The Kansas Regulatory Climate and Technology

December 5, 2018

What it takes to thrive as an organization amid uncertainty

Recent history has shown some of the most significant healthcare-related shakeups on a national level, but each state has experienced its own set of changes as well. In the state of Kansas, for example, debates over fee-for-service versus managed care models, the transferring of Medicaid management from the state to managed care organizations, and controversial work requirement policies have contributed to a broad sense of uncertainty among behavioral health organizations. New regulatory changes often call for new or updated technology solutions in order to remain compliant.

With so much either planned or in an active state of transition, Kansas-based behavioral health organizations might be wondering how they can prepare for the next few rounds of inevitable change. Leaders will need to ensure that the organization’s technology solutions are able to demonstrate a few modern capabilities.

Configurability
If a workflow suddenly needs to change in order to comply with a new state or federal regulation, what does the change process look like? Traditional software solutions are inflexible due to their hard-coded nature. If they need to be updated or have features added, a team of engineers must dive in and revise the underlying code. This usually involves a lengthy development cycle, subjecting organizations to additional costs and lost time.

Modern consumer platforms have since moved away from the old approach to software design and are now built around configurable data models. With rapid response to change being so pivotal to the success of a large behavioral health organization, software must be readily configurable at the administrative level.

Data transparency
One of the biggest challenges in managing healthcare data is having to reconcile disparate systems. As the behavioral health industry makes further strides toward integrated care models, the ability to bring multiple providers and specialists together to contribute to whole patient health is essential.

Different specialties mean different data points and unique workflows. This can be problematic when disparate systems can’t effectively communicate data. A software solution designed around interoperability ensures the continuity of care, improving the patient experience and health outcomes.

Scalability
For any large-scale organization, task completion and efficiency directly correlate with system performance. If the organization’s workload were to make a sudden, dramatic shift, what sort of impact would it produce?

Depending on the nature of the organization’s technology, additional computing resources might not be available on demand. Many enterprise solutions are built on frameworks that are decades old, and they aren’t designed to take full advantage of cloud computing resources. Organizations that are concerned about performance consistency will need to make sure their solutions have been architected from the ground-up for the cloud.

There is an important distinction between “cloud-based” and “cloud-architected”. Learn more here.

The unusual volume of changes resulting from regulatory bodies and shifting industry dynamics has created a unique challenge for organizational leaders in Kansas. Behavioral health organizations that are able to leverage modern, configurable technology will be the best prepared to handle any unforeseen changes.

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Last Updated: December 13, 2018