A Visit to Oscar Health

Today I ’m in New York City visitingOscar Health, on my continuing quest to determine how best to integrate digital platforms, patient-family engagement, and care coordination in preparation for MACRA/MIPS and the transformation from fee for service to alternative payment models.At the moment, there is no single magic bullet, but there are early innovations that hold promise.At BIDMC we ’ve thought the best approach to care management is to identify a cohort with a disease, then enroll that cohort in a program which involves tracking progress against guidelines/protocols, deploying telemedicine/visiting nurses, and measuring data from home-based devices.Oscar ’s approach incorporates similar ideas by providing a unique mobile app and web resources for patients, providers and care managers, reducing total medical expense through informed care navigation. For example, you are given a choice of options based on your signs/symptoms that aligns the intensity of the service with the intensity of the illness. Care is coordinated via sharing of clinical and claims data among care teams.  Episodes of care are tracked to ensure patients follow a coherent path.  The technology is superb and the staff is creative. I hope their startup phase evolves into a long term sustainable business model.Other interesting technologies to watch are theSalesforce Health Cloudwhich brings customer relationship management techniques to the caregiver/patient relationship.&nb...
Source: Life as a Healthcare CIO - Category: Information Technology Source Type: blogs