Getting healthcare no longer means “going to a place “—increasingly, it’s a platform you interact with. Platforms are the way to enable companies to observe, interact with and provide value to consumers as they engage with the organization. From virtual-first care to AI-powered diagnostics, platforms are transforming how patients engage, how providers deliver and how systems create value. Over the past decade, platform-based health startups have generated 2.6x the returns of pure healthcare SaaS businesses (Summit Health) because they know success is about the interactive business system, not just the IT. 
 
Prophet has conducted extensive research on how to build a platform business model to unlock uncommon growth. Our findings are outlined in the book “Winning Through Platforms: How to Succeed When Every Competitor Has One”, which breaks down 24 platform plays to transform and grow your business. 
 
We see health systems facing urgent demands to invest in platform plays: to serve and connect multiple types of customers (i.e., patients and payors), to measure healthcare usage patterns and to effectively use this data to optimize the customer and end-user experience. Health systems that create this feedback loop will find that successful platforms aren’t just point solutions like MyChart; they’re complete business systems that attract diverse users and continuously optimize care. 

Platforms are Already Changing the Game 

Digital-First Platforms Are Reshaping Expectations and Outcomes 

Patients expect to manage their health like their finances or travel: digitally, intuitively and on their terms. In the past decade, the share of patients who accessed their digital medical record or patient portal has seen a sharp increase from 25% in 2014 to 65% in 2024. Health systems that meet these expectations are already seeing returns. One Medical, for example, has demonstrated that ongoing patient engagement through its app results in fewer ER visits, simplified same-day booking and a three-fold increase in digital encounters. More generally, according to Panda Health, nearly two-thirds of health system leaders report their investments in digital health solutions have met or exceeded ROI expectations. 

Data Is the New Medicine 

Remote patient monitoring (RPM), AI and smart devices are generating vast amounts of data and using it to anticipate readmissions, optimize triage and personalize interventions. Powered by Biofourmis’ AI-guided RPM, one health system cut 30-day readmissions by 70% and slashed care costs by 38%,a clear signal that data can improve outcomes. 

All predictive systems come with biases and limitations. However, at their best, these systems streamline routine care so clinicians can focus on atypical cases. In turn, these edge cases present an opportunity to help retrain models, refine classifications and ultimately make care more inclusive. The result? A shift from reactive responses to proactive, personalized care that works better for everyone. 

Insurers Are Becoming Platforms and Setting the Rules 

UnitedHealth Group, Cigna and CVS/Aetna are becoming vertically integrated payors and providers. United’s Optum, for example, has acquired hundreds of clinics and physician groups, positioning itself to own every part of the patient experience, from insurance to diagnosis to treatment. They own the data, the clinics and the billing systems creating closed-loop platforms that manage risk and deliver care. These models are driving better coordination and incentivizing lower costs, with 24.5% of U.S. payments now tied to two-sided risk contracts. 

Health Systems Have Unique Platform Advantages 

While startups and behemoths have moved quickly to establish a platform advantage, they haven’t fully realized the value platforms can provide. That’s because most solutions remain fragmented. For example, virtual care programs often succeed only when properly scaled across populations, conditions and with enough utilization. Without patient engagement and trust at scale, impact is limited. 

Health systems have the breadth and reach to change this. They already own the patient journey, physical infrastructure and care delivery staff. They can integrate platforms more thoroughly than competitors, turning isolated solutions into a cohesive experience that builds trust between patients and their providers. 

Platforms Extend Physical Infrastructure 

As care delivery expands across outpatient clinics, urgent care centers, ambulatory surgery sites and newly acquired hospitals, digital platforms are becoming the connective tissue that makes these assets work together efficiently, intelligently and at scale. 

Platforms Expand Revenue Opportunities 

Digital platforms open new pathways for revenue generation, especially in areas that traditional infrastructure can’t reach. By offering services like chronic condition management, behavioral health support and preventive care through virtual channels, health systems can tap into new markets and patient segments. 

Platforms Guide Smarter Investment 

Platform-generated data helps health systems make more informed decisions about where and how to invest. By analyzing patient engagement, service utilization and care outcomes across digital and physical touchpoints, systems can identify gaps and forecast demand. This intelligence enables leaders to optimize both digital and physical assets, ensuring that new clinics, services and technologies are deployed where they have the greatest impact. 
 
