Health Technology
Article | September 12, 2023
It is not an easy task to engage decision-makers in hospitals, insurance providers, health systems, and private practices. These high-powered directors, managers, and executives are busier than ever. This makes the process of health tech marketing difficult. Apart from overwhelming job responsibilities, these healthcare professionals are also inundated with ads, emails, and phone calls. So rather than sending them messages randomly, it is important to help your prospects when they are free from their daily disruptions and have time.
Inbound marketing, a new form of marketing, lays out various effective healthcare marketing techniques, tricks, or tactics. These health tech marketing techniques or methodologies are helpful in the three stages of your health tech client journey:
Awareness Stage: This is the stage where they do not know they have a problem, but you make them aware of the fact that they have a problem.
Consideration Stage: In this stage, they are aware that they have a problem and consider finding a solution from you or your competitor.
Decision Stage: This is the final stage, where prospects make a decision.
Here are some effective health tech marketing techniques to engage new health tech marketing prospects online all through these stages.
Offer Entertaining and Informative Blog Content
Content is king. Roper Public Affairs, in their research report, say that around 80% of B2B decision-makers prefer to gather information from articles and blogs over ads. According to the research done by HubSpot, companies that publish blogs frequently get 4.5x more leads. Engage your health tech prospects with regular content that can address their interests and the problems they face.
However, it is a mistake to focus only on your health tech company’s benefits, features, or sales pitches in your blogs. This may make your prospects think you are just after their money. One of the best health tech marketing techniques to engage your prospects online is to provide answers to the challenges they face.
You can even ask and encourage your clients to contribute success stories or guest posts. These posts will have more value and the chances of them being shared are high. It is also better to create a strategy to make sure the health tech marketing content you make is valuable and relevant to your potential clients.
Encourage Social Media Feedback and Blog Comments
Providing great and prospect oriented health tech marketing content is just the beginning. You can solicit reactions from your audience. Asking questions at the end of blogs and social media health tech messages is a great way to collect reactions from the audience. It is good to thank them for responding when they leave a comment. Also, give them a comprehensive answer.
This will help build your credibility and make the clients come back. Sometimes, you may get spam comments, which are not connected to your post. Weed them out to make all comments relevant to the post. This health tech marketing technique will make your potential clients stay engaged in what you post online.
Host Google Hangouts or Webinars
People love being visually engaged. So, webinars or Google Hangouts are powerful tools that allow real-time interaction with your customers. This helps you to establish a personal connection with your potential clients through video or audio. Various visual aspects, including slides, graphics, and live videos, make it easier for you to share your content with customers.
Being an interactive health tech marketing technique, at the end of webinar sessions or Google hangout, you can have a Q and A session to clarify any questions from the clients. Compared to merely writing blog posts and articles, this, as a two-way dialogue, and will help you a lot in building a strong relationship with your clients.
Create a Group or Community
One of the best health tech marketing techniques to engage new customers is to interact in online forums and communities. Your buyers can get added to your members-only group automatically and then these members can socialize with each other and discuss healthcare technology.
These forums can be used to share content that is not available to the public. To the members, you can also offer various discounts and special pricing. Your customers, being part of such a group, will feel special and increase the possibility of a repeat purchase.
Co-Create with Existing Customers
If you are planning to write an e-book, improve your website, or launch a new product, involve your existing customers by getting suggestions from them. For fostering loyalty, depending on the situation, it is very effective to make your customers involved in major decision-making processes. They will feel proud that they participated, at the end of the process.
This health tech marketing technique may even allow you to hold a contest to select an idea from your customers for your next design and offer rewards for the one which is selected. Rewards can be a special mention on your website, a discount, or a freebie.
Celebrate Together!
Another great health-tech marketing technique to build stronger relationships with your customers is to celebrate milestones with them. Any achievement, small or big, can be a milestone. Even, achieving an award for attaining a certain number of followers can be a milestone. Sharing such moments of success with your customers and social media followers may make them feel like they are part of your business and success.
It is also a good idea to give them a discount offer. Also, recognizing the success of your clients and featuring them will establish a good relationship with customers.
Monitor Social Media
The best place to engage your clients in conversations about your products and industry is social media. Selecting a topic that is trending in your industry may be a hot cake for you to have the conversation on your social media platforms. Tracking trending topics related to your industry will always give you an insight for your next blog post and social media posts.
