{"id":9089,"date":"2017-05-25T18:22:59","date_gmt":"2017-05-25T18:22:59","guid":{"rendered":"https:\/\/cerebyte.com\/?p=9089"},"modified":"2019-06-04T18:31:37","modified_gmt":"2019-06-04T18:31:37","slug":"meta-cognition-learning-about-learning-helps-the-health-insurance-industry","status":"publish","type":"post","link":"https:\/\/cerebyte.com\/2017\/05\/25\/meta-cognition-learning-about-learning-helps-the-health-insurance-industry\/","title":{"rendered":"Meta-cognition: learning about learning helps the health insurance industry"},"content":{"rendered":"
In the past few weeks, two events converged that caused me to reflect on the importance of being a self-directed learner in today\u2019s fast-paced, complex world.<\/p>\n
First, we launched a program for one of our clients in the health insurance industry. The program\u2019s goal is to develop people who work with \u201cproviders,\u201d such as doctors, clinics, hospitals and more, to define a new and very different relationship between the insurer and the healthcare provider. This role is critical, because the provider world is completely disrupted.<\/p>\n
The relationship between insurers (payors) and providers used to be \u201cfee for service\u201d in which, for each service a provider performed, the payor paid a fixed amount. For example, an X-ray of an ankle would generate a defined reimbursement to the provider. There was a problem, however; there wasn\u2019t much of a relationship between the provider\u2019s service and improved health. As a result, payors started to chaOK<\/a>nge the way they worked to \u201cfee for value,\u201d meaning the provider gets paid if they improve someone\u2019s health.<\/p>\n Value is incredibly difficult to define in the health care industry and \u201cpay for value\u201d often results in less money for the provider. Not surprisingly, providers are resisting the change and generating astounding numbers of new business models such as \u201ccash only\u201d in which the providers don\u2019t accept any insurance, \u201cconcierge\u201d models in which patients pay the provider a fee to ensure access \u2013 a fee that is not insured and many other variations.<\/p>\n For our client, the previously mentioned health insurance company, to be successful, it must find new ways to partner with providers to generate mutual benefit. It\u2019s difficult to transition from a simple contractual relationship to a sophisticated mutually beneficial alliance.<\/p>\n A standard part of our launch program\u2014about two hours into the launch\u2014is a section where we talk about the learning experience.<\/p>\n Since the Cerebyte learning experience is substantially different from almost all of the health insurance company\u2019s previous learning experiences, the participants were a little baffled as to what was going on from a learning perspective.<\/p>\n In the program, we asked a series of questions:<\/p>\n Who is teaching the program? The participants\u2019 answer: They are teaching each other, not listening passively to an authority figure.<\/p>\n Why is this a better way to learn? The participants\u2019 answer: They know the realities better and can share much greater depth of experience and resources.<\/p>\n What is the role of the best practices? The participants\u2019 answer: To focus attention on the issues that really matter.<\/p>\n What is the role of the coach? The participants\u2019 answer: To guide us to go into greater depth to understand what we learned and how to apply it.<\/p>\n What is the role of the learning platform? The participants\u2019 answer: To provide, with structure, a simple means of sharing our work with our team and an archive so we can go back and see trends.<\/p>\n Why are we talking about the learning process?<\/p>\n This last question is the payoff and it drew a blank stare from the group (it always gets this response).<\/p>\n Eventually, the team got into a discussion of how they need to be good learners to keep up with the pace of change in the health insurance world. I emphasized this concept by telling them that a fundamental aspect of long-term success is being able to learn about learning so their own learning can be vastly more efficient and effective. I also told them that learning about learning, making them self-aware, self-directed learners, is a fundamental part of the Cerebyte program. People always really like this idea, which brings us to the second element of this blog.<\/p>\n