So what? Established health systems don’t need to become disruptors, but they do need to learn from them. The challenge is to evolve while staying true to their mission, assets and community relationships. That means integrating digital platforms not as standalone tools, but as strategic enablers of their broader business. 

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Growth is rarely easy – specifically, growth driven by customer interest and market demand rather than the temporary variety driven by acquisition, cost takeout or organizational restructuring.

Because markets are moving faster than ever, we believe sustainable growth results from:

• Unlocking compelling customer insights to inform growth strategies
• Creating relevant, impactful growth moves
• Executing faster and more efficiently

Through this series of interviews with healthcare leaders, we explore the driving insights, key actions and anticipated impact of their recent growth strategies.

In this edition, we sit down with Fred Turner, chief executive officer and co-founder of Curative, to learn more about his unique vision and approach to driving change in the insurance industry.

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Curative is a groundbreaking healthcare services company that created and launched the first-of-its-kind employer-based health insurance plan. Founded in 2020, Curative reengineered health insurance by providing unmatched simplicity, enhanced engagement and cost transparency with a competitive monthly premium and zero additional costs. Curative is all about building the next generation of large employer health insurance – focused on preventative health and removing barriers to care.

Fred Turner is the CEO and co-founder of Curative. Under his leadership, Curative has shifted from the leading COVID-19 testing provider to an innovator in health insurance, offering plans with no copays, no deductibles and no cost-sharing for in-network care (with the completion of a baseline visit). This model has achieved a 94% member engagement rate, far surpassing industry standards. Turner’s vision is to create a healthcare system that supports holistic patient health.

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What Is the Major Unlock That Informed Your Approach and Strategy for Curative?

When Curative was founded in January 2020, we initially focused on improving sepsis outcomes but quickly pivoted to supporting COVID diagnostic testing. That work exposed us to two key learnings: one, we touched every type of payer and health plan and saw cracks in the system, and two, we learned that consumers have serious fear and anxiety when it comes to healthcare expenses. That fear may prevent them from getting care, for example a COVID test, even when COVID tests are fully covered. We knew we wanted to do something that would move the needle on U.S. healthcare, something that could drive meaningful change in the system.

“Our experience during COVID made us say, the payer dynamic is a real problem with the U.S. healthcare system, and we could build a payer that can drive preventative care and better long-term outcomes.”

We saw the untapped space, where there hasn’t been innovation for decades, as the employer market, which is where 50% of Americans get their health insurance. The U.S. has run a natural experiment over the past 10 to 15 years with High Deductible Health Plans. Fifteen years ago, about 10% of plans met the American Care Act (ACA) definition of high deductible. Today, we’re closer to 60%. Did it work? The answer is a resounding no. Consumers aren’t great at price shopping, and people don’t make rational decisions, particularly when it comes to emotional subjects such as health and their finances.

“The other substantial effect when patient cost sharing goes up is the deferral of care.”

The National Bureau of Economic Research ran a study that followed a group who moved from a low deductible to a high deductible plan over three years. In the first year, you see about a 12% reduction in spending, which looks great – like we reduced healthcare spend. The problem is when you dig into what is happening, you see people putting off primary care visits, checkups and screening tests – even though in the plan design, certain preventative screening tests, like colonoscopies, were covered at $0 out-of-pocket cost. The care that gets put off is lower acuity preventative care.

“If you have a heart attack, you’re still going to go to the hospital, no matter what your deductible is. What the high deductible plan does do is prevent you from getting the checkup that might have avoided that hospitalization.”

How Did That Insight Help You to Create the Curative Platform in a Relevant, Differentiated Way?

We’re trying to approach preventative care differently in terms of the value that we assigned to it. The typical way that an insurance plan looks at loss, or medical loss right now, is every dollar spent as $1. Whether you spend $1 on preventive care or you spend $1 in the hospital, it’s still just $1. The way that we look at it is that dollar spent on a preventative visit could avoid inpatient stays, emergency room visits or specialty drug use.

“Preventative care that keeps people well is a dollar significantly better spent than a dollar on a preventable hospital stay.”

