Payer-Provider Synergy: Aligning at the Fulcrum Points

Krithika Srivats, SVP, Clinical Practice and Products, Sagility; Jason Besterfeldt, SVP, Sagility

In recent years, the health care industry has experienced unprecedented change. Tech enablement, strategic service offerings, value-based care initiatives, and data sharing mandates have converged with the goal of creating a system that is member/patient-centered and outcomes-based, while also lowering the overall cost of care. It is now widely understood that the member/patient is increasingly demanding better and more transparent payer-provider collaboration. In fact, 83% of patients in a recent Physicians Foundation survey called for better communication between physicians and health insurance plans.

Payer-provider collaboration represents a crucial opportunity to bridge the gap between those who provide care and those who...