Healthcare consumerism

Healthcare consumerism places the patient at the center. Patients are empowered to engage with their providers and make decisions about their health.

We call it the “patient-first” approach.

According to Privia Health, the three foundational aspects of providing great patient care call for doctors:

  1. To be available when patients need them
  2. Listen when the patient has something to say
  3. To help patients achieve their goals so they can be the healthiest version of themselves

The article I cited above lists a series of trends as important factors in the future of healthcare consumerism:

  • Telehealth and remote patient monitoring
  • Patients are more willing to share healthcare data
  • Reporting and analytics tools that quantify patient engagement, retention, and activation
  • Automation for billing, payment, and appointment scheduling and reminders, which reduce no-shows
  • Diversity and inclusion
  • Price transparency

90% of Gen Z and 87% of millennial patients researched healthcare costs prior to visiting their physician for services.

SOURCE

When it comes to examining healthcare today and prognosticating about its future, there’s no shortage of data. And while it comes from many different angles, much of it intersects in a somewhat obvious way and precipitates a clear path forward.

I believe we can agree on these notions:

  • Patients, like all consumers, expect personalization. You can put your practice in a position to deliver it or expect to lose to those who do.
  • Virtual care is and will remain in high demand.

You need to put the patient at the center of every decision and develop market and growth strategies based on the segments you serve. Let’s unravel this…

Healthcare Consumer Market Report, a study by Huron, reveals the following findings:

  • 78% of consumers participated in a telehealth visit in the last 12 months.
  • 75% who participated in a telehealth visit are satisfied.
  • 53% are likely to switch providers for superior virtual care offerings.

Huron research claims there are five distinct types of healthcare consumers. While not everyone has “perfect vision” when it comes to examining their healthcare options, consumers choose healthcare services based on a combination of attitudes and preferences related to satisfaction, quality, convenience, and personalization.

The “digital inclined” segment is the largest slice of the piece. Such consumers value online quality ratings, reviews, and comparison tools.

  • 55% of consumers are interested in mobile apps for scheduling appointments, asking questions, finding new physicians, and checking results.
  • More than half of consumers use a wearable device, which exceeds pre-pandemic forecasts by nearly 30 percentage points.

Wearable devices paired with remote patient monitoring and virtual care present a significant opportunity to change the foundation of care delivery. It follows that healthcare organizations able to figure out how to monitor data collected from wearables and other digital devices and use it to proactively address health issues will be able to:

  • Improve patient health,
  • Reduce the cost of care through prevention,
  • And revolutionize how they provide care

The all-important patient-first approach

“The challenge will be developing and delivering on consumer priorities in organizations where a ‘consumer first’ mindset has not traditionally guided strategy,” write the authors of the Huron report.

Huron claims the data suggests organizational transformation must center on consumer preferences related to how they choose healthcare and engage with health systems and providers.

Building a consumer-centric healthcare organization requires a deep understanding of your consumer base and must be driven by data and analytics.

The research reveals satisfaction is high and loyalty is not. Nearly 75% of consumers surveyed in 2019 and 2021 report being satisfied with the healthcare they receive, but nearly half say they are willing to make a change if presented with the right driver.

A deeper dive into the state of telehealth

EHR provider Greenway Health surveyed 50 clients in 2021 and found telehealth helped its clients manage COVID-19 visits and has grown immensely to include behavioral health visits, prescription refills, and far more. They report no practices plan to decrease their use of telehealth and they are perfectly comfortable making it part of their patient care.

They asked their clients, “What is the most important feature when adopting a telehealth solution?”

  • Workflow matters most for telehealth users. 40% noted a streamlined workflow is most important.
  • Data security ranked second.
  • A close third was EHR integration. Client practices clearly want to do less log-ins and toggling between screens.

Let’s look at the all-important primary care sector

Virtual primary care now plays a vital role in the healthcare ecosystem. But look at these alarming statistics:

  • One-fourth of adults in the U.S. don’t have a primary care physician (PCP).
  • Half of those under 30 don’t have a PCP.
  • Amongst those that do have a PCP only 15% see them yearly.
    Data source

What gives? Patients have grown weary of time-consuming doctor appointments that are cold and impersonal. In 2020, the average wait time for a new patient to get an appointment with a family doctor was 29 days, according to Consumer Reports on Health.  

Virtual care offers the prospect of delivering a more compassionate experience that is respective of the patient’s time. And the numbers reveal how important it can be to have a PCP.

  • Adults in the U.S. who have a PCP have 19% lower odds of premature death than those who only see specialists for their care.
  • Patients who have a PCP save 33% on healthcare compared to those who only see specialists.
  • Access to primary care helps keep people out of emergency rooms, where care costs are at least four times as much as other outpatient options.
  • If everyone saw a PCP first it would save the U.S. an estimated $67 billion annually.
    Data source

Here’s what Included Health (cited above) has to say:

“Virtual primary care offers the access and convenience of telemedicine, but pairs those aspects with the benefits of traditional primary care. Patients receive an integrated view of their health, and receive continuity of care with the same physician, which is done virtually via video visits.”

Three elements of virtual primary care that amount to satisfied patients

  1. Dedicated care teams create a continuous, relationship-centered care environment for patients.
  2. A single, integrated telehealth platform enables smart referrals to support connectivity and interoperability across the clinical ecosystem.
  3. Software and machine learning tools provide clinical and administrative support to physicians and care teams to give patients more control to manage their health.

I’d be remiss to not also mention virtual primary care offer patients the ability to easily schedule an appointment with their PCP. And patients can see their physician wherever and whenever it’s most convenient (as opposed to the other way around).

Behavioral health looms large

The Centers for Disease Control and Prevention (CDC) claims that 20% of Americans have mental health concerns. 16 million adults in the U.S had at least one major depressive episode in 2020.

Clearly, behavioral health must be a top concern for the entire ecosystem of individuals, families, employers, health plans, and providers.

Unsurprisingly, most people prefer to be treated for their mental health issues in the privacy of their homes. Doctors absolutely must understand the need for privacy and providers must comply with HIPAA regulations out of respect for their patients.

It’s time to address consumerism trends

Though it may sound cliché, it’s transformation time. Thriving in A Changed Healthcare Market, a research report from Huron, presents the following findings:

  • Care transformation trends, challenges, and initiatives are at the center of strategic growth and cost-reduction strategies.
  • Healthcare leaders must focus on building financial health to get long-term transformation back on track.
  • Over 50% of leaders plan to implement cost-saving measures and more transformational cost strategies are needed to improve margins.
  • Investments in telehealth are needed to improve access to care and increase patient volume.
  • Partnership advisory and technology-enabled care are critical to strategic growth and financial stability.

Executives claim managing system capacity has the highest organizational impact, followed by revenue growth, value-based care, and serving Medicare and Medicaid populations. Creating the efficiencies needed for breakthrough improvement in cost and quality will call for reconsidering cost structures, care delivery models, reimbursement, and financial strategies.

Healthcare organizations must now implement technology-driven initiatives to optimize core functions and business systems.

Additionally, building better, more secure data structures and advancing the use of analytics for decision-making are vital to tackle challenges that range from consumerism to cost management and care delivery.

Leaders’ challenges call for managing system capacity, changing care delivery models, expanding virtual care and improving care access. The growth strategies shown above focus on technology-enabled care and building integrated care delivery models.

The challenge here and now: deliver the right balance of in-person and virtual care. To thrive going forward in the 20s calls for true cost transformation and making consumer-driven transformation central to your growth strategies.

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