H ealthcare reimbursements can be very tricky depending on various factors involved in the medical billing process. The complex framework includes the digital care coordination solutions and automated patient management platforms that can have a transformative effect on the financial experience of the stakeholders. Digital patient engagement solutions are also reported to have a direct significant impact on improving reimbursement rates and driving up the ROI of a healthcare organization.

Here’s a strong business case on how an automated care coordination solution can help reduce readmissions, improve reimbursements and make a positive difference to the ROI of a healthcare system.

The Centers for Medicare and Medicaid services (CMS) unveiled the Bundled Payments for Care Improvement (BPCI), which was re-launched in 2018 with advanced benefits and incentives to deliver high-quality care. With a paradigm shift from the Fee-for-service (FFS) to value-based care and reimbursement models—patient-centricity, Patient Experience (PX) and engagement have been amongst the key focus areas for healthcare providers. Care Providers and Payors architect new patient engagement programs that support guided care pathways, powered by digital and automated patient management platforms.

When organizations were looking at opportunities to deliver effective care, while mitigating the costs, Skilled Nursing Facilities (SNF) were one of the contributing factors to high costs of care, which also had high readmission rates within 30 days of surgery. To prevent this, healthcare organizations took to digital care coordination solutions, which integrated patient education programs that helped them with the assisted care pathways from preoperative, during to post-operative care—helping them in their seamless coordination throughout the episodes of care and in their speedy recovery process.

An end-to-end pre and post-surgical patient management platform like RippleCare ensures frictionless member experiences, while helping patients with collaborative, continuous and cohesive care throughout their care journey. From appointment reminders, patient referrals, patient scheduling, smart waitlists and auto-refill appointments to health screenings, value-based care, telehealth, pre- & post-care messaging, medication adherence, patient notifications and preventive care scheduling—an effective digital patient engagement platform gives a 360-degree view of patient health status, while seamlessly engaging them for maximized health outcomes. What’s more, an integrated patient management platform with strategic patient education materials for guided care pathways is reported to have a significant impact on the ROI. There was a drastic reduction in Length of Stays (LOS). Patients were getting discharged sooner to home—thereby eliminating the huge process and the cost involved in Skilled Nursing Facilities post surgeries.

Patients as consumers are attuned to high-touch, hyper-personalized experiences and they expect the same from healthcare as well. When healthcare organizations can harness data, Artificial Intelligence (AI), Machine Learning (ML), Internet of Things (IoT) and other digital capabilities to provide remote and real-time tracking and monitoring of patients, there is a huge value-add offered to patients in terms of driving patient outcomes, satisfaction scores, which positively impact patient loyalty, retention or Consumer Lifetime Value (CLV) by Simplifying Healthcare Experiences.

Bottom line

A highly integrated patient management framework needs to be designed in a unique, frictionless way—that can engage patients without them having to take time off their work or compromise much on their routines. RippleCare by SolvEdge is one such patient engagement platform—designed by an expert team of SMEs, technologists, Doctors and PhDs who work together to provide a comprehensive solution for complete guided care pathway management. Having catered to a niche segment of healthcare audiences, our integrated suite of patient engagement solutions are trusted by 450+ Hospitals, 4000+ Physicians, and millions of patients around the globe to simplify healthcare experiences.

The Ripple Effect

RippleCare – Our complete suite of patient engagement platform is strategically designed to transform care coordination for millions of users

Let us Transform Your Care Journey

To get a free and personalized consultation on how our patient engagement platform can help streamline care journeys and optimize efficiencies, Give us a shout!