VH Insights

Adam Sabloff
October 11, 2021

How COVID-19 Ignited a Proactive Healthcare Movement

The COVID-19 pandemic will be considered one of the greatest reactive healthcare events in history. In plain terms: the healthcare industry was caught flatfooted. While the pandemic continues to challenge the industry, many payers, providers, and other healthcare organizations have recognized the need to detect and address diseases or health risk factors earlier across populations, leading to the current proactive healthcare movement. At VirtualHealth, we’re proud to be partnering with payers across the country to power their proactive healthcare technology with our HELIOS® care management platform for care, disease, population health insights, and utilization management.

  1. Data Integration with Digital Health Solutions
    Challenging times in healthcare are often catalysts for rapid innovation and policy change. Telehealth is a prime example. For years, the industry has known telehealth – virtual visits, healthcare apps, connected devices, and other remote technologies – as an effective option for providing timely care regardless of the patient’s location. However, it was not until recently that we saw telehealth truly go “mainstream,” in significant part because the pandemic forced its widespread adoption.

    Now that telehealth has achieved broad adoption, the industry has begun to deepen the impact of these solutions to increase their reach. As new channels enter the healthcare landscape, it’s critical to ensure that care managers are equipped with the incoming data from these sources to have a holistic view of a patient’s health, from both a clinical and non-clinical perspective. By equipping care managers with more data from across the ecosystem, they are more empowered to intervene earlier inpatient care and ultimately improve patient outcomes.
  2. Community-based Solutions
    Proactive healthcare requires a 360° view of an individual’s health, which entails more than just clinical data. Social determinants of health (SDoH) are economic, social, and lifestyle factors that can comprise as much as 80% of a patient’s wellness. COVID-19 has exposed large disparities in SDoH on a national level, especially in patients’ ability to access nutrition, medications, education, and transportation. We must continue to integrate non-clinical factors and incorporate SDoH data into workflows for managing patients’ care gaps.

    In today’s hyperconnected world, care managers should know if a patient has limited access to transportation and have the option of ordering a ride with a few clicks. Care managers should likewise know when a patient resides in a food desert and have the ability to provide them with a nutritional service. When care managers can easily connect their patients to community services like these, they directly influence positive health outcomes for their members.

    Some healthcare organizations are struggling to do this on their own, finding that they lack the staff and resources to deliver a truly person-centered experience for every patient. The most successful organizations have recognized that the only solution is to partner with healthcare technology partners that enable intelligent automation. Ultimately, this frees up valuable care team time and helps them place their focus on the right patient at the right time. In turn, this creates a world-class experience for patients, a more proactive healthcare system, and improved outcomes for all stakeholders.
  3. Care Management Technology
    When we integrate the pool of clinical and social data from disparate technologies and apps, we have a tremendous amount of siloed data that is challenging to normalize and analyze. For proactive healthcare to work, data from across the healthcare system must be aggregated, centralized, and orchestrated, giving care managers a complete view of a member’s health and providing actionable insights to create the greatest impact.

    Making this vision a reality is at the heart of next-generation care management technology, which offers powerful rules engines that leverage multi-source data to deliver personalized recommendations and resources. In turn, this empowers care managers to quarterback the care team, engaging with patients outside of the doctor’s office and maintaining a proactive stance for their health.

Today, many forward-thinking payers from across the country are investing in the HELIOS® care management platform to achieve the benefits of proactive healthcare: better outcomes, lower costs, and more efficient workflows. HELIOS® connects the end-to-end healthcare continuum – aggregating medical, behavioral, social, and service data to deliver a 360-degree view of each individual. Our platform’s proprietary rule engines and intelligent workflows guide care teams toward the next best action for the right person at the right time, before an urgent and costly health event.

We’re proud to lead this proactive movement, and we invite other health leaders to join us. Learn more about HELIOS® here.


A version of this content was published to MedCity news here.