Development of a Multichannel Healthcare Navigation and Provider Selection Platform

Patients face significant challenges in navigating complex healthcare options, with cost disparities of up to three times for similar procedures across different providers. Lower-cost providers often deliver higher quality care. Additionally, care coordinators require tools to guide patients effectively and ensure seamless communication among patients, advocates, and providers. Existing legacy systems lack the scalability, security, and user-friendly interfaces necessary to address these issues effectively.

A mid-sized healthcare technology company seeking to improve patient engagement, transparency, and provider navigation by developing an integrated, scalable platform.

• Develop a mobile-ready platform to guide patients through their healthcare episodes, facilitating access to information, provider selection, and communication with care personnel.
• Create a custom workflow management system for care coordinators and advocates, integrating clinical pathways and workflow tools to improve guidance and decision-making.
• Enable personalized, multichannel engagement to improve patient satisfaction and outcomes.
• Design a scalable, secure architecture compliant with healthcare regulations such as HIPAA, supporting modules like surgeries, imaging, physical therapy, prescriptions, wellness, pre-operative, and postoperative care, with potential to operate as a SaaS solution.
• Seamlessly connect patient, advocate, provider, and administrative transactions within a unified platform.

• Multichannel engagement modules (web, mobile, messaging) for patient benefit education and provider comparison.
• Secure messaging and communication channels between patients, advocates, and providers.
• Patient benefit learning tools to facilitate informed decision-making.
• Provider selection tools highlighting cost differentials and quality ratings.
• Embedded clinical pathways to guide patients through pre- and post-procedure processes.
• Custom workflow and case management tools for care coordinators and health advocates.
• Modular architecture supporting specialty modules such as imaging, therapy, prescriptions, and wellness programs.
• Scalable SaaS platform design with hosting and deployment flexibility.

• EMR/EHR systems for patient records and clinical data integration
• Health insurance benefits systems for benefit information retrieval
• Third-party clinical pathways and quality rating services
• Secure authentication and compliance tools for HIPAA adherence

• HIPAA and High Trust compliance for data security and privacy
• System scalability to support simultaneous users and modules with minimal latency
• High availability and disaster recovery capabilities
• Secure role-based access control and authentication mechanisms
• Performance benchmarks to support responsive user experiences across channels

The development of this integrated healthcare navigation and coordination platform is expected to significantly enhance patient satisfaction by simplifying complex healthcare decisions and improving communication. It aims to reduce healthcare costs by guiding patients toward higher quality, lower-cost providers, potentially decreasing procedure costs by up to 3x disparities. Furthermore, the platform will enable care coordinators to deliver more personalized, efficient support, supporting scalable SaaS deployment and fostering broader market reach and operational efficiency.