARE MAKING PRIOR

Payers, Value-Based Care and Physician Burnout

The PROGRESS and ROOM FOR IMPROVEMENT

Payers are making progress advancing value-based care, but there are still crucial data-driven opportunities to capture, according to a May 2019 payer value-based care survey conducted by HIMSS Media.*

WHERE PAYERS STAND TODAY:

REDUCING PHYSICIAN BURNOUT

9 out of 10

payers believe they have a role to play

1/3 now taking action more than 1/2

have not taken action but are making plans to do so

PAYER TOOLS ARE MAKING PRIOR AUTHORIZATIONS EASIER

58% 2019

41% 2018

ALIGNING PAYMENT AND QUALITY IMPROVEMENT DATA TO INDIVIDUAL PROVIDERS IS UP

45% 2019

Patient statement

$

34% 2018

DATA IS SHARED WITH VALUE BASED PROVIDERS TO DRIVE HEALTH INSIGHTS

Risk scores

2 out of 3 share

Pharmacy data

Medication adherence data

Yet only

41%

share longitudinal claims information

Just

1/3

share social determinants of health (SDoH) data

LARGER HEALTH PLANS MORE WIDELY REPORT SUCCESS IN CERTAIN AREAS

Opportunities for both large and small payers prevail

>5,001 employees

vs.

5,000 employees or less

Collaboration and alignment of shared cost/quality goals

Improving physician satisfaction

LARGER PLANS

71% 38% SMALLER PLANS

LARGER PLANS

58% 36% SMALLER PLANS

Geneia can help your organization transition to data-driven, value-based care.



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Geneia LLC is a healthcare analytic solutions and services company that focuses on improving systems to support personalized, patient-centered care. We help clients improve outcomes, lower costs and restore the Joy of Medicine to physician practice. Our technology, education and training, insights and clinical services simplify the evolution to value-based care and drive alignment and collaboration among healthcare providers, health plans and employers.

*Advancing Data-Driven Value-Based Care, HIMSS Media Research Report, sponsored by Geneia, May 2019. This research was conducted to understand how health insurance carriers, third-party payers and health plan administrators are leveraging data and data-driven strategies to advance value-based care. Findings are based on 100 payer management and sta participants. Geneia was not identified as the sponsor.

| ?2019

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