In this episode Stephen Krupa, CEO of HealthEdge Software, to discuss value-based care performance in health plans. Tune in to get a better understanding of technology's role in value-based care automation. This episode is sponsored by HealthEdge.
Summary
Understanding Value-Based Care Performance in Health Plans with HealthEdge CEO Steve Krupa
Introduction
In this episode, HealthEdge Software CEO Stephen Krupa discusses the importance of technology in value-based care performance in health plans. This podcast episode is sponsored by HealthEdge.
The Role of Technology
Krupa notes that technology plays a critical role in enabling providers to take on risk and providing them with information to allow for transparency. He also explains that payers must have modern systems in place to manage data, evaluate performance, and create reports to ensure compliance with government regulations.
The Benefits of Value-Based Care
Value-based care is a way for payers to lower overall costs and improve member and provider relationships. Technology can assist with value-based care regulations, helping payers to both underwrite and manage risk. HealthEdge offers services such as its claims management platform, guiding care system, and Well Frame digital care management engine, which have seen success stories such as Independent Health being able to capitate 98% of their primary care physicians and Blues doubling their panel size for nurses and increasing engagement levels for patients. Payers should consider other areas besides value-based care, such as reimbursement, in order to improve overall cost and reduce ambiguity and uncertainty.
The Future of Healthcare Infrastructure
Krupa discusses how technology has the potential to simplify fee-for-service claims, making them easier to understand and less stressful for everyone involved. He also emphasizes how modern infrastructure can benefit health plans as they move towards value-based care models.
Conclusion
In summary, Krupa stresses the importance of technology in value-based care performance in health plans, and how HealthEdge's services and products can help payers underwrite and manage risk more effectively. As healthcare infrastructure evolves and focuses more on value-based care models, modern technology will play a critical role in ensuring success.
Note: This is an AI generated transcript, not edited by a staff writer and is solely intended for educational purposes. If you have any questions/concerns, reach out to podcasts@beckershealthcare.com
This episode aired on 04/25/2023 and can be listened here.
Subscribe to Beckers Healthcare Podcast here.