How can payers address skyrocketing costs for the care of complex health conditions?
Members with complex conditions continue to experience uneven quality and health outcomes that disproportionately impact trends in health care spending, despite the promise and potential of whole-person focused, value-based care. These specialty populations are often managed across a patchwork of siloed specialty management solutions that generate point-in-time, transactional savings but miss the opportunity to realize end-to-end care journey value—better outcomes, improved experience and lower total cost of care.
In this podcast, Evolent Chief Strategy Officer John Tam sits down with Mariah Muhammad of Becker's Healthcare podcast series to discuss the challenges payers face in managing specialty care and explore strategies for the future.
In this Podcast
0:30 – What is creating the urgency around specialty care?
3:00 – Within the broad umbrella of “specialty,” where are you seeing payers focus and prioritize?
5:50 – What are the main challenges payers face in managing specialty costs?
9:20 – What is the human toll?
10:30 – What can payers do in response to these challenges?