By sharing, liking, and providing answers you can also take part in conversations. This will make you an authority and customers will feel good about your credibility. As a health tech marketing technique, monitoring social media will make you gain the trust of the customers and build your brand gradually but successfully.
Build a List of Leads and Nurture them
Email marketing, as a health tech marketing technique, is a very effective strategy to nurture B2B customer relationships. According to HubSpot, for business communication, 86% of people prefer emails. You will be in the minds of potential customers through your value-packed and attractive emails. They will remember you when they identify a requirement.
Through your emails, you can update and educate your potential customers about relevant topics and trends related to the health tech industry. A newsletter in a week will be fair enough to keep them engaged and updated about your brand and industry.
Summing up
The key to generating more qualified leads and increasing your brand recognition is engaging new prospects tough new and innovative health tech marketing techniques. This will make your sales team’s job easier; they can convert these leads into customers. The above-listed health tech marketing techniques to engage with your prospects can be effectively used with your well-crafted Inbound marketing strategy.
Doing all of these alone can be very challenging. We, at Media7, partner with healthcare technology companies and healthcare tech marketers to offer support, strategy, and extending help to implement these activities. Through the collaboration, we help health tech companies to attract more visitors to their websites, generate leads, convert, and make them your happy customers. For more details of our services, visit our website: https://media7.com/
Frequently Asked Questions
What is a health tech marketing strategy?
Health tech marketing strategy is a part of an inbound marketing process for marketing healthcare tech products. It uses resources that can trace various opportunities through lead generation and branding, and overcome threats of healthcare businesses, which is highly competitive.
What is the best health tech marketing technique?
The best health tech marketing technique is to generate leads through various content forms. Health tech Content marketing helps create awareness about the product and attract clients to it. Different forms of content can include blogs, articles, press releases, newsletters, and much more.
Where to start when creating your healthcare marketing strategy
The best way to start when creating your healthcare marketing strategy is to set your goals. This is because the success of your healthcare marketing strategy depends upon the goal you set for yourself when you start the business and the marketing for it.
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Digital Healthcare
Article | November 29, 2023
Delve into the EHR tools reshaping the healthcare industry for an efficient and patient-centric future. Unlock streamlined workflows and data-driven decision-making through these EHR software tools.
Adopting an EHR tool has become crucial for clinics and healthcare providers striving to revolutionize their operations and deliver a high standard of care. These innovative EHR software tools possess the potential to transform healthcare workflows, enabling clinics to optimize processes, streamline operations, and provide an exceptional level of care to patients. From facilitating seamless communication and improving operational efficiency to enhancing patient satisfaction, EHR tools unlock possibilities for improved operations, accurate claims processing, and enhanced financial management within practices.
This article explores the top 10 electronic health record tools that are reshaping the healthcare industry and paving the way for a more efficient and patient-centric future.
1. Avalon EHR
It is an EHR evaluation tool that prioritizes robust physician-patient engagement, setting it apart from complex electronic health record (EHR) systems. With an unwavering focus on reliability and security, Avalon offers a cutting-edge solution for the future of healthcare. Its key features include CureMD's clinical overview, which presents alarms, trends, and patient histories on a single screen, ensuring comprehensive insights. The platform also boasts a specialized rheumatology section with templates for typical symptoms, simplifying documentation processes. Furthermore, Avalon provides regular updates for various medical specialties following CPT and ICD codes, ensuring compliance, proper medical procedures, and diagnosis recording. Notably, it supports automated overnight transcription of dictations into templates, significantly reducing the time and billing service partners' costs associated with finding and documenting clinical findings.
2. AdvancedBiller
The AdvancedBiller Grow program offers medical billing companies a comprehensive and advantageous solution, combining industry-leading software solutions with exclusive partner benefits. This program is designed to drive optimal outcomes by providing a unified practice management workflow, excellent support, free promotional opportunities, and competitive, scalable pricing. With a focus on boosting performance and profitability, AdvancedBiller equips businesses with the necessary tools to excel in their field. The program features custom health plans that assist doctors in managing individual patient needs based on age, sex, and lab findings. Additionally, it offers customizable note-taking templates to align with specific workflows and preferences. This EHR tool also facilitates telemedicine appointments, enabling patients to communicate face-to-face with their doctors and receive important notifications. Furthermore, the program enhances data management by allowing doctors to save sensitive information and screenshots during conference calls securely. By leveraging the AdvancedBiller Grow program, medical billing companies can optimize operations, deliver superior care, and achieve notable success.