We’re committed to making an investment upfront, to getting people engaged in their care early and then seeing that payoff downstream with lower ER, hospital or specialty drug use. Most employers get stuck in this cycle of deferred care, where the population’s health is decreasing and costs continue to go up. Curative flips the script. We make it easy for people to engage upfront. The cost sharing is zero, so there are zero out-of-pocket costs, no copays and no deductibles to go and access care – as long as you engage in a preventative health visit within the first 120 days of signing up for the plan.

“If you want people to engage with care, you have to make it really simple.”

And the only way to make it simple enough that people really understand the cost to them is to make it zeros across the board. That’s the fear that any engagement in care is bad because I might get a bill for it – that’s what we have to fight. We think the only way to reset people to see a doctor if they’re sick or in a preventive manner to avoid becoming sick is to build trust that those actions won’t cost them a dime. Our philosophy, the long game, is that we will have a higher spend in the first year because people will get the care that they need. But in the second year, we’ll get back to baseline and, by the third year, we’ll actually be saving money because this population will be healthier.

How Are You Proving That Curative Can Execute Results That Employers Are Looking For?

We’re still in the process of building trust with members and employers, but the engagement piece via a preventative visit is key. We get an hour of the member’s time to do two things: one, we aim to educate them about accessing their care through a Care Navigator session. How do they make appointments? What is a deductible? What’s a copay? How do you figure out what doctors are in-network? When should you go to the ER?

“We’re demonstrating that we want them to access the care they need versus an adversarial relationship that members often have with their health plan that doesn’t want to cover what they need.”

That kicks off the relationship in a fundamentally different way and drives a higher degree of engagement. Two, members then meet with a clinician who is looking for gaps in care. If we see a pre-diabetic patient, we want to get them to a primary care physician who’s going to manage their pre-diabetes or even reverse it, rather than letting that continue to full-on type two diabetes, where, if unmanaged, could lead to major health complications that result in tremendous expense – that’s bad for the member and for the health plan. In the longer term, we expect to be able to keep rates closer to flat by managing this care over time, rather than the typical 10% increases you’re going to get from BUCA carrier every year. We’re new to the space and want to make sure that we’re here for the long term.

“It may sometimes seem like moving the boulder of the American healthcare system is impossible, but I think with a lot of dedicated, smart people chipping away at it, piece by piece, we really can make substantial change.”

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Growth is rarely easy – specifically, growth driven by customer interest and market demand rather than the temporary variety driven by acquisition, cost takeout or organizational restructuring.

Because markets are moving faster than ever, we believe sustainable growth results from:

• Unlocking compelling customer insights to inform growth strategies
• Creating relevant, impactful growth moves
• Executing faster and more efficiently

Through this series of interviews with healthcare leaders, we explore the driving insights, key actions and anticipated impact of their recent growth strategies.

In this edition, we sit down with Nick Stefanizzi, chief executive officer at Northwell Direct, to learn more about the company’s origin and philosophy around growing its integrated care network.

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Northwell Direct is a subsidiary of Northwell Health, one of the largest healthcare providers in New York. Established in 2020, Northwell Direct offers a direct-to-employer health care network of more than 31,000 providers and customized wellness programs to support employee health. This allows employers to offer high-quality healthcare to their employees without going through traditional insurance companies. Northwell Health utilizes Northwell Direct’s provider network for its own employee health benefits, ensuring comprehensive and cost-effective care for its workforce.

Nick Stefanizzi is the CEO of Northwell Direct, where he is responsible for the strategy, operations, growth and financial performance of Northwell Health’s direct-to-employer organization. Stefanizzi has been with Northwell Health for 16 years, serving in various roles, including assistant vice president for HR innovation and organization effectiveness as well as director of management services for Northwell’s ambulatory network.

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What Is the Major Unlock That Informed Your Approach and Strategy for Northwell Direct?

Northwell Health had its own insurance company (Care Connect) that was incredibly successful – but we were not prepared for risk adjustment, so that business venture shuttered in 2018. While that was challenging, what wasn’t lost was our belief that playing in that space was the right approach. At the same time, our organization started to grow. We’re the largest private employer in the state of New York, in addition to being the largest healthcare provider. Organically, we started to get inbound inquiries from employers saying, we’re having these kinds of challenges in our employee plan – can you help us figure this out as both an employer and a provider? We saw that we had an opportunity to do something different for the communities we serve. That was really the genesis of Northwell Direct. We then built a business around that concept, not only to meet employer needs but to disrupt the payer space.

