The healthcare eco-system in the U.S. today possesses a tremendous opportunity to fully integrate information available at various points of care. The mass adaptation of Electronic Medical Records, compliance and effectiveness of treatment regulations are pulling and pushing systems integration to serve all category constituents with the ultimate goal of higher quality outcomes for patients. At the same time, rising requirements entail rising costs.

Today, healthcare IT is focused on enhancing system-to-system communication. There has been tremendous progress in exchanging information between government, providers, payers and pharmas and patients. Organizations that understand and implement appropriate automation to manage the quality and traceability of information are clearly poised to more successfully handle price structures inherent with today’s increasingly stringent expectations.

Figure 1: Healthcare Care Coordination

Ultimately, the success of providers at different points of care depends heavily on the quality of patient and benefits information available and the timeliness of same. Benefit Management systems that can manage both medical and pharmacy benefits ensure treatments, coverage and EMRs are all traceable for providers. Today, integration between various EMRs, Benefits Management Systems and Claims systems is crucial. Healthcare technology/innovation is and will continue to be essential to ensuring the highest quality of patient care.

 

Sandipan Gangopadhyay, President and COO
Dheeraj Misra, CTO