How your revenue Cycle Management effects Patient Payment and surprise billing

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How a practice’s revenue cycle management can impact patient payments and the likelihood of surprise billing situations.

Chris Hutson, product line director at Availity, discusses how a practice’s revenue cycle management can affect patient payments and the probability of surprise billing scenarios.

Hyper-personalized digital interventions improve outcomes

Many providers instinctively believe that successful chronic disease management and prevention hinge on encouraging sustained behavior change in their patients. This intuition is validated by new findings that also provide practical tools to support those changes.

Such are the results of a clinical study published in the Journal of Medical Internet Research (JMIR) Diabetes. This retrospective cohort study examined data from 998 people with Type 2 diabetes who used a digital health platform.

The goal was to explore the relationships between personalization in digital health solutions, sustained behavior change, and diabetes outcomes.

Key findings of the research include:

• statistical support for the idea that promoting sustained behavior change can significantly improve patient outcomes;
• evidence highlighting the need for a hyper-personalized approach to digital health.

Study findings

The study examined the effect of digital engagement on monthly average blood glucose levels during a patient’s first year of managing diabetes on a digital platform.

The 998 participants were divided into two groups:

• engaged users, defined as those who rarely or never used additional features of the digital health application but who measured their blood glucose;
• highly engaged users, defined as those who consistently used the application to tag and track mealtimes, food intake, exercise, mood, and location alongside their blood glucose readings.

Researchers found that highly engaged users showed statistically significant improvements during the initial period (13 %) compared with engaged users (9 %).

Furthermore, during the first six-month period, a 43 % reduction in monthly average glucose levels was observed immediately after increased digital engagement. Intrapersonal differences in digital engagement were also linked to reductions in monthly average glucose levels.

Key takeaways for physicians

What insights should providers take from these findings?

First, the research offers encouragement for providers under pressure to improve outcomes. Clinicians can advise patients daily on healthy habits, yet what happens once patients leave the exam room?

Patients may intend to adopt healthier behaviors, but motivation often fades quickly once everyday life intervenes.

The JMIR study suggests that providers can better support patients beyond the office visit by offering access to digital tools that promote continuous self-management, thereby fostering healthier behaviors and improved outcomes.

However, simply providing an app is not enough. According to the JMIR research, achieving sustained behavior change requires understanding how people change, what triggers those changes, and what helps those changes persist.

In other words, digital tools must apply behavioral science principles beyond simple incentives. They need to engage patients dynamically as individual preferences and circumstances evolve over time.

Healthcare often relies on demographically derived personas, grouping people by region, age, sex, or other variables to deliver “personalized” content. While this is a useful starting point, truly supporting behavior change demands deeper recognition of each person’s unique shifts and growth.

Failure to account for dynamic intrapersonal change has been a major reason why digital interventions have not engaged patients sufficiently to affect outcomes. Anyone may try a new app, yet continued engagement requires ease of use, relevance to daily life, and flexibility to adapt as needs change. The study adds to growing evidence that it is essential to address changes within individuals, not merely account for differences between people.

The promise of hyper-personalized interventions

Chronic conditions have always been challenging to manage from a physician’s perspective. Providers have limited influence over the small daily choices patients make that collectively have major implications for overall health, yet they are increasingly accountable for outcomes. Continued research into effective behavior-change solutions remains essential.

The study indicates that digital solutions accounting for intrapersonal change can drive sustained behavior modification that meaningfully improves health outcomes. Many people with chronic conditions already feel overwhelmed, and many physicians feel overburdened. Digital health tools can ease some of these pressures for both parties and help achieve better results.

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