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A streamlined way to cut costs and improve patient outcomes

In brief
  • EY Care Coordination enhances health care by improving patient outcomes and cutting costs.
  • The tool provides comprehensive patient views, simplifies appointments and more.
  • The use of technology contributes to cost savings and active patient participation in care management.

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As we continue to see improvements in health care, coordination between different providers remains a common challenge. Health care systems, while striving for effective patient care, sometimes face coordination challenges among multiple providers, impacting patient navigation through the system. This is typically due to systemic issues rather than the commitment or capability of individual health care providers or hospitals.

 

Gaps in information sharing can lead to repeated diagnostic tests or uncoordinated treatment plans. Additionally, managing chronic conditions can also be affected due to a shortage in coordinated care across multiple providers and specialists, sometimes leading to additional treatments or hospital admissions that can increase health care costs.

 

Managing costs is an increasing challenge in today’s health care environment. A majority of these mounting costs – 75% by some estimates – stem from preventable chronic conditions and diseases.

 

So, the impetus for action is clear, and an emerging solution is comprehensive care coordination enabled by technology.

 

EY Care Coordination provides better care, lower costs

EY Care Coordination is a tool built on Pegasystem's Healthcare Foundation and Care Management application that addresses both financial and physical difficulties at once. This tool is both a mobile app for patients and a command center for care navigators, enabling payers, providers and patients to manage care effectively. It enhances patient health outcomes and enables them and their caregivers to take an active – but well-supported – role in their care.

 

Improving health by helping the whole person

EY Care Coordination provides a comprehensive view of the patient, drawing data from across the patient’s longitudinal health record, including: previous and upcoming appointments, health data, and existing chronic conditions. This is done with the help of a care coordinator — a real person — who helps the patient along their care journey. The resulting extracted information provides a broader baseline for care.

 

Through the app, patients can easily schedule check-ups and PT appointments, arrange transportation to and from medical facilities, get meal service and home nursing support, and more. The care coordinator helps the patient with all these tasks, which is streamlined thanks to Pega’s automation technology.

 

Framed by Pegasystems’ intelligent process automation, EY Care Coordination leverages AI and health care insights to improve the structure and effectiveness of care coordination across providers, payers and payviders.

 

A simplified, digital remedy across the board

EY Care Coordination helps manage costs by offering a patient-first, data-driven approach to health care. It’s a natural extension of provider contact centers, digital front door initiatives and comprehensive care beyond traditional brick-and-mortar care venues.

 

It improves the way we manage health conditions, identify risk factors and provide preventative care. In turn, this mitigates health care costs incurred with hospital visits, medications, surgeries and more.

 

This allows payers to better control expenses, providers to offer superior care, and patients to hasten their well-being improvement seamlessly on their recovery journey. Moreover, with early intervention and ongoing management of health conditions, EY Care Coordination can result in significant cost savings.

EY Care Coordination helps:

  • Providers cut operational costs by improving outreach, optimizing expenses and reducing unnecessary activities (e.g., non-reimbursable readmissions).
  • Payers Integrate multiple systems, including electronic medical records, existing payer services, and third-party apps from rideshares, pharmacies and nursing services.
  • Patients take an active, but well-supported role in their health through medication reminders, diagnostic tracking, appointment scheduling and much more.

Delivering a higher quality of care

Because care coordination platforms offer multiple benefits, they’re gaining ground and bringing benefits to payers, providers, and patients alike.

  • Patients’ overall satisfaction with the care provided increases up to 70%.
  • Trust improves, countering the 20% of patients who switch providers yearly due to lack of trust.
  • Accurate medical data helps the 70% of patients who prefer to make informed clinical decisions about their care.

But current care coordination platforms in the market fall short in several substantial areas:

  • Multiple sources of data increase complexity and encumber care management.
  • A majority are focused on providers, payers and employers – not patients.
  • Only limited medical conditions and use cases are covered.
  • A fragmented, non-connected ecosystem of care vendors makes it difficult to coordinate with limited interoperability.

Improved health care, all in an app

By streamlining coordination, improving patient outcomes, and reducing unnecessary costs, the use of technology in health care is signalling a new era of efficiency and patient-focused care.

EY refers to the global organization, and may refer to one or more, of the member firms of Ernst & Young Global Limited, each of which is a separate legal entity. Ernst & Young Global Limited, a UK company limited by guarantee, does not provide services to clients.