3 min read

How Moxe is Helping Organizations Achieve Value-Based Care

The latest data from CMS is disheartening. It shows that U.S. healthcare spending in 2020 was over $4 trillion—more than $12,530 per person and still growing. That’s about 20% of our nation’s Gross Domestic Product, a number well above that of many other developed nations.

Like many healthcare industry long-timers, I share the vision of a healthcare system that delivers on the quadruple aim: improving individual and community health, reducing costs, delivering a good patient experience, and ensuring the well-being of healthcare teams.

 

The adoption of value-based care models, in which payment for services is tied to quality of outcomes, is an important step in achieving the quadruple aim. We are faced with a fundamental challenge, however, in delivering on these models. Value-based care requires coordination of treatment and care across the longitude of a patient’s healthcare experiences. As much of our healthcare system is not integrated, coordination is a real challenge. A patient’s health experiences play out in numerous venues. Like chapters in different books, a patient’s story is difficult to understand retrospectively and even more difficult to coordinate in the present.

 

We can break down barriers to adopting value-based care models when we have interconnected health data. In fact, I believe that interconnected health data serves as the very foundation of value-based care.

 

The power of interoperability

My first job was as a purchasing and inventory control manager at a small manufacturing company, a role that required deep involvement with the company’s computer systems. It was an exciting era as client server systems were digitizing the manufacturing world. Over the course of a few years, I experienced firsthand the power of integrating data and information across the enterprise and also across a broader supply chain. Newly integrated systems drove dramatic reductions in waste and cost and optimized production and manufacturing quality.

 

When I made the move to healthcare in 2001, healthcare IT interoperability was not robust. Technologies stood alone with little integration: lab and radiology systems and state immunization registries felt like an advanced use of then-current tech.

 

Thankfully, things look different today. With the mass digitization of healthcare provider systems through EHR adoption and the push to consolidate data and information systems through cloud migration, a foundation exists to begin to connect these systems across the healthcare ecosystem.
HIT interoperability challenges are harder to solve than in the manufacturing world, but the form follows just as it did in the manufacturing space: digitize the enterprise, connect technologies and data across the ecosystem, drive delivery and payment efficiencies, and analyze to improve care and cost.

 

Along with technology integration improvements, health policy is also moving in a direction that makes smarter, faster data sharing a necessity. The groundwork has been laid to get powerful results from the investments made in the last 20 years.

Moxe’s unique role in the quest for value-based care

While countless organizations are working to improve how care is delivered in the US, Moxe is uniquely positioned to help our healthcare system transition to value-based care by integrating the provider and payer data ecosystem.

 

We’re a trusted neutral entity, enabling providers to maintain control of their patient data while providing payers with the clinical data they need quickly, accurately, and in usable formats.
We’re breaking down technical barriers that have, in the past, limited data sharing. By enabling integration across systems, including directly in the EHR at the point of care, Moxe is facilitating the flow of data between payers and providers. We are eliminating the hours spent manually completing chart requests and enabling the flow of rich clinical data needed for audits and payment integrity.

 

We’re flexible.

Not only are we compatible with the leading EHRs, representing over 75% of the market, but we’re also flexible. We know data only matters if it works, so we meet our customers where they are and can flex our solutions and deliver data in formats that meet their strategic objectives.

 

We understand both provider and payer workflows.

Collectively, our team has an unmatched depth and breadth of experience that enables us to deeply understand data needs from both the provider and payer sides of the equation. Our team doesn’t just understand how to make the data exchanges happen; we understand the transformative value of the data exchanges.

 

We’re accurate.

We understand that good data is needed to make good decisions. With an average patient-member match rate of 98%, we deliver high quality, comprehensive data to drive better healthcare outcomes. The more accurate and complete the data payers and providers have, the better care patients receive.

 

We’re secure.

Moxe is HIPAA-compliant, SOC 2 Type II audited, and fully auditable. Our strictly defined access controls ensure only the minimum necessary data approved is shared.

 

We’re easy.

Or, at least we make it look easy! Our Digital ROI™ connections typically take just a few weeks to complete.

 

While technology alone cannot transition our healthcare system to a value-based one—improved care access and new care models must be considered, for example—it is a necessary lever to achieve both the vision of value-based care and the quadruple aim. Being a part of the Moxe team working toward making these goals a reality is both thrilling and rewarding.

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