How can #healthtech companies better navigate the commercial payer landscape? Earlier this year, the MDIC Commercial Payer Council convened for its inaugural quarterly session. Led by Harry Kotlarz, Vice President of MDIC’s Health Economics and Patient Value (HEPV) program, the meeting brought together a diverse panel of industry leaders—from integrated healthcare networks to device companies, health plan executives to legal experts. Together, they explored the intricacies of navigating Medicare Advantage and reimbursement for digital health technologies. Explore the Key Insights summary of topics discussed designed to guide #medicaldevice and #digitalhealth tech companies in navigating the landscape of commercial payers: https://lnkd.in/ejRywsYP #medicare #medicareadvantage #reimbursement #marketaccess #medicaldevices #medtech #digitalhealth
Medical Device Innovation Consortium (MDIC)’s Post
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Interesting perspectives shared by my McKinsey & Company colleagues Shubham Singhal and Neha Patel on how the industry adapted in 2023, how these changes have affected payers, health systems, healthcare services and technology, and pharmacy services, and what challenges the industry may face in the years ahead. Read their analysis here: https://lnkd.in/gav3MQmV #healthcare #health #healthcaretrends #healthcareprofits
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*New healthcare report* - Healthcare multinationals face a multitude of challenges when they are introducing a new therapy or diagnostic test to the market and making the case for reimbursement. Innovative access models can address some of these challenges, serving as a strategic tool to overcome tight payer and provider budgets, as well as to navigate uncertainty surrounding clinical outcomes and economic outcomes. Download our White Paper, which summarizes our longer in-depth report ‘Accelerating innovative access models’, in which we explore the meaning and today’s use of innovative access models and what they can offer to healthcare multinationals: https://lnkd.in/gEZiZxeR #healthcare #healthcarereimbursement #healthcareMNCs #innovativeaccessmodels
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Are you ready for the upcoming regulatory changes in the healthcare industry? Discover how leveraging cutting-edge technology can help health payers stay ahead of the curve. Dive into our latest blog to explore actionable insights and strategies. Read more: https://bit.ly/4dlD7Qn #HealthTech #RegulatoryCompliance #HealthcareInnovation #HealthPayers #TechTrends
Health Payers Need to Leverage New Technology to Prepare for Regulatory Changes Ahead
insights.vitaldatatechnology.com
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After insightful discussions with leaders in the Healthcare payers industry, it's clear that US Healthcare Payers are facing multiple challenges to ensure quality care remains affordable. But they're not alone! By collaborating with providers, policymakers, and other stakeholders, they're exploring innovative solutions to overcome these obstacles. Their top concern? Balancing affordability with uncompromised quality. To achieve this, they're expanding access to healthcare through programs like Medicaid and the Affordable Care Act, streamlining billing systems, and negotiating contracts. Simplifying the process benefits all stakeholders, leading to enhanced preventive care, chronic disease management, and better health outcomes. Combatting fraud and abuse is also a top priority. They're investing in advanced analytics and investigation units to protect their financial interests and ensure resources go where they're truly needed. Addressing health disparities and social determinants of health is at the core of their mission. By tackling socioeconomic factors and collaborating with community organizations, they're committed to reducing inequalities and improving health outcomes. Embracing technology and data management is transforming healthcare, with a strong focus on data security and interoperability. Consumer engagement and satisfaction are paramount. They're dedicated to providing accessible information, digital tools, and personalized experiences, empowering individuals to take charge of their health. Together, with providers, policymakers, and other stakeholders, and with the right technology, we can drive positive change and revolutionize the healthcare system. Let's create a sustainable and effective healthcare future! #HealthcarePayers #InnovationInHealthcare #CollaborationIsKey #PatientCenteredCare #PersistentSystems
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Amid technological advancements and evolving consumer expectations, California healthcare payers are evaluating how their #CAPS solution can provide flexibility, transparency, and engagement to align with #capitation practices. See how a modern CAPS solution can help your health plan successfully comply with capitation arrangements. Read the blog: https://ow.ly/75B650ST1px
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Unlocking value in healthcare involves understanding not just the costs of inputs but also the costs of achieving outcomes. Routine measurement of cost drivers across the patient pathway is crucial. While insurance-based systems often rely on medical claims for cost insights, this provides an incomplete picture. Even health systems and providers have insufficient visibility into their costs. Knowing these costs can drive investments in high-quality, patient-centric care, leading to better outcomes and cost reductions. To learn more about total costs and why it’s important to measure them, download our playbook – Link in comments.