3. Halemind
EHR integration tools, such as Halemind, present a game-changing solution that enables clinics to elevate their operations and provide superior patient care. This comprehensive platform offers many features, including appointment scheduling, patient registrations, check-ins, consultations, prescriptions, billing, and reporting, all aimed at delivering a seamless customer experience. With Halemind, clinics can transform their business and scale up their operations. The platform also provides specialized functionalities for pharmacies, allowing real-time access to customer histories, order tracking, invoicing, and supplier management. In addition, hospitals can benefit from Halemind's capabilities, such as operations planning, invoicing, payment collection, patient sample tracking, and customizable data display. Medical facilities can further enhance their efficiency by utilizing its in-patient module for managing wards, rooms, and beds and generating discharge reports.
4. SIMPLEX HIMES Patient Portal
SIMPLEX HIMES software incorporates an optional yet powerful feature, the Patient Portal and Mobile Application, designed to revolutionize patient engagement and communication. This EHR tool seamlessly integrates with existing websites, providing healthcare facilities with a comprehensive EHR tool to enhance the patient experience. The Patient Portal enables efficient control of patient intake, bed availability monitoring, operating room scheduling, and centralized patient demographic management within hospitals. The software streamlines operations for pathology labs by managing information about referral laboratories, generating barcodes for sample tracing, and delivering timely test result alerts via email or text. Additionally, patients benefit from self-service portals, empowering them to conveniently schedule appointments, access medical records, locate service provider locations, and communicate with their doctors.
5. Patient Engagement
The Patient Engagement tool offers patients unparalleled access to their personal health information, visit summaries, and lab results, empowering them to take an active role in their healthcare journey. With the help of this EHR tool, patients can conveniently book appointments online using the healow Open Access feature, efficiently manage their medications, and engage in secure messaging with their healthcare providers. In addition, the eCW software utilized within the tool provides organized data capture, trend analysis, and customizable documentation options for various healthcare specialties. Clinicians can effortlessly retrieve any aspect of the patient record through the Patient Hub, ensuring complete and efficient access to vital information. Furthermore, eClinicalWorks Version 11 introduces Eva, a computer program that assists physicians in evaluating patient records, leveraging details from the Progress Note tool and data flowsheets. This advanced functionality enhances clinical decision-making and promotes efficient patient care.
6. Electronic Prescription
The Electronic Prescription tool revolutionizes prescription management in the healthcare industry, offering a seamless and efficient solution for healthcare providers. This advanced software streamlines the prescription process by eliminating traditional prescription pads, enhancing convenience and accuracy. AllegianceMD, integrated within the tool, enables patients to fill out their history and demographic information online within defined clinic limits, facilitating seamless integration of patient information. This EHR tool encompasses a range of features, including an active/inactive medicine list, e-refill requests, an allergy list, and comprehensive drug interaction checks. The software also includes a lab module for efficiently tracking test results and follow-ups. With its extended functionalities, the Electronic Prescription tool elevates prescription management, promoting patient safety and enhancing workflow efficiency for healthcare providers.
7. Telehealth
WRS Health Telehealth offers healthcare providers and patients a secure and reliable virtual care experience. With seamless integration into the electronic health record (EHR), this comprehensive telehealth platform provides a single platform for managing virtual patient encounters. Designed with ease of use in mind, both patients and providers can navigate the user-friendly interface effortlessly. This EHR comparison tool is a safe alternative to in-office visits, offering private and secure online consultations that comply with HIPAA regulations. This telehealth solution ensures a smooth and efficient workflow with its seamless integration of clinical and revenue cycle management (RCM) functionalities.
