How can the integration of a payer and a provider create value in health care?

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How can the integration of a payer and a provider create value in health care? / Peltokorpi, Antti; Matinheikki, Juri; Rajala, Risto; Lehtinen, Jere; Malmström, Tomi.

2018. Paper presented at Academy of Management Annual Meeting, Chicago, United States.

Research output: Contribution to conferencePaperScientificpeer-review

Harvard

Peltokorpi, A, Matinheikki, J, Rajala, R, Lehtinen, J & Malmström, T 2018, 'How can the integration of a payer and a provider create value in health care?' Paper presented at Academy of Management Annual Meeting, Chicago, United States, 10/08/2018 - 14/08/2018, . https://doi.org/10.5465/AMBPP.2018.14075abstract

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Peltokorpi, Antti ; Matinheikki, Juri ; Rajala, Risto ; Lehtinen, Jere ; Malmström, Tomi. / How can the integration of a payer and a provider create value in health care?. Paper presented at Academy of Management Annual Meeting, Chicago, United States.

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@conference{405109f3a2814808aae291707d9f6617,
title = "How can the integration of a payer and a provider create value in health care?",
abstract = "Integration between the payer (i.e., an insurer) and the provider (i.e. a hospital) of health care services provides a promising method for implementing value-based health care as incentives and processes align among different stakeholders. However, such integration may also cause distrust and fear of poor quality among patients, and thus, decrease customer value. To solve this paradox, we conducted a sequential explorative mixed-methods study of Pohjola Insurance Services, the largest occupational trauma insurer in Finland, which runs its own hospital to increase the value of the care provided. We derived four propositions suggesting that integration can increase value for multiple stakeholders by shifting the focus from an operations-centric mindset to an approach that emphasizes customer service and effective recovery. The approach seems to reduce unnecessary operations further shortening the duration of sick leaves and decreasing the total cost of occupational accidents. We tested serial multi-mediator model with a sample of 2762 occupational accident patients. The results provide empirical support for this rationale and show that the investigated integrated delivery model led to a 9{\%} decrease in the average total costs for an occupational accident.",
author = "Antti Peltokorpi and Juri Matinheikki and Risto Rajala and Jere Lehtinen and Tomi Malmstr{\"o}m",
year = "2018",
month = "7",
doi = "10.5465/AMBPP.2018.14075abstract",
language = "English",
note = "Academy of Management Annual Meeting : Improving Lives, AOM ; Conference date: 10-08-2018 Through 14-08-2018",

}

RIS - Download

TY - CONF

T1 - How can the integration of a payer and a provider create value in health care?

AU - Peltokorpi, Antti

AU - Matinheikki, Juri

AU - Rajala, Risto

AU - Lehtinen, Jere

AU - Malmström, Tomi

PY - 2018/7

Y1 - 2018/7

N2 - Integration between the payer (i.e., an insurer) and the provider (i.e. a hospital) of health care services provides a promising method for implementing value-based health care as incentives and processes align among different stakeholders. However, such integration may also cause distrust and fear of poor quality among patients, and thus, decrease customer value. To solve this paradox, we conducted a sequential explorative mixed-methods study of Pohjola Insurance Services, the largest occupational trauma insurer in Finland, which runs its own hospital to increase the value of the care provided. We derived four propositions suggesting that integration can increase value for multiple stakeholders by shifting the focus from an operations-centric mindset to an approach that emphasizes customer service and effective recovery. The approach seems to reduce unnecessary operations further shortening the duration of sick leaves and decreasing the total cost of occupational accidents. We tested serial multi-mediator model with a sample of 2762 occupational accident patients. The results provide empirical support for this rationale and show that the investigated integrated delivery model led to a 9% decrease in the average total costs for an occupational accident.

AB - Integration between the payer (i.e., an insurer) and the provider (i.e. a hospital) of health care services provides a promising method for implementing value-based health care as incentives and processes align among different stakeholders. However, such integration may also cause distrust and fear of poor quality among patients, and thus, decrease customer value. To solve this paradox, we conducted a sequential explorative mixed-methods study of Pohjola Insurance Services, the largest occupational trauma insurer in Finland, which runs its own hospital to increase the value of the care provided. We derived four propositions suggesting that integration can increase value for multiple stakeholders by shifting the focus from an operations-centric mindset to an approach that emphasizes customer service and effective recovery. The approach seems to reduce unnecessary operations further shortening the duration of sick leaves and decreasing the total cost of occupational accidents. We tested serial multi-mediator model with a sample of 2762 occupational accident patients. The results provide empirical support for this rationale and show that the investigated integrated delivery model led to a 9% decrease in the average total costs for an occupational accident.

U2 - 10.5465/AMBPP.2018.14075abstract

DO - 10.5465/AMBPP.2018.14075abstract

M3 - Paper

ER -

ID: 27868275