With increased regulatory pressures, changing payment models, and growing complexity, payers are looking to digital health solutions to improve quality and outcomes, boost their performance, and stay profitable. In fact, 62% of health plan leaders say that investing in modern technology for digital transformation is the top way to achieve their organizational goals in the new year.

Innovation and Impact – The True Promise of Analytics It’s been an exceptionally busy quarter for the AMC Health analytics team. From groundbreaking dashboards to pioneering machine learning models, the team is resetting expectations – both internally and externally – on the value that robust data and analytics bring to patient health.

Virtual care solutions can solve some challenges payers face by improving member care, managing rising healthcare costs, improving Centers for Medicare and Medicaid Services Star Ratings, increasing member engagement, and reducing hospital readmissions. Digital health solutions provide tools that enable payers to address concerns such as social determinants of health (SDOH) by improving access to care while minimizing costs. The benefits of these solutions extend beyond payers, however. Members also experience the benefits of virtual care solutions.

Hypertension is one of the most common chronic conditions. But only about 1 in 4 adults have their hypertension under control. This has a large impact on both those with hypertension and on payers as chronic conditions often require hospitalization and can be costly to treat, acting as a leading contributor to our nation’s $4.1 trillion in annual healthcare costs. Additionally, approximately 17.8 percent of individuals who were initially hospitalized for acute hypertensive emergency were hospitalized again within 30 days.