8. Practice Management for Billing Companies
The Practice Management tool offered by SequelMed is a comprehensive solution that streamlines operations and enhances efficiency in healthcare practices. This advanced tool automates various tasks, including billing, claim processing, revenue management & clinical procedures, and generates analytical reports for comprehensive insights, with the option of bundled or separate programs for electronic health records and practice management. The software provides interoperability with imaging systems and medical equipment through HL7 and DICOM interfaces, offering flexibility in deployment options with on-site or cloud hosting. In addition to its core functionalities, it enhances patient engagement with real-time communication, online patient registration, active prescription lists, immunization schedules, and a patient portal. The Practice Management Tool simplifies computerized prescription processes and promotes connectivity across healthcare systems, enabling healthcare providers to optimize their operations and deliver efficient, patient-centered care.
9. Medical Practice Management Software
The Practice Management Software offers healthcare providers a powerful solution to streamline operations, ensure accurate claims processing, and expedite reimbursement cycles. With its intuitive design and comprehensive features, this software empowers practices to take control of their operations and optimize efficiency. Users can benefit from the HIPAA-compliant claims clearinghouse provided by NueMD, allowing for the seamless processing of unlimited claims. The software makes it easier to submit paper claims by reducing it to a single click, and it also simplifies payment transactions by incorporating credit card processing. Additionally, the ONC-ATCB-certified EHR enhances clinical workflow by providing charting capabilities, e-prescribing, laboratory report monitoring, and secure fax management.
10. LiquidEHR
LiquidEHR is a cloud-based electronic health record (EHR) solution ideal for small and midsize optometry practices. It offers a range of features to manage medical records, scheduling, and billing effectively. The software includes specialized tools specific to optometry, such as historical IOP charts, drawing tools, built-in eye charts, frames data integration, and image management. Clinicians using LiquidEHR have access to electronic insurance filing tools, patient recalls, drug interactions and allergy checks, problem lists, medication recommendations, educational resources, vital signs monitoring, and more. The system also ensures data security through access controls, audit logs, and encryption features.
Future Scope
By staying informed about the top EHR tools highlighted in this article, medical practitioners can unlock streamlined workflows, improved communication, and data-driven decision-making to optimize clinical practices and deliver exceptional patient care. The future of EHR assessment tools looks promising, with emerging trends like artificial intelligence, machine learning, interoperability, and telehealth shaping the way forward. By embracing these advancements, healthcare professionals can stay ahead of the curve, maximize operational efficiency, and position themselves for success in the healthcare industry.
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Health Technology, Digital Healthcare
Article | August 16, 2023
The use of technology in hospitals has been increasing for the last decade and at present, it has reached an all-time high. However, it may be surprising to realize that the healthcare supply chain management (SCM) area of hospitals has not fully embraced technology. According to a survey conducted among 100 hospitals recently, nearly half of these hospitals use less sophisticated/outdated tools or manual processes, such as Excel spreadsheets, to manage supply expenses, inventory, and other supply chain activities.
According to the Association for Healthcare Resource & Materials Management (AHRMM), healthcare supply chain management costs will surpass labor costs shortly for the number one position. But there is good news; similar surveys show potential for significant healthcare supply chain management cost savings. For example, an analysis by Navigant consulting estimates that, by standardizing and streamlining the healthcare supply chain management processes, hospitals can save an average of US$11 million per hospital or 17.7% annually.
What is Healthcare Supply Chain Management
Procurement, distribution, and movement of products and services from the receiving deck to the patient encompass the process of healthcare supply chain management.
There are a lot of challenges in healthcare supply chain management processes. The major issues include demand for specific types of product in inventory, hoarding of supplies, out-of-stock issues that may lead to expensive delivery charges, product expirations, unwarranted increase in inventory dollars based on demand, and pilferage, among others. These issues may contribute to out-of-budget supply costs.
Healthcare supply chain management is an extremely complex process. Poor product standardization, inadequate data reporting, a lack of automation throughout the process, and increasing regulatory requirements only add to the difficulties. Thus, an easy way to get rid of all these complexities is to incorporate advanced technologies in the healthcare supply chain management process.
Healthcare Supply Chain Management Technology
Advanced healthcare supply chain management technologies are developed to transform the supply chain process to a more efficient one by automating repetitive manual tasks in hospitals and other healthcare organizations. Minimizing waste, enabling timely data-based decision-making, streamlining inventory, and reducing labour, supply, and operational costs are the major benefits of healthcare supply chain management software.
There are mainly two types of healthcare supply chain management technology solutions, enterprise resource planning systems and niche healthcare inventory and healthcare supply chain management solutions.
