Rapid advancements in health care technology have brought about significant transformations in the oncology landscape, offering increasingly progressive administrative and operational solutions for payers, providers, and care teams. By harnessing the power of clinically informed technology, health care organizations can provide member-centered care that streamlines administrative burdens, extends the expertise of health plan clinical teams, addresses the complexity of cancer, and facilitates collaboration between payers and providers in validating treatment plans.
Easing Administrative Burdens
Clinical technology plays a crucial role in easing administrative burdens for both payers and providers in the oncology field. It streamlines processes, automates manual tasks, and reduces paperwork, freeing up valuable time and resources. By digitizing and automating administrative workflows such as claims processing, prior authorizations, and billing, clinical technology enables health care teams to focus more on delivering optimal member care rather than getting entangled in administrative complexities.
Clinical Expertise as an Extension of Health Plan Clinical Teams
Incorporating clinical expertise into technology solutions serves as an extension of health plan clinical teams. These solutions are backed by decades of clinical experience and knowledge, empowering health plan teams to make informed decisions. The integration of clinical expertise within the technology platforms allows health plan teams to leverage the latest advancements, evidence-based guidelines, and treatment options, providing valuable insights to ensure the delivery of high-quality, member-centric oncology care.
Addressing the Complexity of Cancer
Cancer is a complex disease, and its vast intricacies go beyond the scope of human capacity to comprehend all its facets. However, clinical technology serves as a powerful tool in navigating this complexity. By consolidating vast amounts of oncology-specific data and leveraging advanced algorithms, technology-driven platforms provide payers with comprehensive and up-to-date information, enabling them to make well-informed decisions in collaboration with providers. The continuous review and incorporation of the latest scientific research and clinical findings ensures that the technology is aligned with the most current oncology practices.
Validating Treatment Plans Through Collaboration
Rather than focusing solely on authorizations, clinical technology facilitates collaboration between payers and providers in validating treatment plans. By offering a secure platform for real-time information exchange, health plan teams and providers can review and validate treatment plans together. This collaborative approach promotes shared decision-making, enhances treatment plan compliance, and ensures that members receive the most appropriate and effective treatments based on the latest evidence-based guidelines.
Member-Centered Care and Continuous Improvement
With the integration of clinical technology, oncology care becomes more member-centered. The technology platforms enable health plan clinical teams and providers to compare member-specific data with expected outcomes, allowing for personalized care plans tailored to each individual’s needs. Moreover, these teams are continuously reviewing the latest, most up-to-date information, ensuring that the care provided to members is in line with the rapidly evolving landscape of oncology research and treatments.
In conclusion, leveraging clinical technology in oncology enhances efficiency and integration in cancer care. By combining clinical expertise with advanced technology solutions, health care organizations can streamline administrative burdens, extend the knowledge of health plan clinical teams, address the complexity of cancer, and promote collaboration between payers and providers in validating treatment plans. This member-centered approach, backed by decades of clinical experience, empowers health care teams to provide optimal, evidence-based oncology care.
About the Author
Clarice Holmes, RN, is the senior director, Clinical Knowledge Management, at NantHealth. She oversees all areas of evidence-based clinical content development for Eviti Connect, an oncology utilization management platform.
Eviti Connect for Oncology from NantHealth was the first solution of its kind to use state-of-the-art technology leveraging clinical experts to efficiently validate oncology treatment decisions with evidence-based medicine and payer policies before treatment begins. The automated process reduces the administrative time involved in obtaining and providing authorizations, aligning all parties around value-based care.
The NantHealth team of expert oncology clinicians and informaticists has more than a decade of experience reviewing the most current oncology clinical evidence and curating the most comprehensive proprietary medical library of treatment plans that includes costs, toxicities, expected outcomes, and more. The Eviti Connect for Oncology platform displays all available evidence-based treatment plans filtered by patient-specific data and offers treatment recommendations to providers.