In the dynamic realm of U.S. healthcare, the shift towards value-based care is met with challenges that demand innovative solutions. Addressing evolving populations and unsustainable processes, organizations seek platforms that drive meaningful change. +Oscar’s Campaign Builder emerges as a beacon, delivering quality care at scale through personalized engagement. Rapid implementation, diverse channel integration, and tangible outcomes make it a catalyst for success. The platform’s impact is evident in significant increases in primary care utilization, diabetic eye exams, and reductions in emergency room visits. Embracing such solutions is not just about compliance but represents a transformative journey towards a patient-centric healthcare future.
Amid a surge in private investment into value-based care organizations, a significant gap persists—many providers lack the capabilities to navigate this transformative landscape. Challenges span diverse populations and unsustainable processes, necessitating solutions that align with regulatory shifts. The evolving healthcare scenario demands immediate adaptation. +Oscar’s Campaign Builder emerges as a comprehensive answer, tailored to the multidimensional needs of value-based care organizations. With a swift 12-week implementation timeline, it optimizes processes, driving member engagement and delivering tangible outcomes. This introduction explores the imperative for organizations to evolve rapidly, embracing solutions that align with regulatory expectations while meeting the unique demands of a diverse and dynamic population.
As the U.S. population becomes increasingly diverse over the next two decades, healthcare organizations must grasp the unique challenges presented by various communities and social contexts. A Deloitte report emphasizes that up to 80% of healthcare outcomes are influenced by social, economic, and environmental factors. Regulatory changes, such as updates to the Healthcare Effectiveness Data and Information Set (HEDIS), further underscore the need for organizations to adapt swiftly.
To bridge the gap, investments in member engagement platforms that can effectively reach diverse cohorts on a large scale are imperative. Such platforms play a crucial role in earning the trust of diverse populations and catalyzing behavioral change. For instance, addressing health inequities is now a focal point with HEDIS incorporating race and ethnicity data into its measures. Consequently, organizations must invest in technologies that align with evolving regulatory expectations and prioritize member engagement.
Unsustainable Processes and Point-Solution Challenges:
Many healthcare organizations grapple with inefficient and labor-intensive processes that were initially implemented out of necessity. The proliferation of point solutions aimed at addressing specific challenges often exacerbates administrative burdens and results in disjointed workstreams across the organization. This unsustainable situation demands a strategic shift toward optimized processes for value-based care.
Recognizing the limitations of existing solutions, payers and providers face the challenge of introducing new platforms without disrupting operations. A key requirement is a platform solution that allows for immediate implementation, facilitating a phased approach to replacing and streamlining manual processes incrementally. This approach ensures a smoother transition, addressing the reluctance associated with lengthy implementation periods.
Optimizing Processes for Value-Based Care:
To propel the acceleration of value-based care, platforms must cater to the multifaceted needs of forward-thinking healthcare organizations. +Oscar’s Campaign Builder is a solution born out of the necessities of modern healthcare. It empowers clients to deliver quality care at scale through personalized, omni-channel, and value-focused engagement.
Campaign Builder’s capabilities include driving high-value member behavior change through nudges, time-sensitive interventions, and multi-step clinical journeys. The platform ensures HIPAA-compliant communication across channels such as SMS, email, and Applets, integrating seamlessly with third-party Electronic Health Records (EHRs) and Customer Relationship Management (CRM) systems. With a rapid implementation timeline of just under 12 weeks, organizations can quickly augment and enhance their existing processes, demonstrating tangible results over time.
Campaign Builder’s impact is evident in the positive outcomes achieved by organizations implementing the platform. Results include a 10% increase in primary care provider utilization for a large, value-based primary care group, a 40% increase in diabetic eye exams for a Medicare Advantage population, and a 13% reduction in emergency room visits for a diverse, subsidized individual population. These outcomes showcase the platform’s effectiveness in activating members and patients, ultimately delivering on the promises of value-based care.
As healthcare transforms, leading organizations recognize the need for solutions that not only meet regulatory demands but also elevate the patient experience. +Oscar’s Campaign Builder, with its proven ability to drive behavior change and deliver outcomes, stands as a beacon in the value-based care landscape. Beyond being an industry leader, it fosters satisfaction among patients, providers, and internal staff. The transformative impact is not confined to compliance; it resonates across diverse populations, streamlining processes and driving positive healthcare outcomes. The conclusion reinforces the significance of embracing solutions that propel organizations into a patient-centric era, where value-based care is not just a concept but a lived reality.