几乎每个美国医疗系统都实施了某种类型的远程医疗基础设施, 大多数这样做是为了应对大流行期间联邦放松监管和报销限制. Since that time, 这个行业在接受技术方面一直很慢,但与面对面的访问相比,虚拟访问的有效性很快得到了认可, and patients, payers, and providers alike see value in telehealth solutions.
但一些非传统的竞争对手已经在扰乱医疗保健领域. 资金雄厚的初创企业和市场进入者正在推进远程医疗解决方案,并寻求与bet8网站备用建立伙伴关系, health plans, employers, and direct-to-consumer models. In addition to their technology platforms, companies like AmWell, MDLive, 和Teladoc拥有一个庞大的供应商网络(通常在多个州获得许可),可以提供远程医疗bet8娱乐. 它们还通过远程医疗平台支持患者的一系列需求——从低灵敏度的紧急护理访问到针对特定疾病的初级保健和有针对性的专业用例.
这些非传统参与者可能受益于私人股本融资和生产能力, user-friendly technological solutions, 但当地的bet8网站备用和医疗机构有他们不熟悉的东西——熟悉度. 病人和bet8网站备用之间的个人关系是不容易被取代的, and a well-known hospital can have deep roots in its community. According to a recent survey, 65%的患者仍然信任并更喜欢他们的传统bet8网站备用以及与当地提供者的关系.[1]
正是在此基础上,传统bet8网站备用可以通过扩大其远程卫生能力和发展一批社区提供者(独立的和受雇的)来提供远程卫生访问,从而有效地与国家远程卫生供应商竞争.
Developing Local Provider Integration Strategies
Several emerging trends are driving health systems to develop local provider partnerships:
- Emergence of “virtual first” strategies: 健康保险公司正在推出“虚拟优先”模式,使远程医疗成为患者护理的基础部分. 这些模型设想了一个数字前门,让患者能够快速、轻松地获得医疗bet8娱乐. 它们将把患者与当地的医疗bet8娱乐提供者联系起来,后者将指导患者进行专业护理和其他辅助bet8娱乐, as needed. bet8网站备用(利用其本地提供者队列)有机会成为这些虚拟优先模式的网络内医疗bet8娱乐的首选来源.
- Redesigned value-based benefit options: Employers 是否正在与全国医疗保健供应商谈判大规模、直接的合同交易 并根据价值来设计他们的健康福利和医疗bet8娱乐. Some of these vendors
facilitate virtual visits, provide care navigators, offer expert second opinion services, and so forth. Health systems with high-performing provider networks can do the same. 与雇主进行讨论,制定分担风险和回报的安排,并在基于价值的合同中获得更多的溢价.
- Care coordination across the continuum: This requires integrating data and applications across care settings—ambulatory, acute, and post-acute—to exchange real-time data among providers. The goal? Providing the right insights and the right care at the right time and in the right setting. Again, health systems with local providers have an advantage here: the 来自虚拟访问的数据可以集成到他们的核心电子病历中,以提供一个 整个企业的纵向医疗记录(包括所有亲自和 telehealth visits). In contrast, third-party national vendors typically share a limited continuity-of-care document for individual episodic visits.
Partnering with Disruptors
It’s not all or nothing with these third-party disruptors. While health systems need to focus their telehealth strategies on 与附属社区供应商整合,与非传统合作伙伴 组织也将是必不可少的,以实现规模和提升能力.
bet8网站备用可考虑与第三方远程医疗供应商合作,以便 提供可扩展的、符合hipaa的技术平台,以促进虚拟 visits that are white-labeled to promote the health system brand. In these partnerships, health systems would still rely on their affiliated local providers but use the vendor partner’s providers for overflow coverage or to fill gaps (e.g., mental health provider shortages, after-hour support). The key 成功的伙伴关系必须包括数据的紧密整合和共享, creating a frictionless, clinically informed, and satisfying experience for patients.
A Consumer-Centric Approach
任何远程医疗安排的核心应该是方便患者和提供者. 确保消费者可以使用他们喜欢的沟通渠道(如网络与移动应用程序)将使组织能够吸引, engage, 与患者建立信任关系,为利益相关者提供便利, ease of use, and increased adoption. Health systems should also:
- Create structured programs that include FAQs, technical support, scheduling algorithms, and back-end support to document and code correctly, as providers will be at varying stages of readiness for telehealth visits.
- 确定一名bet8网站备用作为项目领导和bet8网站备用社区之间的联络人,以确保供应商的支持和采用.
- Adopt standardized workflows with each member of the care team, from the front line to the rendering provider.
- 开发一种资源模型,使提供者的可用性和能力与远程保健bet8娱乐的需求保持一致, based on expected volumes.
- Understand how various telehealth coverage models (i.e., on-demand versus scheduled visits) will affect provider productivity.
- 与参与远程保健倡议的独立社区提供者制定专业bet8娱乐协议.
- 考虑建立一个临床整合网络(CIN)保护伞,使bet8网站备用和独立的提供者团体能够协调和合作, refer, 并共享一群共同签约的客户(包括基于价值的合同)。.
Finally, bet8网站备用董事会和高级领导人在考虑这些战略时必须时刻注意患者的经历. Seamlessly facilitating all aspects of a virtual visit (e.g.(注册、登记、结账、结帐)需要对病人的诊疗过程有深刻的了解.
Building on Brand Strength
As the use and popularity of telehealth grows, so too will the field of well-funded disruptors offering innovative solutions to patients and employers. Health system leaders need to know when to compete and when to collaborate; the right vendor can supplement a system’s service offerings and help fill gaps in coverage.
但bet8网站备用也需要认识到自身知名度的价值,以及其提供者与患者建立的关系. With a cohort of community providers to facilitate virtual visits, bet8网站备用可以在患者健康旅程的最初阶段让他们参与进来, connecting them with the system’s healthcare products, services, and information that help them achieve their health goals.
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Contact UsThis article was originally featured in the Quarterly Governance Institute November 2021 Newsletter.
Footnotes
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Source: NRS Health Market Insights Disruptors 2020 survey
Published November 24, 2021