The continued use of telehealth as an essential care modality beyond the COVID-19 public health emergency requires payers and providers to develop forward-looking strategies that facilitate high quality virtual care at a lower cost. In response, Wolters Kluwer, Health today released telehealth-specific value sets for use in health insurance claims processing, coordination of care, and benefits systems.
“Now is the time: optimization of telehealth services must be strategically prioritized by both payers and providers to avoid a scramble when the public health emergency ends,” said Frank Jackson, vice president and general manager of Health Language at Wolters Kluwer, Health. “We want stakeholders to be able to sustain and build on their progress thus far, so we have been focused on developing the resources we know they will need in the future.”
Future-proofing telehealth claims and benefits
For payers developing their own strategies for supporting telemedicine services after the pandemic, specialty-specific value sets that define those diagnoses and services that are most likely to be utilized in a telehealth setting will be critical for configuring claims systems, defining benefits, setting fee schedules, and identifying clinical needs within a patient population for targeted intervention. In addition to these new value sets, content from Health Language will empower payers to stay ahead of a changing regulatory world to prepare their claims payment, benefits management, and provider relationship systems accordingly.
Setting up providers for long-term virtual care success
For providers embracing telehealth, these value sets can help stratify patient populations to identify those most likely to benefit. Whether primarily a fee-for-service or quality payment-based organization, telehealth, remote patient monitoring, and chronic care management services are proven to add clinical and financial value. Health Language is helping providers identify and understand the potential upside of these programs and successfully implement them.
Organizations that embrace telehealth and utilize the content and services from Health Language will optimize the value of virtual services from both a clinical and financial perspective. They will also be better positioned to thrive long after the public health emergency and remain competitive in an era of digital medicine.
This is the latest telehealth offering from Wolters Kluwer, coming on the heels of the launch of Lippincott TelemedInsights, a resource on telehealth training and regulatory guidance for healthcare providers. Additionally, Wolters Kluwer offers Emmi, a solution that helps providers connect with patients at scale while providing a personalized and “human” experience. Further, the company anticipates the release of additional virtual care offerings in a concerted effort to support its customers with solutions that help ensure a holistic, sustainable and compliant virtual care approach.
About Wolters Kluwer
Wolters Kluwer (WKL) is a global leader in professional information, software solutions, and services for the clinicians, nurses, accountants, lawyers, and tax, finance, audit, risk, compliance, and regulatory sectors. We help our customers make critical decisions every day by providing expert solutions that combine deep domain knowledge with advanced technology and services.
Wolters Kluwer reported 2020 annual revenues of €4.6 billion. The group serves customers in over 180 countries, maintains operations in over 40 countries, and employs approximately 19,200 people worldwide. The company is headquartered in Alphen aan den Rijn, the Netherlands.
Wolters Kluwer provides trusted clinical technology and evidence-based solutions that engage clinicians, patients, researchers and students in effective decision-making and outcomes across healthcare. We support clinical effectiveness, learning and research, clinical surveillance and compliance, as well as data solutions. For more information about our solutions, visit https://www.wolterskluwer.com/en/health and follow us on LinkedIn and Twitter @WKHealth.