Enterprise Resource Planning (ERP) Systems
ERP systems are not the best for healthcare supply chain management specifically because these systems are used in many industries. Also, the concerned vendors often do not have the required healthcare expertise. As this is mainly implemented by larger and non-healthcare related businesses, it may take a longer time to implement. Also, it requires dedicated customization resources. This makes it inflexible for the healthcare industry supply chain management.
Niche Healthcare Inventory and Supply Chain Solutions
This type is known as the best-of-breed healthcare supply chain management solutions. They provide healthcare-directed and flexible solutions as they are affordable and incorporate deeper industry knowledge. These systems can also focus on specific areas such as interventional medicine, surgery, and other healthcare departments.
Why Should Hospitals Invest in Healthcare SCM Technology
Although hospitals and other healthcare organizations have demonstrated excellent performance in fighting COVID-19, the pandemic exposed vulnerabilities in the present healthcare supply chain management process. Supply shortages, especially lack of personal protective equipment (PPE), highlighted how poor healthcare supply chain management affected healthcare providers. The underlying concern behind the supply shortage is that hospitals’ supply chains are not well prepared for the future of healthcare. Organizations are depending upon old models, which are not innovative, agile, or advanced enough to cater to the requirements of the modern data and technology-driven world.
Automating Healthcare supply chain management will be a major differentiator for hospitals at present and in future, impacting all aspects, including brand reputation, consumer trust, and quality of care. Healthcare leaders, such as organization heads and hospital administrators, require a new healthcare supply chain management system to deliver care at a lower cost. To realize this requirement, they have to make bold decisions and speed up the transformation of their healthcare supply chain.
Acceleration of healthcare supply chain management transformation will be grounded in many imperatives, which are related to process, people, and technology. The digital transformation focusing on these areas will fasten the long-term growth and sustainability of healthcare supply chain management.
Digital Transformation to Raise Healthcare Supply Chain to New Levels
The Healthcare industry has given importance, other than information systems and key enterprise technologies, to electronic health record platforms in the last decade. Currently, the healthcare industry is on the brink of a digital revolution. Several technologies, such as robotic process automation (RPA), artificial intelligence (AI), and machine learning (ML), are opening new doors for healthcare organizations to evolve to a level beyond anything previously imagined. It will surely affect healthcare supply chain management.
However, the healthcare supply chain has not yet kept pace with changing technologies. To create a fully developed supply chain, hospitals should find innovative ways to integrate their physical process with digital data. Hospitals should start using tools such as predictive analytics along with digital statistics and information to drive decisions.
Investing in this technology integrated healthcare supply chain management, hospitals, and other healthcare organizations will help achieve optimal benefits. However, it needs an efficient deployment of new technologies, such as the integration of ML and AI, and maintain a functioning healthcare system.
Collaboration Between People and Technology for Better Results
Years of operating in traditional systems has delayed the progress of healthcare supply chain management. As the consequences of running out of stock can be devastating in the healthcare system, leaders and clinical professionals have to look at supply chain differently. The COVID-19 pandemic has elevated and strengthened the necessity of better collaboration. Now leaders need to act timely to solidify these changes, brought out by the pandemic, to stop people reverting to behaviours that were problematic in the past.
Automation will make the future of the workforce and supply chain workflows more efficient. The greatness of the impact on future healthcare supply chain management performance depends upon the greatness of the automation of work. Hospitals should highly focus on technology to perform various repetitive tasks, including delivering patient food trays, gathering supplies and bringing them to caregivers, picking case carts, and transporting supply carts to storage rooms. Staff efficiency is increased, when repetitive tasks and predictable work are automated and performed by robots. This helps staff focus on more complex tasks that drive innovation and value.
Digital transformation occurs only when there is strong leadership and a conducive culture. Hospitals should realize the value of data in decision making and change their view about the supply chain leader. Modern healthcare supply chain management leaders are those who excel in education, governance, collaboration and communication, and change management. In hospitals, the supply chain management leader position should be elevated to executive level and they should be capable of using modern technologies for effectively handling the healthcare supply chain management process.
The Future of Supply Chain Operations
The sole aim of effective healthcare supply chain management has been finding the lowest cost products for the end-user without considering much about the profit of the manufacturer. The alarming product shortages and supply chain disruptions during the pandemic have changed that. Now, leaders are much more focused on how to diversify manufacturer product origins.
