Leslie Small: 7 lessons from health plans that manage complex patients

1. Despite increased focus on consumer-driven healthcare, complex patients are not consumers in a traditional sense, when someone is diagnosed with a chronic illness they simply want to be cared for
2. Health plans must respect patients’ dignity--including their right to make choices about their care
3. Trust is vital in the effort to engage providers. One way to obtain physician buy-in is to place navigators in care facilities to act as guides for complex patients
4. The foundation of great patient care is great clinicians, complex patients don’t just need one good doctor--they need care teams that work collaboratively
5. Burnout is a major issue for clinicians who treat complex patients, which health plans must also support
6. Successful care models require not only transparency and data sharing with all key stakeholders, but a commitment to measuring quality, access and the model’s financial health
7. Technology only goes so far, systems of care must have the capacity to manage complex patients

Source: AHIP
Source URL: http://www.fiercehealthcare.com/payer/ahip-institute-8-lesso...

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