0 100 200 300
Before deciding that the way to solve the
interoperability challenge is through a single
EHR or partnership, consider that many
healthcare organizations are turning to third-
party solutions as an effective and expedient
alternative. EHRs are a necessary building
block, but effective population management
requires technology solutions that provide
actionable insights, manage care and referrals,
and activate patients.
When it comes to the payer breakdown, both
Oneonta and Manhattan have multiple payers.
However, due to differing market competition
dynamics, providers in Manhattan have additional motivations to drive toward value-based
care. But this is not without challenge. While the
lack of a strong payer may provide some pricing
relief, managing different contractual relationships and data idiosyncrasies of multiple payers
adds complexity to revenue and collection
processes and makes marching forward quickly
with a new contracting strategy difficult.
To drive payer negotiations, focus on quality
and savvy contracting. This helps reduce the
cost of services and solidifies a position with
forward-thinking payers in the region to drive
Understand Chaos to Drive Value
No matter what level of chaos exists in a market,
it’s important to understand the landscape to
truly maximize a healthcare provider’s efforts. By
taking control of data, quality of care, and costs,
you can deliver value for your organization and its
patients—which is never a losing strategy.
Niki Buchanan is general manager at Philips
Population Health Management.
1. Philips Population Health Management 2019. Chaos Matrix: Take Control of
Your Transformation. Accessed March 19, 2019 at wellcentive.com/chaos.
2. T. Sullivan. 2018. Why EHR Data Interoperability Is Such
a Mess in 3 Charts. Healthcare IT News, May 16, 2018.
Accessed March 19, 2019 at healthcareitnews.com/news/
3. F. Pennic. 2018. 62% of Hospitals Are Not Using Patient Information
Outside Their EHRs. Healthcare IT News, April 23, 2018. Accessed March 19,
2019 at hitconsultant.net/2018/04/23/hospitals-interoperability-ehrs/#.
4. J. Byers. Feb. 9, 2018. “Hospital Consolidation Has Spotty Track
Record.” Healthcare Dive, February 9, 2018. Accessed March 19, 2019 at
5. Kaiser Family Foundation. 2019. Health Insurance Coverage of the Total
Population: 2017. Kaiser Family Foundation. Accessed March 19, 2019 at kff.
Disparate EMR Vendors in Use
at Affiliated Hospital Practices
Source: T. Sullivan. 2018. Why EHR Data Interoperability Is Such a Mess in 3 Charts. Healthcare I T News, May 16, 2018.
n = 4.023 Hospitals
Data from HIMSS