Thought Leaders in Healthcare IT: Jas Grewal, CEO of CareSkore (Part 4)

Sramana Mitra: Let’s go to the payer side. What is the use case on the payer side and how do you cater to those customers?

Jas Grewal: Interestingly, both have the same use cases. On the payer side, they also want to understand the existing and future risks of the patient. We are working with them to look at their member population based on the claims they have. In the hospital, you have the EHR data, but in the insurance companies, you have claims data which has some details around labs. They’re also trying to understand the risks and engage the members in their own care.

The hospital does a few things which are more active. The payers are doing things that are both active and passive. They are passively saying, “You should be going in for a preventive checkup after six months.” We are helping them engage those members who we identify as high risk and putting them in special programs. For the insurance companies, the focus is about proactive steps to be healthy.

Sramana Mitra: Good. Depending on how much of the payment system in healthcare goes to keeping people healthy, what you’re doing makes a huge amount of sense. It’s even more appealing from a commercial standpoint.

Jas Grewal: That’s exactly right. That’s what’s fueling our growth at this point in time.

Sramana Mitra: What do you see as emerging trends in the healthcare IT space?

Jas Grewal: My observation is a little biased with the work that we are doing. We are starting to see a lot of Big Data and machine learning. The level of sophistication is increasing across all vendors. We are one of those companies that are at the cutting edge. Sometimes, we have to step back and really go from A to B to C. We are, pretty much, down the road from an innovation standpoint. We are starting to see more and more utilization of data in a patient’s care, and more and more just-in-time predictions saying, “When you’re sitting down with the patient, what are the three high risk things that I need to know about this patient?”

Sramana Mitra: Where do you see open opportunities? If you were starting a new company in the healthcare IT space, where would you start?

Jas Grewal: Our company is 18 months old. I would definitely start a company in the data space. I came in with 13 years of experience in healthcare, both in the hospital and provider settings. Expertise is a big key to it. A lot of work around data is going to be done around care coordination and making sure to involve the parties together. How do you help an independent physician to work with the hospital and patient, and coordinate care and understanding. This naturally ties into interoperability. There’s a lot of work to be done in interoperability space in the next five years.

This segment is part 4 in the series : Thought Leaders in Healthcare IT: Jas Grewal, CEO of CareSkore
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