“It’s our belief that a more direct relationship between those who provide the care and those who pay for the care is beneficial, and that today, payers have inserted themselves between those two entities.”

There’s still a role for the major carriers to play, but they don’t need to sit between us, and in fact, by working together with the employers and their employees, it’s our belief that we can better manage care and drive improvements in quality and outcomes.

We only work with self-funded employers in their benefit design. In New York state, that means more than 100 employees, and we don’t carry any financial risk, as we do not offer an insurance product. We’re on the hook for performance. Our focus is on delivering value, savings, efficiency and outcomes for our employers. The other thing we didn’t do was invest in building an insurance company. There are third-party administrators that have the capabilities needed to support an employer-sponsored plan, so why not partner instead of building it ourselves and going at it alone?

“We saw a business model that was ripe for disruption and employers who were hungry for support, grappling with the challenges they’ve had with their employee population and desperate to arrest a trend that had been moving in the wrong direction for over a decade.”

We saw an opportunity to build the platform differently with partners.

In Addition to Opening a New Line of Business, What Impact Did Northwell Direct Create for Your Key Audiences?

We’ve made a concerted effort to remove the traditional denials and hurdles in this space that don’t add value or drive for the member or material savings for the employer. While we can accommodate any benefit design requirements, we have examples of clients for whom, if their employees receive care within our tier one network, there are zero prior authorizations needed. And it doesn’t lead to higher costs. There is no statistical difference in unnecessary utilization or unnecessary testing.

“We take a clinical-first approach – what does the doctor believe is necessary?”

We trust that we have providers who are going to do the right thing by the patient and by the plan, and then manage the care intensely to make sure it’s as efficient as possible. It’s about administering consistently with the benefits plan but providing clinically oriented insights into how that benefit design can be enhanced to drive the right patient behaviors and the right patient choice of the highest quality, lowest-cost providers, and then wrapping the member with support that is integrated with and endorsed by the clinician. By taking a provider-oriented approach, our engagement levels are much higher. We’re able to share the care management information back with the provider so they can take a more holistic view. And lastly, what we can do locally that the national carriers can’t is get on the ground. If we have a member who is admitted, we will send a nurse care manager to their bedside to coordinate their follow-up care, their appointments and make sure they’re clear on what happens post-discharge. You can’t do that from a contact center across the country.

“Clinical-first, integrated care management, boots on the ground and a structural approach that is different in terms of our philosophy around denials versus provider enablement – that’s what we’re doing, and it’s fundamentally different from how carriers think about this.”

How Challenging Was It to Get the Business Running, and How Will You Execute Your Growth Future Plans?

It’s hard for health systems to get into this business because it takes investment, and health systems are struggling financially. They are under enormous pressure, there are a lot of competing priorities, and it takes a lot to stand up a new venture like this.

“You cannot do this by having somebody do it off the side of their desk.”

You have to build competency and capabilities. For example, we brought in people with skill sets that traditionally don’t exist within the health system. We’re selling an incredibly complex product in the insurance space, even though we’re not an insurance company. I have licensed brokers that work for me – that skill set and those broker relationships don’t exist in health systems. You have to invest in building the appropriate infrastructure. You need talent that doesn’t necessarily exist from within the organization, and you have to build capabilities. But you don’t need to do it all. Just pick one thing that an employer might need or have a conversation with a major employer in your region and ask what they would want help with and start there. Yes, there are competing priorities, competing investments and a tremendous amount of pressure, but I believe this strategy in the long term will alleviate those pressures.

In the next five years, we will expand the field of play and be a major regional player. There’s an opportunity to grow our network and the geographic footprint of employers we serve. In addition to that growth, we’re diversifying the ways in which we partner with employers. That means new products and services. That means rolling out digital platforms to augment our clinical capabilities. That means partnering differently, even within the insurance space. We’re going to roll out our own bundles and centers of excellence.

