As part of the recent trends of healthcare consumerism and patient engagement, patients have become more active in the management of their healthcare. A key aspect of this is that patients are actively searching and rating providers. In this white paper we study the relationship between various provider attributes such as medical school, years of experience, patient reviews and accepted insurance plans, and two peer attributes: referrals and awards. Published June 22, 2015
The push for value-based reimbursement has resulted in several healthcare ratings of insurance companies, providers, and hospitals. Payers need to measure the performance of providers to determine the right amount of value-based reimbursement, and patients need the ratings of the providers and their costs to make informed decisions on where to spend their healthcare dollars. The latter is becoming more important as high deductible plans are flooding the healthcare market as a result of the increased costs of healthcare and the need for affordable plans in Affordable Care Act marketplaces. In this white paper we study the relationship between insurance plan ratings, in-network provider ratings and in-network hospital ratings.
Are current approaches to matching patients with providers effective? How do physicians feel about implementing new strategies to better match them with the right patients? These are questions we asked 41 physicians across the United States. All responses are from physicians practicing medicine within the United States.
In this survey we found that physicians believe that leveraging personality and care style attributes would better match them to patients; further we found that physicians have a generally negative opinion of current provider search portals.