i3 - March/April 2020 - 23

'DATAPALOOZA'
NUDGING PATIENTS
TOWARD BETTER HEALTH

care. CTA's study found that four in 10 physicians
"believe in a future where patients will be tracking
every aspect of their health." Health care professionals expect consumer awareness and use of monitoring tools will lead to significant "benefits in patient
outcome and compliance."
Others in the CTA study focused on the values of
both hospital-based remote monitoring and individual event monitoring at home which one respondent called "an integration between clinical medicine
and smartphones."
CTA identified the rapid progression of technologies and consumer adoption during the past five
years. These factors have paved the way toward new
digital health ecosystems: miniaturization of devices,
apps, connectivity, reliability and security plus the
speed and accuracy of data delivery.
C TA . t e c h / i 3

i3_0320_Feature_Health.indd 23

"To develop
its services,
Humana has
combined
technologies
for "wholeperson health
care" as part of
the "creation
of a better
health care
ecosystem."
The approach
encompasses
"cloud-enabled
data democratization, advanced
analytics and
deep learning."

Jody Ranck, senior analyst at Chilmark
Group, a research firm focused on health
information technology, cites the "big differentiators" that are cutting overhead
and creating a "wellness ecosystem" that
"nudges patients toward better health."
Ranck calls the current avalanche a
"health datapalooza," citing the deluge of
information from sensors, and mobile
and artificial intelligence (AI) recommendations. He says the focus on "social
determinants" of health - demographic
factors such as socioeconomic status,
education, housing/physical environment
and employment - affect individuals'
health and can be evaluated by big data.
"It's very early with social determinants,
but that's where you have to go," Ranck
explains. "You must make that information useful to doctors and make it
actionable."
These factors are being used to develop
new risk profiles that "help health teams
determine a plan for individual patients,"
Ranck explains, noting this is the rationale
for insurance firms and other payers and
providers as they seek where to focus their
efforts. "Five to 10% of patients account for
more than 80% of health care costs,"
Ranck says, underscoring the motivation
to find ways to identify those high-cost
customers and prevent the situations that
require expensive treatments. Ranck also
sees greater integration between the various levels of the health care value chain.

HUMANA'S APPROACH TO
HEALTH CARE INTEGRATION

Humana is one of the large insurers that
has plunged into the reinvention of the
health care systems. Among its goals is
greater coordination between the venues
where patients obtain services: primary
and specialty providers, "urgent care" clinics, pharmacies as well as at-home care.
MARCH/APRIL 2020

23

3/13/20 11:10 AM


https://cta.tech/i3

i3 - March/April 2020

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