How Smashing Silos Can Heal Our Healthcare System
by XSOLIS Insights, on Sep 25, 2020 6:00:00 AM
XSOLIS CEO, Joan Butters and Chief Medical Officer, Dr. Heather Bassett are currently featured on the podcast, The Healthcare Solutions Project, which highlights innovators in the healthcare industry. The discussion focused on XSOLIS’s mission to break down the barriers that exist between payers and providers through objective, real-time data so they can focus on what’s most important − the patient.
From the lightbulb moment that changed the direction of XSOLIS to witnessing collaborative change in action between payers and providers, this personal conversation covers everything that led to XSOLIS’s success so far and the opportunities that still exist to heal the healthcare system.
Changing Direction: The Lightbulb Moment
When XSOLIS started, the primary customer base was on the hospital side. The company offered technology and analytics to help streamline their utilization management processes, enable better decision making, and reduce costs. But that only addressed part of the problem.
Dr. Bassett saw firsthand how much time UR nurses were spending going back and forth with payers through phone calls and faxes. “It’s just mindboggling. It really was that lightbulb moment where we have the technology and we have the analytics that really can impact change on both sides,” she says.
“There’s a companion on the payer side that is doing the same thing and is struggling with the same sorts of decision-making processes,” shares Joan. “And until the two organizations [payers and providers] have the same information to drive the decision making – we only attack part of the problem.”
XSOLIS saw the need to connect the two dots; it centered its technology platform between the payer and provider, offering them a shared framework from which to take action.
Changing Relationships: From Adversary to Ally
The relationship between payers and providers is often seen as adversarial, warranted or not, so healing both perception and reality is no easy task. How is XSOLIS making it happen? By aligning the shared clinical motivations between payers and providers – getting things right for the patient – through access to the same objective data and analytics.
“It’s adversarial because both parties don’t necessarily know what’s going on [with the patient],” says Joan. “But when you start to align the payers and providers through data, common analytics, and transparency of the clinical picture of the patient, you start to break down the walls of that adversarial arrangement.” Joan explores this concept in-depth during a recent webinar featuring Humana executive George Renaudin.
Changing the Future: Putting Patients First
XSOLIS believes the leveler between payers and providers is data-driven decision-making as opposed to the ‘what’s in it for me’ decisions. Both sides need to get back to thinking about the patient first and making decisions based on their needs. To hear more about how Heather and Joan are working with healthcare leaders across the nation to make this happen, listen to the full conversation on the podcast here.