Technological advancements and digital transformation will encourage the efforts to evolve vendor and inventory management, which is evident in procure-to-pay strategies. In case of procure-to-pay strategies, hospitals can reduce cost and increase efficiency by integrating technology assistance in areas such as accounts payable, including invoice discrepancies, match exceptions, and placing purchase orders electronically.
In hospitals, healthcare supply chain management should evolve quickly to forecast and adjust the changing flow of patient volumes and care sites. Increased acute care in the home, utilization of telehealth, and remote patient monitoring will surely change demand for care facilities and supply demands from consumers. Efficiently catering to these requirements with the assistance of the latest technologies will determine the future of hospitals and healthcare supply chain management. In the healthcare supply chain management, technologies will play a vibrant role in boosting competence and reducing cost from now. Get yourself updated to avoid getting outdated!
Frequently Asked Questions
What is the value of supply chain management in healthcare?
The healthcare supply chain management process ensures the right time availability of medicines, maximizing patient care, minimizing inventory wastage, and minimizing human errors. Healthcare supply chain management ensures timely availability of medicines for all patients at right time at lower cost possible.
What are the 5 basic components of supply chain management?
The five basic components of supply chain management are plan, source, manufacture, deliver, and return. Through these five components of supply chain management hospitals ensure the availability of all the medicines in hospitals. Shortage of essential medicines and other articles brings total chaos to the system.
Why is Supply Chain Management important for a hospital?
Supply chain management is essential for hospitals and other healthcare organizations as it ensures the availability of medicines and medical equipment so that patients get access to all facilities in time. In order to keep a consistent patient experience, an efficient supply chain management is necessary for all hospitals.
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Insurance
Article | November 2, 2021
The fall is a time of renewals and choices. It is also a time of so called “open enrolment” for health plans. It is the one time of year we can study and learn about the options offered through employers or government sponsored plans. Individuals and small business owners alike are also are faced with a myriad of choices with confusing and often contradictory language promising lower premiums with higher out of pocket costs for covered services subject to deductibles. What does it even mean anymore when your monthly premiums exceed your pay check and you still have to pay for your colonoscopy or your insulin? Where is it all going?
Let’s imagine you twist your ankle playing basketball. You might go to an urgent care, receive an X-ray, probably be examined by a non-physician, and then referred to your primary care, who can’t see you for a few weeks but eventually sends you to an orthopaedic who takes another X-ray and treats your injury. Weeks have passed, multiple visits, time out of work, and co-pays, not to mention the out-of-pocket fees associated with imaging and perhaps a $100 ace bandage. What stops you from going straight to the ankle specialist in the first place? First, we have become conditioned to follow the directions dictated by the insurance companies, even when restrictions are not in place, patients have been convinced that stepping out of line will make all insurance promises null and void resulting in catastrophic bills and financial ruin. Second, the doctors and their office staffs have been conditioned to deny entry to any patient who does not have the proper referral, authorization, or identification. There are dire consequences for both if the insurance rules are not followed and fear keeps both sides aligned.
The past two decades have seen an explosion of healthcare costs. Health insurance has become the single biggest line item second only to payroll for most businesses. It is no coincidence that as the government increased its role as payor with state subsidies, the prices have gone up. Much like college tuitions, when loans are easy to obtain and guaranteed by federal support, there is little to deter those in charge from increasing the price. After all, everyone is doing it, it must be OK, and even if students end up in debt, it will be repaid because they have received the value of a great education. Right? But unlike higher education, healthcare is a necessity. We cannot avoid it, and there needs to be a reliable mechanism in place to guarantee access.
Ironically, as charges and prices have continued to escalate, payments to doctors have diminished. Why medicine is the only service industry where there is no transparency is truly astounding, especially since the there has been no increase in so called “reimbursements” for decades. As physicians, we have been complicit, being fully aware of the discrepancies between what is charged and what a patient’s insurance will pay. Even as patients began to have higher deductibles, and therefore higher out of pocket expenses, we continued to follow the rules, asking insurance permission to collect payment from the patient. It is not surprising that bad debt accounts for over 50% of most account receivables and why over 70% of doctors are now employed by hospital networks or private equity, who not only go after patients, but benefit from the repricing that occurs when insurers pay a negotiated amount as opposed to the charge. In other words, we pay more not just for less, but for nothing.
