The buzz at Becker’s Payer Roundtable

Last week, the Reveleer team was thrilled to be in Chicago for the 3rd Annual Payer Issues Roundtable, hosted by Becker’s Healthcare. For two days, we had the opportunity to engage with health plan leadership, technology partners, and healthcare providers to delve into the evolving value-based care landscape and its impact on healthcare innovation.  

This year, key themes that emerged at the Roundtable revolved around health plan leadership and innovation, population health and value-based care, and the role of technology on health plan outcomes. A wide range of education sessions covered topics including:

• The importance of payer-provider relationships to value-based care

• Technological innovation, including the role of artificial intelligence (AI) in healthcare

• The regulatory and policy outlook for payers in 2025

• Behavioral health and its integration with primary care

Reveleer was represented by Dave DeHommel, Vice President of Payer Strategies, on the panel “Pioneering Innovations for Health Plan Executives in the New Healthcare Frontier”. The panelists discussed key emerging innovations they are watching that are changing the way health plans operate and manage under value-based care.

Session recap: Pioneering innovations for health plans

Joining Reveleer’s Dave DeHommel were Lila Benayoun, Chief Operating Officer at MetroPlusHealth, and Dr. Robert Groves, Chief Medical Officer at Risk Averse Health. The group discussed a range of innovations that are changing the way payers interact with members and providers to drive measurable improvements in cost and quality. Here’s a recap of what they covered.

AI has the potential to transform how payers drive improvements in outcomes.

Panelists at the “Pioneering Innovations” session agreed: payers need to figure out the best way to leverage AI to improve patient health conditions. From improving chronic disease management to predicting care gaps for proactive care gap closure, the panel noted how important technology is to driving quality improvement.  

Groves even noted of prospective risk adjustment, “What if we had to get it right?” He argued that retrospective risk adjustment does little to nothing to help improve patient health. “We need to be prospective and concurrent, so you’re not having to go after medical records, you’re incentivizing your clinicians upfront to capture that.”

Member engagement starts with enhanced communications.

Technological innovation can even have a significant impact on something as seemingly simple as member communications. Making sure that members understand covered services, can navigate within their provider network, and know when and how to re-enroll when the time comes is critical to minimizing attrition as well as improving member satisfaction.  

Unfortunately, even plans with up-to-date member data and efficient ways of delivering messages still face this challenge: “How do you get folks to pay attention to your messages? How do you get folks to pay attention to what you're offering?” said Groves.  

Leveraging AI can help here too. Identifying what messages will most resonate with which members—and when those members want to receive them—can vastly improve response rates and engagement.

The power of technology to automate workflows will dramatically increase efficiency.

Innovative technology pushes the boundaries of what used to be possible to accomplish—and it does so in record time. Health plan leaders are looking to AI to drive the automation of previously manual, time-consuming workflows that drained staff resources and limited scalability.  

Now, for example, AI can automate medical record retrieval, helping health plans simplify provider outreach by automating things like packet distribution and sorting data to align it to the right member. Intelligent automation can also help save time on medical review, member management, and even risk adjustment submissions  

Stronger payer-provider relationships are key to better care.

If technological innovation is the catalyst, strong provider relationships are the necessary foundation to drive transformation in care. A deliberate focus on building payer-provider partnership helps reduce friction that develops when payers try to drive improved outcomes from the top down.  

Panelists also mentioned the critical importance of financial alignment. Making sure that provider payments accurately reflect the needs of their populations as well as payers' priorities ensures that the member is treated holistically. Threse  

Having a provider engagement team can help. The team can help focus on developing the right pay-for-performance setups to drive improvements where they are most needed. Part of ensuring the success of programs like these is making sure that the provider has accurate member data—delivered at the point of care where it is most valuable.

Wrapping up our time at Becker's

Our team brought back countless takeaways during our time at Becker’s. The opportunity to engage with healthcare payment leaders from organizations of multiple sizes and from different parts of the country was invaluable. Reveleer was also thrilled to share our experience building and implementing innovative technology to help boost success in value-based care solutions. From our conversations with payers, we learned the importance payers place on technology partners that deliver:

• Enhanced efficiency, producing significant time savings and enabling payers to scale.

• Highly accurate insights—connected at the point of care—into member care gaps.

• Technological innovation, leveraging AI to help meet value-based care goals.

Interested in working with Reveleer to transform care through innovative technology? Schedule a demo with our team to tour our powerful value-based care platform.