

We have come a long way in improving the world of healthcare – largely thanks to improving interoperability and data standardization. However, the work is not yet complete. Every day, we continue to push forward, think, and try out new things. This push can either lead to a new solution that further improves healthcare, or it can lead to new challenges or further exploit old challenges. So what does this look like in terms of payer-provider integration? What challenges still linger, and what is being done about them?
We reached out to our brilliant Healthcare IT Today Community about this, and asked — what interoperability or data standardization challenges continue to hinder payer-provider integration, and how are they being addressed? Below are their responses.
Robert Connely, Global Industry Market Leader, Healthcare at Pega
While data standardization and interoperability are critical, the underlying problems often have more to do with data sharing rights and consent to access the data beyond integration. This is where programs like Value-Based Care offer unique opportunities to enable informed consented relationships between patients and providers to engage and share data. This is a big part of care management systems today. They are continuing to evolve and becoming core capabilities with modern orchestration platforms.