Latest / Becker’s Payer Issues Podcast / Using Data and AI to Improve Care Coordination with Liz Signorella

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Using Data and AI to Improve Care Coordination with Liz Signorella · Becker’s Payer Issues Podcast

• 0:02
  - Generative AI is driving the era of infinite
• 0:04
  - healthcare abundance
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  - At Hippocratic AI, we partner with more than
• 0:08
  - 60 innovative healthcare organizations
• 0:11
  - across payers, providers, and life sciences
• 0:13
  - to drive patient and member outcomes.
• 0:16
  - Offering the safest clinical AI voice agents, Hippocratic
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  - AI is the first company to define comprehensive
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  - voice AI benchmarks for healthcare.
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  - Safety, clinical accuracy,
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  - empathy, consistency.
• 0:29
  - Learn more at hippocraticai.com.
• 0:32
  - This is Gracelyn Keller with the Becker's Healthcare
• 0:34
  - Podcast, and we are recording live at the
• 0:35
  - fourth annual spring payer issues roundtable.
• 0:39
  - Currently joined by Liz Signorella, who is the
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  - senior director of payer contracting at Clover Health
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  - Counterpart Health. Liz, thank you for joining me
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  - today. I'd love to have you start off
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  - by introducing yourself and sharing a little bit
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  - more about your role and organization.
• 0:53
  - Hi. Thank you for having me, and good
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  - morning.
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  - So again, Liz Signorella, senior director of provider
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  - contracting. I help lead, provider contracting and then
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  - also in the counterpart side business development.
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  - We're Clover,
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  - itself is a provider enablement company.
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  - We focus on equipping providers with data,
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  - driven insights and tools and technology
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  - that can help deliver more proactive personalized care
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  - for patients.
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  - We align goals so clinicians can spend more
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  - time focused on patient care and outcomes that
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  - help reduce administrative burdens for the provider office.
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  - And
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  - and finally, that kinda helps deliver more preact
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  - proactive care, particularly for our seniors with complex,
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  - you know, chronic care conditions.
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  - Wonderful. Well, thank you for taking the time
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  - to be here. And I'd love to start
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  - our conversation with from your perspective,
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  - what is the most pressing operational challenge facing
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  - payers right now, and how are you addressing
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  - it?
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  - Yeah. Great question.
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  - So I think, really, one of the most
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  - pressing challenges is the rising administrative burdens on
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  - providers
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  - and then the rising,
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  - coupling that with improved outcomes. We have regulators,
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  - we have payers, we have patients themselves that
• 2:00
  - are all looking for more improved, better outcomes,
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  - but it's challenging for our clinicians to face
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  - today.
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  - With these increased, you know, pressures and from
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  - the market itself to help improve the outcomes,
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  - the providers are often tasked to find all
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  - sources of the data and the truth behind
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  - that data in a relatively short part of
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  - time. And I think a lot of times
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  - our industry is more reactive than proactive. So
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  - I think that's where Clover really comes in,
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  - to assist our provider community,
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  - by bringing
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  - real time clinician data from the
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  - patients have, you know, whether they've gone to
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  - an ED or a specialty visit. That's not
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  - always surfaced for a primary care physician, but
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  - through the Clover,
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  - tool, we're able to take a 100 different
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  - data source points and bring it and surface
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  - it at the time of the appointment so
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  - the provider can kinda prep prep for that
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  - appointment prior to seeing the patient. And that
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  - way, at the point of care, they're having
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  - a live, more interactive discussion than trying to
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  - interview the patient to find out what happened
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  - from the last visit. They've kind of have
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  - that information sourced right there for them to
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  - be able to have that conversation and have
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  - a better outcome from the appointment with the
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  - patient.
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  - Certainly.
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  - And there is a constant tension between keeping
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  - costs down and actually delivering a good member
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  - experience, especially as it comes to care coordination.
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  - So how is your organization balancing cost containment
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  - with improving member experience and quality outcomes, and
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  - where are you seeing the greatest opportunity for
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  - impact?
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  - Yeah. So, I would say definitely when care
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  - is more proactive and coordinated with the patients,
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  - they have the better experience, and they are
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  - more confident in their provider care that they're
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  - receiving.
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  - When they come into the office and the
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  - provider already knows again that they maybe had
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  - an ED visit or they had an appointment
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  - with a certain specialist or even knowing that
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  - they've, you know, filled and taken their medication.
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  - I think that that gives them a confidence
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  - that their provider is really invested in their
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  - care and has taken the time to kind
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  - of research so that they aren't, again, doing
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  - a discovery phase during that appointment.
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  - And I think as an industry, we can
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  - agree that early intervention and early diagnosis can
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  - lead to lower costs and hopefully less, you
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  - know, acute care episodes or ED visits,
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  - better managed care with that early intervention. And
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  - those are all drivers that come out of
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  - being more proactive in,
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  - continuum of care. And digital engagement and transformation
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  - continues to accelerate across health care. What technologies
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  - in AR are you prioritizing right now, and
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  - where are you seeing meaningful ROI as well
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  - as better member engagement?
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  - Yeah. So we prioritize technology that can integrate
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  - into clinical workflows, and we deliver the value
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  - at that point of care,
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  - when the patient's there and and, you know,
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  - in that discussion with the provider.
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  - AI is a really powerful tool, but it
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  - should be used to help augment decision making
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  - processes. It's not there to replace the decision
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  - making process.
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  - So I think in the fact that, you
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  - know, these insights are surfaced at the time
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  - of the appointment,
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  - it's helping, the return on investment definitely for
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  - the provider is they're able to deploy their
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  - staff to work on more direct patient care
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  - than researching what's happened to that patient again
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  - prior to the visit or what's happened since
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  - the last visit.
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  - So I think that's the biggest, you know,
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  - return on investment is really the administrative time
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  - of the provider office and the better management
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  - and earlier diagnosis and detection of, you know,
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  - chronic care conditions that can arise.
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  - Absolutely. Well, Liz, thank you so much for
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  - joining me today on the Becker's healthcare podcast
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  - and sharing these thoughts and insights. Again, we
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  - are recording live at the fourth annual spring
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  - payer issues roundtable.
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  - Thank you for having me. I appreciate your
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  - time.