Will Physicians Ever Welcome Health Plans Into the Exam Room?

At RISE West: How Cigna provides actionable insights at the point of care with tools that work within the clinical workflow

  • Track C
  • Date: Wednesday, September 11, 2019
  • Time: 1:00 PM - 1:45 PM

Many health plans have the best of intentions but fail to engage their clinical networks in value based care initiatives.  Why?  They fail to deliver clinically-meaningful insights within the clinical workflow, or they impose mandates that increase the provider burden.

A case study from Cigna

Cigna has taken a dramatically different approach in partnering with thousands of providers around the country to help them transition to value based care and improve their clinical and financial performance.  Cigna uses their population health analytics platform to make actionable insights available to providers within their existing clinical workflows.

Becky Trotter, population health solutions program director at Cigna subsidiary CareAllies, will explain how her team has seen widespread, rapid provider adoption with tools that reduce provider abrasion and makes it easier for providers to perform against their value based contracts.   Importantly, each application runs on a foundational clinical data asset, enabling providers to access data about patient care inside and outside their network. 

Insights from top plans around the country

Leading expert on risk adjustment Debbie Conboy will share additional strategies for effective payer-collaboration from her experiences with innovative health plans around the country.  

Debbie will explain how payers and providers have started to collaborate in new and entirely different way to inform the visit at the point of care, eliminate the need for chart reviews, and support providers in managing consistent clinical workflows across all patients.  

  • Pre-visit planning reports support morning huddles so that care teams can ensure patients receive the appropriate preventative screenings and any condition-related follow-up care
  • An always-on desktop widget recognizes when a provider pulls up a patient in the EHR and shows critical quality and documentation gap information in the corner of the screen
  • An electronic Health Risk Assessment application is pre-populated with insights from across the care continuum to facilitate provider-patient conversations and care planning – supported by the medical record

When health plans use technology to build trust with providers, providers will welcome them into their practices for collaborative patient care.

Want to learn more? Connect with us at RISE West.