HIMSS: Payer experiences and challenges: Now and moving forward


Payers would appear to be in the catbird seat in the American healthcare system. But that doesn’t mean this vital cog isn’t also buffeted by similar forces and challenges as patients and clinicians, including in digital health, artificial intelligence and machine learning, and financial health, according to HIMSS Global Health Equity Network member Abner Mason.

“Healthcare isn’t getting simpler or easier or less costly—only more complex and more costly,” said Mason, founder and CEO of ConsejoSano, a patient engagement and care navigation firm that partners with health plans and provider groups serving Medicaid and Medicare Advantage patient populations.

Given that, it’s not surprising that payers are going to have to be at the forefront of figuring things out because they control the money in healthcare—which is such a huge proportion of the economy—payers, I’d argue, are only going to play a more important role going forward.
— Abner Mason, founder and CEO of SameSky Health

Mason, who draws on personal and professional experiences to drive healthcare and policy leaders toward equitable solutions, shared perspectives pertaining to these three key realms, along with his take on necessary future steps as the pandemic eases.

Click here to read the full HIMSS article.

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