This paper is divided into two parts. The first part provides some background and a comparison of the types of episode analytics. Part two explores the real-world experiences of payers and providers in using episode analytics for payment bundling and other purposes.
Finally, we offer some recommendations on how to use episode analytics to reduce variations and manage contracts that involve financial risk.
It’s clear: the healthcare industry is in need of change. And today, the system is undergoing a critical transformation as it shifts from a volume-based to a value-based delivery model. Gone are the days of simply treating illness. Now, the focus is on managing the episode of care, containing the costs of delivery, optimizing services and improving patient outcomes.
Published By: Cognizant
Published Date: Oct 23, 2018
Value-based care is the predominant model for enabling the healthcare industry to control costs and deliver better information to consumers. The basic idea is that reimbursements are based on the quality of the outcome of a procedure, episode of care, use of a device or therapy. Under this model, life sciences companies are rewarded for improving health outcomes and/or reducing the costs to achieve those outcomes. It requires life sciences companies to rethink many of their processes, from R&D through the commercial phase. Navigating those momentous shifts requires that life sciences companies embrace a range of digital technologies which will enable a holistic approach to value-based care. This white paper will examine the drive for value-based care, its impact on life sciences companies and how technology platforms can address the challenges the industry is facing.
Gaps in care in health systems cause higher mortality rates and inflate costs. Download this case study for a closer look at how one health system used IBM CareDiscovery data to prove to their board that an outpatient palliative care service line was viable in both cost savings and quality of care improvement.
To reduce risk and cost, as well as better serve individuals and populations, visibility across the entire episode of care is essential. Oracle’s Cost Effective Healthcare solution combines cost, quality and clinical data to analyze root causes and variations. Our customers are transforming to more competitive, financially viable healthcare organizations using Oracle’s secure, modern Cloud solution.
During this webinar, you’ll learn:
Reduce cost by analyzing episode of care outliers
Alleviate risk due to clinical variations and value-based contracts
Lessen IT cost with a consolidated, secure Cloud Platform
Understand the tangible business value our healthcare customers are realizing