Virtual care offers a wide range of options, including video call, which is useful in situations where the patient must practice physical distancing or is unable to visit a healthcare facility in person.

The Centers for Medicare & Medicaid Services' (CMS) defines risk adjustment as "a statistical process that takes into account the underlying health status and health spending of the enrollees in an insurance plan when looking at their health care outcomes or health care costs." These days, most healthcare organizations assess risk through retrospection i.e., by analyzing historic clinical records and healthcare data to understand patients' relative health. However, in order to better understand patient health and manage care appropriately, we need more than a view of the past. Accurate and efficient capture of a member's risk requires a forward-looking, prospective view of patient conditions and treatments.

There aren't many industries where data management is as complex as in life science and healthcare. There are numerous sources of data that generate an astonishing amount of information. It has been predicted that real-world data will experience a compound annual growth rate (CAGR) of 15 percent between 2019 to 2024. It sounds like a promising development as robust databases are generally a precursor to rich data analytics, potentially driving significant improvements in care delivery and health outcomes. However, there are some unique data challenges in the healthcare ecosystem that need to be addressed to build a useable database in the first place. 

Over the past decade, Remote Patient Monitoring (RPM) has risen to new heights. Years of exploration caused this developing innovation to become more widely adopted in 2020, primarily due to the COVID-19 pandemic. It was a critical piece of technology that allowed care to be delivered at a distance when practices were shut down. RPM has made an impact on healthcare and has been pushed to mainstream care delivery due to the advantages that were noticed by providers and care teams.

Working from home is the new reality for millions of people. This sudden transition amid the COVID-19 pandemic has employees confronting new issues, and it is not just about equipment and processes. Being away from the workplace for a few months has employees feeling disconnected. 

As the response to COVID-19 moves from short-term measures to a long-term shift in how and where people work, employers that effectively support the new ways of working can flourish. The conversation around employee experience and digital tools has rapidly grown stronger, moving beyond engaging and retaining talent to empowering and sustaining a fully remote workforce with capacities and technologies which are now regarded as mission-critical.

One of the biggest challenges in managing population health is the conversion and delivery of actionable information to appropriate resources. Defining patient populations is an important first step when identifying opportunities for clinical improvement, but this can be a challenging task. Healthcare technology now makes it easy for clinicians to find a specific patient population and help turn the analytics to actionable steps that improve outcomes.

The goal of digital transformation in the U.S. healthcare system is to drive affordability and accessibility of care. Accelerating care organizations’ movement towards this goal, the COVID-19 pandemic has made it necessary for healthcare organizations to explore better ways of adopting virtual care. Telehealth and COVID-19 have risen together, bringing about a phenomenal shift towards a virtualized care response throughout the country. Studies estimate that the demand for telehealth will rise by 64.3% in the U.S. in 2020, and the telehealth market is estimated to grow seven-fold by 2025, leading to a five-year compound annual growth rate of 38.2%. 

While value-based care is instilling more efficiency in the U.S. healthcare system, the need to procure and share additional data with other healthcare participants can be overwhelming. Before risk-based payment models had come into existence, under fee-for-service, simple information such as the names of the tests, assessments and procedures were sufficient for processing claims. However, under value-based contracts, healthcare payers also need to know the results to measure the quality of care outcomes. This includes items such as lab results, admission and discharge information, body mass index, vital signs and results of screening procedures and preventative health assessments.

The transition to value-based reimbursement in healthcare has created opportunities and challenges for health systems, physicians, and payers alike. Among all the interactions these stakeholders have, the relationship between physicians and health systems remains the most critical to clinical quality and efficiency, as well as the competitive success of each player.