HIT Consultant January 14, 2022
Payers and providers share goals around emerging healthcare delivery models such as value-based care and accountable care organizations (ACOs). But inadequacies in current payer/provider communication often disrupt the flow of timely care and lead to unnecessary hospital readmissions and poor outcomes. What’s needed in this partnership is the standardized, fluid, real-time exchange of data to help both parties become even more efficient and effective at providing members the proper care at the right time.
Until recently, a payer would only know when a member utilized care after a claim was filed, a latent workflow that does nothing to improve patient care. With real-time admission, discharge, and transfer (ADT) notifications, payers can help steer members to better care options while...
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