During an interactive session at Becker's Payer Issues Roundtable, leaders from WNS — Asheesh Tiwari, Corporate Vice President, Markets & Growth for Healthcare and Life sciences and Anand Jha, Corporate Vice President, Digital Transformation, Healthcare and Life Sciences and supported by Dr. Ronald Lopez, CMO, HealthHelp, A WNS Company, led a group of healthcare executives in a discussion about the challenges and opportunities in value-based care.
The conversation focused on data analytics role in driving enhanced patient centricity, and collaboration between payers and providers. However, participants did emphasize the fact that abundance of data does not directly translate into effective use of data to improve patient care.
The interaction resulted in an agreement that successful Value Based Care adoption is the foundation of the Trifecta of Integrated Care Delivery, Data and Insights, and innovation in Alternate Payment Models.
Note: Quotes have been edited for length and clarity.
Four takeaways and quotes:
1: Collaboration between payers and providers drives value-based care and enhances patient outcomes.
Anand Jha: The current system is more geared towards fee-for-service, but we need collaboration between payers and providers to exchange data and understand the patient's needs. It calls for information exchange for designing contracts, patient data, outcome management and collaborative governance.
2: Access to and utilization of data is a major challenge in the healthcare industry.
Asheesh Tiwari: Organizations have abundant data but they struggle to analyze and utilize it effectively. Ready-to-use AI models and Generative AI helps in creating a 360 degree unified view of the patient that has usability across multiple process areas.
3: Patient engagement and education are essential for successful value-based care.
Payer-relations executive with a national health system: We do a terrible job as a country educating our citizens about healthcare. We need to educate patients on navigating the healthcare system and taking control of their own care. Member and patient outreach through omni-channels and understanding the needs and sentiments of individuals based on their health profile are the keys to success.
4: Technology, such as digital apps and remote patient monitoring, can significantly improve patient care and outcomes.
Anand Jha: Technology, when designed around the needs of patients, can provide access to information, improve care coordination, and enhance patient engagement. By harnessing these technological advancements, healthcare providers can offer more personalized, efficient, proactive, and tailored care, ultimately leading to improved patient outcomes and a higher quality of life.