“I believe, fundamentally, there is a national opportunity here for health systems to partner together and for us to take the work we’re doing here, to line it up with the work that Baylor is doing in Texas, what Orlando Health is doing in Florida, what Providence is doing up in Washington and California, and for us to figure out how to stitch something together that would allow us to scale nationally.”

That’s a very complicated proposition. I don’t know exactly yet how it will come together, but I believe there are enough health systems that see this as an interesting space and that there’s opportunity for us over time to figure out how to make that possible together.

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Jeff Gourdji, Senior Partner at Prophet, spoke with a number of healthcare leaders to learn more about the challenges and opportunities for platform thinking in healthcare. Here, he speaks with Jamey Shiels, SVP Consumer & Digital Experience at Advocate Health, on the process of driving momentum for and implementing a platform in a health system. 

Deploying a platform approach will be crucial for businesses to thrive going forward. As our colleagues Ted Moser, Charlotte Bloom, and Omar Akhtar observe in their book, “Winning Through Platforms: How to Succeed When Every Competitor Has One” platforms illuminate parts of the customer journey that have historically been dark by enabling companies to have a better, holistic understanding of how customers engage with the organization. In the last decade or so, health systems have begun to observe customers during the “choose” part of the journey, but platforms could enable health systems to understand the “use” part of the journey and how to personalize it to consumers.     

In this illuminating interview with Jamey Shiels of Advocate Health, he shares how he overcame the barriers to building a platform – from driving organizational buy-in to clearly defining a set of metrics to measure key experiences. He highlights how a clear connection between patient needs and business requirements was key to demonstrating potential impact and showcasing the value for a health system in adapting a platform approach. 

What enabled you to align the leadership that platforms were the right move for the business? 

First, our Chief Marketing Officer at the time, Kelly Jo Golson, made [the LiveWell platform] a priority for our brand marketing and experience teams. She determined we were going to be a consumer first organization and platforms were the way to get there. She was able to onboard senior leadership to that vision and align support across the enterprise. 

Second, we built a consumer-first executive committee that allowed us to bring [together] all the key stakeholders that knew we were going to need — Operations, Medical Group, Finance, HR were all in the room with us as we presented the strategy, got buy in and support, and achieved goal alignment.  

Third, we developed a set of metrics called ‘ease of use’ metrics that measure different encounters patients have on the platform and allow consumers to give feedback. We created a closed feedback loop [that allows us to] make improvements that both benefit the consumer as well as the operational people on the other side. We also built those metrics into our incentive plan, so anybody in the organization who was incentive eligible was very interested in embedding the platform into their day-to-day work.  

How did the business determine implementing a platform strategy was beneficial for the reputation of Advocate Health and its success? 

Our challenge was– especially in healthcare – ‘consume’ means ‘use’ and doesn’t mean ‘choose.’ The idea of a patient as a consumer was difficult for some to understand, so we had to go upstream and find a way to understand consumer choice.  

We first aligned consumer insights to our core business metrics of awareness and acquisition. We wanted to go into market with a brand and an experience that would encourage consumers to choose us before [they] use us. 

The second step was in the form of acquisition. Consumers are looking for their wants and needs [to be met when] finding a physician. Therefore, we looked into some of the metrics that the operations team was using in the onboarding experience and connected those to the clinical experience to demonstrate if we lift consumer metrics, we can lift business metrics. That connection between what matters most to consumers with what matters to the businesses was key.  

“I think that’s where platforms can really play a role, by making those connections and making them much easier than they historically have been.” 

Was there a specific leader whose support was crucial in getting marketing, compliance, and clinical leaders on board with this initiative? 

The key leader was our Chief Operating Officer, who had accountability for the medical group, operations, and P&L for the organization and knew the different parts of the business that we needed to align with.  

A big piece [of getting alignment] was saying: ‘We want to co-create this with your team.’ We emphasized how we’re solving consumer needs as well as the business problems.  

Can you talk about the capabilities you built in the platform as you started to build momentum? 

The core functionality that needs to be in a platform is your EHR and transactional HR data. We wrapped that EHR data with a fledgling platform. That gave us the infrastructure to start to add features that improved the patient and clinical experience – and extended into health and wellness.  

We’re also working on integrating third party products into the platform for care-at-home and digital therapeutics. We want to create a true multi-sided marketplace for healthcare that connects health and wellness creators to consumers.   

