Partner strategies to optimize complex care management
As caring for complex patients gets more complicated, payers and providers must partner to provide better, more accessible, lower-cost care.
Successful collaboration requires alignment in strategic objectives, culture and resources
For years, payers and providers have recognized the need to better coordinate care and improve outcomes for patients with complex health and social needs.
5% of the U.S. population accounts for nearly half of all health spending.1 As the industry refines its approach to providing high-quality care while controlling costs, health plans and health care systems alike recognize that standard 15-minute primary care visits simply aren’t sufficient to comprehensively address these needs.2
But, as costs to treat complex medical conditions continue to rise, even high-performing health systems lack the scale and resources to single-handedly invest in the capabilities required to transform the complex care landscape. Therefore, payers and providers must accelerate collaboration to improve patient outcomes, control costs and drive health equity.
In this e-book, we cover strategies that can help you maximize the potential of payer-provider partnerships to positively impact spend, outcomes and quality of life for people seeking complex care.
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Sources
- Peterson-KFF Health System Tracker. How do health expenditures vary across the population? Accessed March 15, 2023.
- Young RA, Burge SK, Kumar KA, et al. A time-motion study of primary care physicians’ work in the electronic health record era. Family Medicine. 2018;50(2):91–99.