Webinar: Become a Digital Payer - Advancing Care Management Through Digital Transformation

Advancing Care Management Through Digital Transformation

In today's rapidly evolving healthcare landscape, digital transformation is paving the way for more efficient and effective care management. The webinar "Becoming a Digital Payer: Advancing Care Management Through Digital Transformation," presented by HealthEdge, critically examines the role of digital advancements in transforming care management for health plans. This comprehensive discussion brings together industry leaders—Christine Davis, Vice President of Product Marketing at HealthEdge; Stuart Meyer, CIO of Village Care; and Len Rossignoli, Vice President of Consumer Success at HealthEdge—to share their insights and experiences.

Key Highlights:

1. Presenters' Expertise:

• Christine Davis brings extensive experience in marketing to healthcare providers, health plans, PBMs, and ACOs, focusing on improving healthcare through SaaS solutions and digital transformation.
• Stuart Meyer, with a robust background in healthcare IT, focuses on applications development, project governance, and IT governance.
• Len Rossignoli leverages his experience in IT for health plans to support strategic account executives at HealthEdge.

2. Challenges in Care Management:

• Healthcare providers face continuous regulatory changes, workforce shortages, and rising costs.
• Safety net health plans encounter unique challenges, including improving community health, managing complex care plans, and integrating fragmented systems.
• There is an increasing demand from members for consumer-like digital health experiences.

3. Survey Insights:

• HealthEdge's 2022 survey of over 280 safety net health plan executives reveals top challenges and goals.
• Key challenges include managing costs, achieving operational efficiency, and aligning IT with business goals.
• Organizational goals for 2022 focus on increasing quality, regulatory compliance, improving provider relationships, and boosting member satisfaction.

4. Defining a Digital Payer:

• A digital payer integrates healthcare IT with business areas to create a modern organization that continuously improves clinical and financial outcomes.
• Advantages include reducing transaction costs, enhancing member centricity, and advancing customer service.

5. Village Care's Transformation Journey:

• Village Care's shift from a provider to a payer involves focusing on Medicaid and Medicare eligible populations, particularly homebound individuals.
• Digital transformation at Village Care aims to align IT with strategic objectives, transforming business operations for better service delivery.

The path to becoming a digital payer involves overcoming significant challenges and leveraging technology to improve care management. By aligning IT with business goals, health plans can achieve better clinical and financial outcomes. This webinar not only highlights the current trends and pressures in the healthcare industry but also offers practical steps and real-world experiences to guide organizations on their digital transformation journeys.