What was the role of the clinicians in all this? What role are they now playing in advocating for the platform? 

Whether it was governance or co-creation, [clinicians] needed to have a voice in the room. We designed a partnership with a clinical leadership team [to drive] co-creation across the board. We asked: ‘How does this improve your work and fit into your day?’ The benefit is that now, when you go into one of our physicians’ offices, you’ll hear them talk about LiveWell.  

“We’ve seen continued uptake with LiveWell; it is now fully embedded in the operations of our organization.” 

What operational challenges were you solving for with platforms? 

There are three problem areas that we’ve looked at over the last few years: 

1. Online scheduling takes call volume out. When you can message your provider in a secure platform it reduces call volume at the front desk, but you have to ensure you can manage and service the messages on behalf of physicians. 
2. We have a mail order pharmacy that in our Midwest region generates 7 million calls a year related to prescription refill. We think we can take half of that out through new systems automation feature functionality in the platform.  
3. E-Check-In, self service capabilities built in the platform make the consumer’s life easier and helps the frontline staff.  

Where is the platform going in the future? 

“We think the idea of platforms as a business model [in healthcare] for the benefit of consumers and the business is where the future is.” 

The challenge we’re facing from a healthcare perspective is the battle for the soul of the platform. Is that going to be the EHR? Vendors? EPIC primarily? Or third parties? Or are the health systems going to try to step up? Do you want to differentiate within your market, and do you want to deliver an exceptional consumer experience?  

“We’re going to go big into the platform space because we think it is the right decision for our business, and the future of business.” 

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About Jamey: As Senior Vice President, Consumer and Digital Experience at Advocate Health, Jamey Shiels leads enterprise activities focused on creating a personalized and seamless consumer experience that improves engagement and health outcomes as well as business value through growth and cost-savings.  

About Jeff: Jeff Gourdji is a Senior Partner at Prophet and is responsible for leading client engagements across the firm’s range of solutions. As a leader of Prophet’s healthcare industry practice, Jeff works with clients across the healthcare ecosystem, including provider systems, payers, healthcare technology and life sciences companies. 

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Platforms are the key to illuminating the consumer journey. They allow companies to light the “dark” side of a consumer’s journey, the post-purchase “use” side, when previously, only the “choose” side was visible. As our colleagues Ted Moser, Charlotte Bloom and Omar Akhtar observe in their book, “Winning Through Platforms: How to Succeed When Every Competitor Has One,” platforms are the way to enable companies to observe, interact with and provide value to consumers as they engage with the organization. Many industries are already immersed in the platform race – from Amazon Prime’s offering (i.e., ecommerce, Whole Foods, streaming content) to Uber and Uber One (linking rides and eats). Even financial services companies are in the game with strategies from Chase, Bank of America, and more. So, how will healthcare players engage in this new value exchange? 

The beauty of healthcare is we know more about our customers than pretty much any other industry. It’s about how we use that knowledge to personalize, drive conversion, and close gaps in care.

Jeremy Rogers, Executive Director, Digital Marketing & Experience, Indiana University Health

Broadcast connection reflects the one-way communication that marked most of the 20^th century. With the launch of the internet, websites and digital analytics, businesses were able to shine a light on the “choose” side of consumers’ engagement. While it’s often the darker side of the consumer journey, the “use” side that reflects the greatest value – both for business and for consumers.  

(Lighting the choose and use journeys graphic Int. 1.2) 

In the era of platform connection, health systems have an opportunity to capture and deliver greater value to their consumers. And the stakes couldn’t be higher. In healthcare, the data and knowledge gained by this level of consumer engagement could have profound effects not only on that patient and their care delivery, but a systemic impact on how to manage disease states, reduction of challenging SDOHs and improved health equity. Currently most health systems are focused on patient portals and transactional engagement, making this transformation feel daunting, elusive, or even operationally impossible. 

Healthcare is behind, and we all acknowledge this. Think about the hospitality industry and how their rewards programs generate loyalty and word of mouth – the best experience you have anywhere is the experience you want everywhere – and that includes in healthcare.

