While everyone in the healthcare industry should be aligned around what is best for the patient, the reality is that the major players have different and often competing incentives that lead them to different conclusions regarding what those “best interests” are. If providers are paid to do what they believe is necessary without regard to cost and payers are paid to do only what is justified by standards of care, there is a natural point of conflict that impacts the patient. Care recommended by a provider must be authorized by a payer and is often delayed or denied. Evidence-based practices with clear long-term better outcomes are not always in the best interest of a payer when the patient may change plans next year. Patients stay longer in a hospital waiting for authorization to move to a more appropriate level of care.
Smarter Workflows address these issues in a variety of ways:
We know healthcare is the business of humans, taking care of humans. We know the daily whirlwind your staff faces, and we know the current state of healthcare – high burnout and turnover. Because of this, we offer services and/or staff augmentation to help your teams get started, if needed.
Blue Agilis accelerates improvement in all of these cases and many more.