Bob Farrell says health plans and providers have plenty of data on their patients, but they\u2019re not always getting the most of it.<\/p>\n
Farrell is the CEO of mPulse, a company working with health systems and health plans to get more insights on their patients. The company has been growing significantly in recent years, completing the acquisition of Clarity Software Solutions over the summer. Clarity is the fifth company mPulse has acquired since December 2021.<\/p>\n
With the addition of Clarity, Farrell says the goal is to use AI technology to \u201cprovide a plan or a provider with a 360-degree view of their members or their patients.\u201d<\/p>\n
With that information, he says, \u201cThey can do the things that allow that member or patient to really take charge of their health care, and ultimately to improve outcomes, while simultaneously driving efficiencies for the plan or the provider themselves.\u201d<\/p>\n
The company works with 450 healthcare organizations and 50 of the nation\u2019s 60 largest health plans.<\/p>\n
Steve Mongelli, president of mPulse and former CEO of Clarity, says joining forces can help improve the member\u2019s journey and help payers reach their members in more relevant ways.<\/p>\n
\u201cPayers want to be in constant contact with their members, and you need to get them into a reliable digital relationship where they have access to information in their data,\u201d he says.<\/p>\n
Now, adding Clarity\u2019s strengths, Farrell says he\u2019s looking forward to serving customers with a complete health experience and insights offering.<\/p>\n
\u201cWe have been very focused on getting the data necessary so that a plan can interact with their members at the right time, for the right reason, to take a certain next action that they otherwise might not,\u201d Farrell says.<\/p>\n
Using artificial intelligence and machine learning, mPulse works with providers and systems to review patient experiences and help identify potential risks for certain conditions, he says. Plans and providers can then begin earlier interventions to avoid more complex problems.<\/p>\n
At that point, hopefully, patients can be moved to patient portals to engage with their systems and plans.<\/p>\n
Health plans have data in different departments and work with different partners, so some patient information ends up in individual silos, Mongelli says. That makes it difficult to send consistent messages across a patient\u2019s journey, he says.<\/p>\n
Now with Clarity as part of mPulse, Mongelli says he sees \u201ca very, very different opportunity for these payers to really connect with their members now in a coordinated way that will be impactful.\u201d<\/p>\n