Health Care Reform Requires IT Solutions to Influence Consumer Perception at a Health Care Payer

Author(s):  
Rahul Bhaskar ◽  
Au Vo

Recent health care reform is one of the biggest changes that the health care industry has ever faced. This reform represents paradigm changing opportunities and challenges for the company providing health insurance in a managed care environment. The CIO of a premier managed care health insurance provider (ABC Company) wants to take advantage of the new environment using Information Technology. He and his management teams have determined, using primary research, that the customer perception of the health care company’s cost and accessibility to quality health care are the most important factors to their customers in the new market. They are aware that even though they have been able to use information technology to predict customer reaction to changes in cost and perception of quality, it will be very difficult to deliver new systems and processes that support ABC Company’s exposure to the new realities it faces in the market.

2012 ◽  
Vol 14 (2) ◽  
pp. 18-26 ◽  
Author(s):  
Rahul Bhaskar ◽  
Au Vo

The recent health care reform is one of the biggest changes that the health care industry has ever faced. This reform represents the paradigm changing opportunities and challenges for the company providing health insurance in a managed care environment. The CIO of a premier managed care health insurance provider (“ABC Company”) wants to take advantage of the new environment using Information Technology. He and his management teams have determined, using primary research, that the customer perception of the health care company’s cost and accessibility to the quality health care are the most important factors to their customers in the new market. They are aware that even though they have been able to use information technology to predict customer reaction to the changes in cost, and perception of quality, it will be very difficult to deliver new systems and processes that support ABC Company’s to the new realities it is facing the market.


2000 ◽  
Vol 35 (5) ◽  
pp. 477-478
Author(s):  
F. Randy Vogenberg

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.


2002 ◽  
Vol 23 (7) ◽  
pp. 407-410 ◽  
Author(s):  
David P. Calfee ◽  
Barry M. Farr

During the past several years, major changes have occurred in the way in which health care is provided and financed. One of the outcomes of these changes has been a greater emphasis on providing quality health care at a low cost. This has led many healthcare facilities to question the necessity of all expenditures and to reduce spending when at all possible. Many healthcare facilities have solicited the services of consulting groups to provide recommendations regarding cost-containment strategies appropriate for their particular institution.


2000 ◽  
Vol 35 (4) ◽  
pp. 354-356
Author(s):  
F. Randy Vogenberg

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.


2001 ◽  
Vol 36 (7) ◽  
pp. 717-722
Author(s):  
F. Randy Vogenberg

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.


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