Payment Models Are Shifting
The healthcare sector is undergoing a fundamental transformation from paying for volume to paying for value. This is happening in fits and starts, but it will impact more than 80% of the value pools for health plans, providers and life sciences companies.
Behavior Change is Increasingly Critical
To succeed in this new environment, it is essential to find opportunities to influence member / patient / clinician behaviors in ways that lower total costs and improve care, for topics ranging from reducing ED utilization to improving post-acute care decisions to lowering readmission rates.
Most Players Miss A Key Dimension
Nearly all healthcare entities use advanced risk modeling to drive such efforts; however, very few incorporate analytical methods
to understand the likelihood of
individuals to respond favorably to given intervention methods. We call this 'Impactability'.
A New Healthcare Environment Means New Opportunities and New Challenges