eGuide

6 Reasons Why Telehealth Makes Sense for Payers

Read this eGuide to understand how Telehealth and Remote Member Monitoring (RMM) tools help payers proactively manage their members across the care continuum and acuity spectrum.

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Introduction

As the healthcare industry shifts from fee for service to value-based care,  payers must adapt to meet members’ needs. Remote member monitoring  (RMM) and telehealth target the full spectrum of acuity—from low-risk to  rising-risk to high-risk members. These tools give providers and payers  real-time, actionable data they need to deliver proactive, preventative care.  RMM and telehealth enable both providers and payers alike to stop members  from becoming patients, while managing total cost of care.

1 See improvements in HEDIS  measures, star ratings, and  member retention 

Health plans are measured against HEDIS and star ratings to assess a plan’s performance among their member populations. Many of the quality measures evaluate the effectiveness of care delivery, and are used as a benchmark for how a health plan manages care for its members.

Remote member monitoring (RMM) and telehealth enable a payer to: 

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Better manage complex chronic conditions

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Deliver preventive services to decrease unnecessary utilization

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Provide high-quality, personalized service to members

This combination yields positive member experiences, which improves satisfaction scores—and ultimately—star ratings. Healthcare is a consumer-centric industry and members choose when and how they elect to engage their care providers. By offering personalized care, convenient access to specialists, and communication tools for seamless care coordination, member satisfaction improves, resulting in increased member retention.

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2 Achieve more efficient utilization and care management

Every member’s health care journey is unique. Payers are looking to understand each member’s longitudinal care journey prior to an acute care episode or the exacerbation of a condition. Payers take a two-pronged approach to care—focusing on population health management, while also delivering individual recommendations to fit a member’s health needs and goals.

Remote member monitoring (RMM) and telehealth helps payers: 

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Give members transparency into their condition and care plan

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Promote medication compliance and health literacy

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Seamlessly integrate the support of a caregiver

This combination yields positive member experiences, which improves satisfaction scores—and ultimately—star ratings. Healthcare is a consumer-centric industry and members choose when and how they elect to engage their care providers. By offering personalized care, convenient access to specialists, and communication tools for seamless care coordination, member satisfaction improves, resulting in increased member retention.