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Did you miss our webinar? Here’s a recap of what we covered, but if you’d like to watch the recording, you can access it here.

BioIQ’s Chief Medical Officer, Josh Sclar, MD and BioIQ Member Experience Advisor, Ashley Reynolds, PhD, RN laid out three primary pillars of discussion for their webinar, all of which most likely resonate in some way with health plans looking to improve clinical adherence with their members.

  • Why do traditional methods fall short in effectively driving members to take action?
  • How does data play a role in members adhering to plans of care?
  • How are health plans improving member experience and driving better outcomes?

First, it is important to establish exactly what we mean by “clinical adherence.” In this context, we’re defining clinical adherence as following established guidelines and best practices, like ensuring members take their medication or follow through with a recommended screening. What’s the activity that is necessary to close the gap between knowing what the right healthcare action is and achieving the desired health outcome for a member? We want to ensure that people actually do what is recognized to be the best course of action for their health. As most stakeholders along the care continuum can attest, this is one of the toughest challenges in the provider-payer-patient relationship.

When we translate clinical adherence through the eyes of a health plan, in the new paradigm that is value-based care and their corresponding payment models, we’re really talking about quality measurements.

Members have elevated their expectation for their healthcare experience thanks to the endless list of personalized moments they encounter in retail, online, transportation and other consumer-driven businesses. There’s no putting the genie back in the bottle. Everything about how healthcare is delivered – it’s accessibility, its cost, its convenience, and how healthcare entities communicate with their patients – needs to be seen through the eye of the discerning consumer.

This an exciting time to be in healthcare. Alternative care settings, telemedicine, patient-centered medical homes, and retail-based care are all areas of opportunity to drive positive outcomes.

Considering the burgeoning application of technology in healthcare, it can make our collective approach to patient engagement, which primarily relies on the provider-patient relationship, seem just a little bit dated.

Health plans need to look for more unique and effective approaches that leverage the vast volume of data they have available to them. This is the only way to ensure optimized quality program results at scale. It’s time to be proactive and data-driven and move beyond a one-size-fits-all reactive approach to supporting quality metrics.

Driving clinical adherence requires true member-centricity that delves deeper to identify highly personalized plans of action:

  • Who is this person?
  • What are their priorities?
  • What motivates them?
  • Are their barriers to care?
  • What are the things that are preventing them from taking the action you’re asking them to do?
  • What do they consider the easiest way for them to get that needed care?
  • How do they like to be communicated with?

Members need to see their experience as holistic – not a fragmented set of programs, i.e. medication therapy management, care coordination, wellness health promotion.

At BioIQ we break this process down into three simple steps to help you achieve exactly what you need to get a person to have a better experience.

  • We start first by understanding members by looking at the information that we know about them, about the population, and about their behaviors.
  • We apply rigorous analytics profiles so that we can offer a better care experience that matches their lifestyle
  • Then we activate them with a personalized outreach.

To learn more about each of these steps, download the webinar replay.

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