How payers are utilizing predictive analytics and digital care to enhance care supply


Telemedicine

Payers are increasingly leveraging collaborative partnerships to develop AI models designed to improve early intervention for high risk patients. Health insurers are also interested in collaborating with providers to expand virtual care to not only provide more flexibility to members, but to also provide more effective platforms for triaging patients when they need care.

As part of the Microsoft Envision U.S. Healthcare Summit, Microsoft conducted interviews with executives at Aetna CVS Health and Humana to highlight some of the ways these companies are adapting to consumerization of healthcare and using health tech to improve patient outcomes.

In a fireside chat with Dr David Rhew, the Global Chief Medical Officer of Microsoft, Aetna CVS Health Chief Medical Officer Dr. Kyu Rhee pointed out that with 35 million online members, the company is well-positioned to provide healthcare in many forms from remote patient monitoring, enabling a patient-centric approach to behavioral health and virtual-first care.

“AI and machine learning are so important to provide pattern recognition and to provide nudges for patients and providers [for remote patient monitoring,” Rhee said. He also noted that the company is “doubling down on Aetna’s virtual-first primary care and offering 24-7 urgent care.”

To view the full conversation, click here.

In a panel discussion on accelerating care with AI-based predictive models, Humana executives Dr. Mona Siddiqui, senior vice president, enterprise clinical strategy and quality, and Slawek Kierner, senior vice president of enterprise data and analytics, talked about how they address implementation challenges, such as false positives.

Siddiqui also noted that health tech developments have helped Humana evolve as a company.

“Humana is on a journey of moving from being an insurance company to a healthcare company. Part of what that means is focusing on proactive care by identifying the right patients at the right time for the right kind of intervention.”

To view this conversation and the rest of the summit, click here.

Photo: Courtney Hale, Getty Images



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