Chronic Care Management, a vital by-product of the value-based care payment system, was one of the most popular healthcare buzzwords of 2018.
Over one-third of healthcare providers reported a positive ROI on value-based care efforts over the past five years. Having seen the benefits of both value-based care and improved chronic care management, below are the 5 chronic care management trends every healthcare organization should watch for in 2019.
1- Patients Will Race To Value-Based Care Providers
The whole purpose of the value-based care model initiation was to please patients, and it seems that it’s working just fine. 80% of payers report improvements in care quality with value-based care, while 73% report improved patient engagement. These promising statistics make it unsurprising that fee-for-service models now only make up 37.2% of reimbursements. By 2020, that number is expected to sink below 26%.
Throughout 2019, patients will continue to support the healthcare organizations that provide the best care, leaving plain fee-for-service care centers hanging in space, and new value based care-focused centers bending backwards to guarantee successful programs.
2- Payers Will Invest More In Value-Based Care Administrative Efforts
Even though the value-based care model has proven massive success, yet it is still considerably new to both healthcare providers and payers. Medical cost savings, which have taken some healthcare organizations by surprise, are motivating 66% of payers to invest in administrative staff to support the future growth of episode-of-care programs.
While investment in administrative staff will continue in 2019, organizations will also invest in comprehensive care management platforms to help their administrators. These platforms will create even more efficiencies, enabling advanced administrative abilities, like controlling system permissions and providing an easy-to-use interface.
3- Data Collection Will Continue To Be A Focus
Value-based care is data-driven, as opposed to fee-for-service models. Providers must report to payers using specific metrics, which must be quantifiable. Providers track and report on everything from readmissions to population health, and patient engagement to relapses in illness.
Healthcare organizations must focus more on gathering, protecting, and analyzing data, due to the need for such data. Throughout 2019, this growth will continue, meaning that eyes will be on data the whole year. Data will transform how providers make decisions—the growing implementation of technology developed for healthcare is creating the opportunity to use clinical data in more sophisticated ways, enabling clinicians to make better decisions and deliver better care.
4- Healthcare Organizations Will Improve Data Interoperability
Healthcare organizations produce and work with a lot of data, but because the data comes from so many various groups and departments, it is often located within multiple systems, delaying data interoperability. Fragmented data leads to many problems for chronic care management. For chronic care to be effective, providers must have access to a patient’s past data. Without this data, providers cannot locate a patient’s health trends, avoid gaps of care, or ensure smooth transitions of care.
One of the focuses of 2019 will be improving data interoperability to the point where all groups working within a healthcare organization’s ecosystem will have access to comprehensive individual and hospital-wide data.
5- Commercial Lines Will Lead The Way
The trend now is seeing a lot of startups in the healthcare industry, which will play a big role in chronic care management in 2019. Commercial lines, not government lines of business, are leading adoption, advancement, and innovation of value-based care models and strategies, as per a HIT consultant.
Pushing for improved patient care at the same time as business savings, these brands are helping healthcare organizations improve everything from administrative efficiency to patient engagement, and will continue to do so in 2019.