The COVID-19 pandemic has undoubtedly caused healthcare organizations at all levels to shift priorities throughout 2020 while impacting their planning for next year as well. In a new article for Healthcare Business Today, Cotiviti president and CEO Emad Rizk, M.D., offers three predictions on how healthcare organizations will leverage data to reduce risk in 2021.
In 2021, as pressures to contain healthcare costs intensify, expect to see increased focus among health plans to reward providers for risk stratification: providing the right care to the right members at the right time. This will require collaboration between payers and providers that is grounded in data. For example, recent analyses of clinical and claims data point to underlying conditions that put patients at higher risk for health complications during COVID-19, and this list is continually growing. By sharing timely intelligence such as this with providers, physicians and clinicians become empowered to take decisive action that improves quality of care and outcomes.
Read the article as Dr. Rizk discusses how healthcare organizations may focus on:
- Integrating supply chain intelligence with public health
- Implementing risk-based payment rules
- Eliminating telehealth-related waste and abuse