COVID-19 caused a seismic shift in operations for both providers and payers. Care and coverage will continue to change based on the pandemic and society’s response to it, from rapidly expanding provider options and altering payment systems to improving access to care. These changes will prepare organizations for the next big challenge they face, whether it’s a continuation of the current pandemic or another kind of crisis.
Managing health emergencies requires smart segmentation of patient and member populations. Providers and payers must be poised to deliver targeted care, and to scale it up or down in response to need. To facilitate this, they need open channels of communication within and between organizations and with patients, members, and their caregivers.