Providers

Provider (the P2) or the healthcare provider is perhaps the more universal term compared to payer (the P1). They are an individual health professional or a health facility organization licensed to provide health care diagnosis and treatment services, including medication, surgery, and medical devices. They provide essential services that promote health, prevent diseases, and deliver health care services to individuals, families, and communities based on the primary health care approach. Healthcare providers often receive payments for their services from health insurance companies.

 

Health insurance plans pay healthcare providers for the services they provide to members or patients. There are all different types of healthcare providers. Here are some non-physician examples of healthcare providers:

 

• The durable medical equipment (DME) company that provides home oxygen or a wheelchair

• The home healthcare company that provides visiting nurses

• The imaging facility that does mammograms, X-rays, and magnetic resonance imaging (MRI)

• The outpatient surgery clinic is where one gets a colonoscopy done.

• The pharmacy is where one gets the medication.

• The physical therapist (PT) that helps you recover from a knee injury

• The speech therapist (ST) makes sure one can swallow food safely after a stroke.

• The urgent care center or walk-in clinic in the neighborhood shopping.

 

Technology has revolutionized healthcare in recent years, improving patient outcomes and transforming the way healthcare providers deliver care. From electronic medical records (EMRs) to telemedicine, healthcare technology has changed the landscape of healthcare, making it easier for providers (P2) to provide timely and efficient care to patients.

 

Telemedicine has also become an essential tool for providers, especially during and after the COVID-19 pandemic. Telemedicine allows healthcare providers to connect with patients remotely, reducing the risk of exposure to infectious diseases and making it easier for patients to access care from the comfort of their own homes.

 

GHIT Digital's team of technical experts helps healthcare providers and health systems with patient engagement, patient security, patient experience, data, and analytics support related to electronic health records (EHRs), population health management, member engagement, fraud and abuse detection, and reporting.

 

Please call +1 201.792.8924 for a discovery conversation on how GHIT Digital consultants could help you.