Online health care has the unrivaled potential to significantly reduce costs while simultaneously improving the quality of care and customer experience.

What is Online Health Care?

Put simply, online health care enables patients to connect with physicians online to receive care. It is moving the point of care delivery from the provider’s location to the patient, wherever he or she may be. Moving the location of care delivery from the provider to the patient radically alters and extends the reach, accessibility and timeliness of care, which when properly managed can significantly reduce costs while improving patient outcomes. This web-based encounter enables unprecedented flexibility for both the provider and the patient, allows interaction to happen either immediately or by appointment, and provides for a back-end infrastructure that can enable a host of other services and complementary programs to drive better patient outcomes.

The Stakeholders

The status quo of today’s health care industry is unsustainable. Costs are skyrocketing, providers are stretched to capacity, and patient needs range from a wide variety of acute incidents to chronic, multi-condition diseases. This complex and problematic environment is weighing heavily on a system infrastructure that is crippled with complexity and arcane, outdated processes.

Given today’s struggling health care environment, just about everyone is a potential beneficiary of the efficiency and effectiveness of online health care. At Nalari Health we focus on bringing end-to-end online solutions to:

  • Patients– In today’s hectic health care environment, access to quality, affordable care is becoming more and more complicated. Online health care promises to completely transform the basic ways that patients interact with physicians, offering benefits such as immediate access to specialists and primary care physicians regardless of location via web and phone video conferencing, wider choices, and more coordinated care options via biometric devices and real-time monitoring and alerts – all in more efficient and affordable ways than ever before. Nalari Health is focused on providing the very best patient experience and supporting the very best outcomes through comprehensive support of online health care initiatives.
  • Providers – Physicians and other caregivers are adopting online health care solutions to conduct the business of delivering health care in a more efficient manner. Providers are seeking to reduce costs while improving overall patient experience and outcomes, as well as to drive their business. Online health care streamlines the overall care delivery process and administrative back end and payment processing, enabling providers to be paid in full for services in a quicker, more efficient manner. Online health care delivers new channels of communications with patients, more flexibility and access to other providers to provide a higher level of service, and fewer constraints of being tied to a facility or office for the delivery of care. Nalari Health works hand-in-hand with providers to integrate an online health care program into their current practice, providing the tools and support to give them the most control.
  • Payers – Health plans, large provider networks and Accountable Care Organizations are driven to provide the best possible care at the best possible overall costs. These organizations are investing in online health care in order to improve patient outcomes while simultaneously reducing costs. Nalari Health works with payers to identify, develop, and successfully deploy pilot programs that prove the value proposition of online health care for targeted patient populations and then are easily scaled once proven. With Nalari Health, payer and Accountable Care Organizations receive the best online health care results.

 

The Promise of Online Healthcare

Online health care has the potential to significantly reduce cost within the health care system while simultaneously improving the quality of care and customer experience. Sample applications include:

  • Enabling a true patient-centered medical home where teams of providers (specialists working with a PCP) collaborate online to provide proactive care for people with chronic conditions.
  • Empowering physicians to make themselves available to their patients regardless of location and whenever they choose.
  • Combining online care plans with biometric devices that monitor and report to help patients proactively manage illness.
  • Allowing patients the opportunity to see primary care physicians and specialists, and receive online second opinions when they want or need them, regardless of their respective locations.
  • Allowing our elders to stay young and healthy at home via coordinated online programs that monitor, report and coordinate care to minimize visits to emergency rooms and doctors’ offices.


The Perfect Storm

An unprecedented convergence of factors means the time for fulfillment of the promise of online health care is now.

Online health care has been discussed for decades and is considered a panacea for alleviating the current health care crisis. Visions of patients interacting with doctors regardless of their respective locations, specialists bringing their unique knowledge to patients wherever they may be, and quickly getting diagnosis and care plans when symptoms present themselves without waiting for a scheduled appointment, have all been concepts of the future.  It is only within the last eighteen months that the technical, legal, regulatory, infrastructure and business model barriers to online care have been overcome with a proven solution. Recent advancements have broken down many of the barriers online care providers have faced, and adoption is finally underway in many states and organizations looking to drive the best possible patient outcomes while reducing cost and complexity. At Nalari Health, we call it the “perfect storm” – it’s happening now, and as a result, now is the time for organizations to begin deployment of online care in meaningful and transformative ways.

Nalari health has been founded to help organizations navigate and reap the benefits of this perfect storm. Our solutions pull from the very best technologies, processes and experience to bring the promise of online health care to you.

Industry Statistics

The status quo cannot be sustained.  The United States is expected to face a shortage of 124,000–159,000 physicians by 2025.1

1 The Complexities of Physician Supply and Demand: Projections Through 2025. Center for Workforce Studies, Association of American Medical Colleges, 2008.

The problem will grow worse as the U.S. population increases and ages. The U.S. Census Bureau projects that the population will grow by more than 50 million (to 350 million) between 2006 and 2025.2

2 The American Association of Medical Colleges

By 2023, the Milken Institute projects a 42 percent increase in prevalence of seven common chronic diseases. 3

3 Ross DeVol and Armen Bedroussian, with Anita Charuworn, Anusuya  Chatterjee, In Kyu Kim, 1) Soojung Kim and Kevin Klowden, “An Unhealthy America: The Economic Burden of Chronic Disease – Charting a New Course to Save Lives and Increase Productivity and Economic Growth.” Milken Institute, October 2007.

The VHA Care Coordination Home Telehealth (CCHT) program saw a 19% reduction in hospital readmissions (and 25% reduction in BDOC) and average cost of home care of $13,121 per annum compared to up to $77,745 for institutional care.  This program received high patient acceptance (90% participation) and a customer satisfaction score of 86%!

Adam Darkins, M.D., Patricia Ryan, R.N., M.S., Rita Kobb, M.N.,A.P.R.N., Linda Foster, M.S.N., R.N., Ellen Edmonson, R.N., M.P.H.Bonnie Wakefield, Ph.D., R.N., and Anne E. Lancaster, B.Sc
Care Coordination/Home Telehealth: The Systematic Implementation of Health Informatics, Home Telehealth, and Disease Management to Support the Care of Veteran Patients with Chronic Conditions
Department of Veterans Affairs, Office of Care Coordination Services, Washington, DC.

Philadelphia Telehealth Supported Innovation Program, based in a standard non-institutionalized medical home population, had a cost of care at $13,448 per patient, per year.  This cost profile was reduced to $11,387 with the introduction of proactive care coordination (disease management), and further reduced to $5,632 with remote patient monitoring and Telehealth.  The report projected net savings of approximately $5,000 per patient annum for an online care coordinated program when compared to standard care: an annual ROI of 130 – 245%!

Karen Alston, Telehealth-Supported Innovation in Home Care, CARING, July 2009