But what if we twisted our ankle and went directly to that specialist and paid out of pocket a transparent price? What would it take for that to happen? Not much, the cost of care is predictable, and because payments have always been decreasing, most physicians have learned to be economical. Plus, out of pocket costs are capped by federal law, so no patient is really responsible for catastrophic bills. Charges inflate to cover overhead, but if payments were guaranteed and immediate, then the cost of doing business goes down. Add technologies like telemedicine to a practice and you have increased patient access to a doctor without adding more personnel. Direct pay doctors are emerging all over the country and have consistently offered better access and more affordable care. The bar is also being set by independent surgery centers and imaging centers who offer better outcomes at lower costs. Perhaps motivated by prohibitive pricing, better options have emerged that have moved patients away from expensive operating rooms to safe, office-based procedures. Even cutting-edge cancer therapies can be delivered at home, preserving more of the healthcare dollar for medical care rather than the complex system built to manage it.
Competition and choice inevitably drive prices, but in a monolithic system the price is not negotiated, but instead it is set by only a few, in this case the big insurers. Small businesses cannot compete when bigger companies come to town. Eventually, the local hardware store gives way to a national brand, and the consumer is left with fewer choices and eventually higher prices. Amazon disrupted this equation by creating a marketplace for individual buyers and sellers. The convenience of finding a trusted brand, no longer available locally, is irresistible and the reason why we became loyal consumers. Healthcare is no different. Trust exists implicitly between a physician and patient, because it is an authentic, empathetic, and logical relationship. Trust does not exist between a patient and their insurer, on the contrary it is an unsympathetic business relationship without transparency or consistency. Few doubt the insurance company’s top priority is the premium, not the patient. Creating a direct relationship between the doctor and patient is a common-sense approach that serves both stakeholders well, and requires merely a fair and affordable price. But do doctors have the capability or the will to do it and if so, can the rest of the system follow?
Never in the history of modern medicine have physicians been more dissatisfied. US healthcare used to lead the world in innovation and outcomes, now we struggle to break the top thirty. We may have the most brilliant doctors and scientists with access to the best resources, but the need to maximize profits while catering to special interests, be they commercial or political, has led us to favour certain therapies over others despite marginal proven benefits. Doctors have little autonomy and less authority; prescribed treatments are routinely denied by insurance companies without a second thought or appropriate peer review. In fact, insurers even renamed us “providers”, a term used to by Nazis when referring to Jewish doctors to devalue them professionally. Over 56% of physicians are burned out, nearly all report moral injury and as hospitals have systematically replaced doctors with non-physicians with limited training, we have watched the standard of care deteriorate. It is no wonder we have witnessed the single biggest loss in life expectancy since WWII. The prognosis is grim, but there are solutions.
We need to reinvent healthcare by removing the middleman. We don’t have to set the price, but we can make it transparent so patients can decide for themselves if it is worth the inconvenience, the delay, and the co-pay to use insurance or just pay directly. Health savings accounts are tax deferred and can cover an out-of-pocket maximum in just a couple of years. Paying for care means there are no surprise bills or out of network costs, because there are essentially no networks and therefore no need to follow restrictions. You’d be hard pressed to find a doctor or hospital unwilling to accept an immediate cash payment, especially when it costs nothing more than the service provided. There are no billing cycles, or claims to prepare, no up coding, or authorizations. Doctors free to care for patients, patients treated individually and not subject to protocols designed to maximize charges. There are literally thousands of direct pay primary care and specialists now available all over the country and they are building alliances with likeminded people providing imaging, ancillary services, surgery centers, and prescriptions all at fair market prices. More and more employers are moving toward medical cost sharing plans that not only lower the cost of care but the cost of administration. Even the biggest payor, namely the government, sees the benefit of price transparency and is piloting models of direct contracting.
We will always need coverage for those unexpected events, emergencies, or hospital-based services, but all the rest - doctor visits, screening tests, and outpatient procedures - are easily affordable. After all, do we use our car insurance to pay for an oil change? If we did, the cost would be prohibitive and few of us would drive. But health insurers have lost our trust, they no longer cover necessary services and no longer honour contracts with physicians or patients. It is time to offer another option and let the patients and doctors get back to the real business of medicine.
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