Ken Chaplin, Chief Marketing Officer, City of Hope 

There’s no doubt this is hard work. There are several reasons why healthcare leaders say it’s been an uphill battle – from a lack of integrated technology systems to concerns around patient data privacy – these are valid reasons to be concerned. However, other highly regulated industries have shown how to connect and protect consumers data. We spoke with several leading healthcare innovators to understand why this work is daunting and what they are doing to overcome the challenges:

1. Non-Proprietary Platforms Are Not Designed for Optimal User Experience 

Health systems often started with their EMR as the main platform, and what was the EMR developed to do? Billing, coding or quality documentation. They certainly weren’t designed for the user experience of a clinical physician or clinical nurse user – let alone a patient.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

2. Barriers to Risk-Taking 

We can have zero failure when lives are at stake, zero failure. That doesn’t apply to the business-oriented things we can do. We need to ask to experiment and fail and then fail forward, to learn and get better. But it’s just culturally very tough for people nowadays.

Jeremy Rogers, Executive Director, Digital Marketing & Experience, Indiana University Health 

3. Internal Resistance to Change

How do you have large scale change when you are changing the way people work? Number one, we cannot innovate and bring customer centricity to life without the operators – we can’t move forward until everyone comes to the table.

Sara Saldoff, Head of Product Management & User Experience, OhioHealth 

4. Overcoming Data Concerns With the Right Data Value-Exchange  

I don’t think it’s truly a challenge to get consumers to believe their data is safe. I think it’s about translating, what’s the benefit to them? We must help patients and health consumers understand the value of sharing their data. How do we tell the story in the right way to facilitate their willingness to share private health information or behaviors?

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

5. Competing Priorities, Competing Investments, and Tremendous Pressure 

You have to invest in building an appropriate infrastructure. You need talent that doesn’t necessarily exist in the system already. You’ve got to build a lot of capabilities. But these strategies, in the long term, will alleviate some of the pressures we’re all facing.

Nick Stefanizzi, Chief Executive Officer, Northwell Direct 

Challenges aside, shifting to a platform-based model is the solution to achieving the transformation C-suite executives have been collectively working towards to achieve better business and health outcomes for patients. 

There’s a massive amount of data that health systems today have access to. If we can get this right and gain more consumer trust, we can harness that data in a way that can help with precision medicine, drug discovery, disease prevention – it’s so incredibly powerful.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

Inherent in this shift to platform thinking is a value proposition for consumers: I share information about myself so that a company can provide me with more value via content, loyalty programs and tools. Equally as important is the value generated for the organization. Today, many consumer engagements with health systems are transactional, leading to drop off, and overall brand neutrality. This is exacerbated by behaviors of younger generations (Gen Z and Millennials) who often don’t have a PCP. For health systems, the opportunity to develop meaningful relationships with consumers, whether they need care today or in the future, is essential for driving loyalty and patient volume in any market. 

Beyond the acquisition and retention of patients, there is a halo of benefits for building strong consumer relationships including increased adherence, proactive preventative care, lower costs for the system (both administrative, e.g., faster bill pay, and clinical, e.g., getting preventative screening) and better negotiating power with payers. Properly collected, synthesized and actionable data could ultimately shape future innovations in disease prevention or treatments. Platforms help C-suite leaders optimize and personalize the patient experience with critical knowledge and data-driven insights.  

Platforms are the way to: 

1. Make Holistic Care Real 

This has been an ongoing topic in healthcare. Health systems struggle to deliver holistic care, particularly for marginalized groups. Collecting data and applying insights to deliver better care, based on what patients really need, would drastically upend engagement and loyalty in healthcare. Consider how Amazon uses its data – from grocery shopping to prescription drugs to baby care essentials, to deliver better experiences.  

 Patients are doing all these things in the wellness space that are tangentially attached to their health, but that health systems don’t know about. We don’t know where it’s happening, and we don’t necessarily provide all the tangential services that customers want or need. The question is how much of that experience can we stitch together in partnership with the customer so we can treat the whole person?

Sara Saldoff, Head of Product Management & User Experience, OhioHealth 

We’re creating communities that connect cancer fighters with prospective patients – it’s incredibly powerful and allows us to drive deeper, meaningful relationships with patients.

Ken Chaplin, Chief Marketing Officer, City of Hope 

2. