Advances in healthcare have turned many previously untreatable diseases into manageable conditions. Yet, prevention and early diagnosis and treatment remain the most effective means of staying healthy.. However, successful preventative interventions require an orchestrated collaboration between health payers and health providers who pledge to share information and work together toward a healthier population.
In a 2010 study, Health Reform, Prospering in A Post-Reform World, PricewaterhouseCoopers' Health Research Institute stresses that "health executives will need to reassess current strategies and find ways to work together." This belief still holds true, and as Ceci Connolly, the institute's managing director, highlights, "this convergence trend has been growing over the past years."
Traditionally, health payers and health providers have been seen as separate entities which have no reason to collaborate except when payments need to take place. In fact, as Graham Hughes, chief medical officer for the SAS Center for Health Analytics and Insights, notes, historically there's almost been tension between payers and providers. However, a new breed of collaborations are seeing the two entities work together in order to provide the best experience to their members and patients, mainly by avoiding unnecessary complications and embarking on early treatment. "We're starting to see the lines between the two becoming blurred," Hughes explains. Further, as Pat McCaffrey, TeleTech's senior vice president for healthcare and public sector, explains, technology is creating collaboration opportunities between payers and providers that previously didn't exist.