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Last takeaways from HLTH Europe In the evolving landscape of healthcare, 𝗱𝗮𝘁𝗮 𝗮𝗻𝗱 𝘁𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 are poised to be the major drivers of change. A shift towards outcome-based reimbursement, the ability to harness and analyze data could become crucial. 𝗧𝗿𝗮𝗻𝘀𝗽𝗮𝗿𝗲𝗻𝗰𝘆 𝗶𝗻 𝗱𝗮𝘁𝗮 𝘄𝗶𝗹𝗹 𝗲𝗺𝗽𝗼𝘄𝗲𝗿 𝗽𝗮𝘁𝗶𝗲𝗻𝘁𝘀, 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝗽𝗿𝗼𝘃𝗶𝗱𝗲𝗿𝘀, 𝗮𝗻𝗱 𝗽𝗮𝘆𝗲𝗿𝘀 𝘁𝗼 𝗺𝗮𝗸𝗲 𝗶𝗻𝗳𝗼𝗿𝗺𝗲𝗱 𝗱𝗲𝗰𝗶𝘀𝗶𝗼𝗻𝘀, 𝘂𝗹𝘁𝗶𝗺𝗮𝘁𝗲𝗹𝘆 𝗹𝗲𝗮𝗱𝗶𝗻𝗴 𝘁𝗼 𝗯𝗲𝘁𝘁𝗲𝗿 𝗵𝗲𝗮𝗹𝘁𝗵 𝗼𝘂𝘁𝗰𝗼𝗺𝗲𝘀 𝗮𝗻𝗱 𝗺𝗼𝗿𝗲 𝗲𝗳𝗳𝗶𝗰𝗶𝗲𝗻𝘁 𝗰𝗮𝗿𝗲 𝗱𝗲𝗹𝗶𝘃𝗲𝗿𝘆. Embracing this data-driven approach ensures accountability and fosters a healthcare system that rewards value over volume. The future of healthcare is not just about treating patients but about leveraging data to enhance every aspect of patient care. Thank you HLTH for this experience and the valuable input of Dr. Johanna Ludwig Bjoern von Siemens Professor Shafi Ahmed Leander de Laporte Murielle Thinard McLane #HealthcareInnovation #DataTransparency #OutcomeBasedReimbursement
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USE CASE | See how IDENTOS facilitates data exchanges through access control technology for personalized member engagement, faster claims and enhanced health outcomes for healthcare payers and the members they serve. Learn more ⤵️ https://bit.ly/3xNpOce #BetterIsPossible
Healthcare Payers | Digital Transformation in Healthcare
identos.com
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USE CASE | See how IDENTOS facilitates data exchanges through access control technology for personalized member engagement, faster claims and enhanced health outcomes for healthcare payers and the members they serve. Learn more ⤵️ https://bit.ly/3T0qiT9 #BetterIsPossible
Healthcare Payers | Digital Transformation in Healthcare
identos.com
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USE CASE | See how IDENTOS facilitates data exchanges through access control technology for personalized member engagement, faster claims and enhanced health outcomes for healthcare payers and the members they serve. Learn more ⤵️ https://bit.ly/3TZ6Nf3 #BetterIsPossible
Healthcare Payers | Digital Transformation in Healthcare
identos.com
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MedTech | Innovator | Dad
7moA great coverage on reimbursement for Digital Health Tech. A must read for this sector.