Healthcare Innovators / Self-Insured Employers
Healthcare Innovator Passport: Access to the Self-Insured Employer Landscape
You have a great idea or capability and you're looking for entry. Maybe it's already working for you in a different marketplace. How do you get your foot in for of the self-insured marketplace?
A growing number of healthtech, digital medicine, virtual care, population health and digital therapeutics companies are starting to target this marketplace. Solutions, including condition management, pharmacogenomics, care management, telemedicine, precision medicine, access to care and care coordination are some of the breakouts looking for a blockbuster experience.
Ron Leopold Consulting helps you speak the language, shape your product and understand competitive barriers. Many healthcare innovators come to the table with mis-assumptions about employer needs and wants. An informed pitch that hits on what self-insured employers are really looking for is a passport for a successful first step in this space.
passport: Considerations for Healthcare Innovators
Expert Medical Opinion
Expert Medical Opinion
Expert Medical Opinion
Second medical opinions, virtual centers of medicine and specialty telemedicine are revolutionizing how employer health plan members can access top medical expertise. Think about how plan members would connect into your solution? Who pays for what, when? How is that administered? And what happens when an expert opinion is rendered?
Condition Management
Expert Medical Opinion
Expert Medical Opinion
Members with diabetes need specific solutions for diabetics. Members with cancer need cancer-specific strategies. Likewise for orthopedic surgeries, behavioral health conditions, cardiac care, asthma support and reproductive health. Every successful entrant needs to understand how they fit into their employer-client's vendor ecosphere.
Digital Health
Expert Medical Opinion
Care Management
Just because you've build an app doesn't necessarily mean you'll be successful in this space. Some stand-alone apps actually do translate into a subscription business that employer's sponsor on behalf of their employees. Most, however, need to go beyond a minimally viable product and integrate with employer processes and vendor systems. How plug and play are you?
Care Management
Wellness and Health Risk Mitigation
Care Management
Care management carve-outs are increasingly in demand for high cost claims, rare diseases, chronic conditions, post-op care; high-risk pregnancies; pre-term infant home care; cancer hospice and many other clinical scenarios. Deciding if your solution has traction, here, has more to do with your willingness to integrate into the self-insured employer's systems, than vice versa.
Genomics and Precision Medicine
Wellness and Health Risk Mitigation
Wellness and Health Risk Mitigation
There's a lot of interest in jump-starting how self-insured employers might adopt some of the new molecular diagnostic testing capabilities. Pharmacogenomics brings tremendous potential value to employers. Polygenic Risk Scores represent a whole new category for population health risk selection. Genetic counseling is becoming a defect strategy to mitigate the high costs of congenital anomalies in high cost newborn claimants.
Wellness and Health Risk Mitigation
Wellness and Health Risk Mitigation
Wellness and Health Risk Mitigation
Regulatory incentives to promote employer wellness programs ignited an entire industry- the field is crowded and we're seeing horizontal integration of traditional wellness players into other spaces, such as patient advocacy and nurse help lines. This is a popular space that requires vigilant competitive analysis to determine how are you really different.
What do you need to do to be successful?
Customize your Innovator's Passport to this marketplace
Flexible, scalable consulting for healthcare innovators.
Not everyone will need the same thing. Your particular health innovation product/solution; where you are in product lifecycle and development; current market activity and success, and; available business resources and priorities will determine the type of consultative support you will need.
Let's have a conversation and discuss how your healthcare innovation could fit in the self-funded marketplace.
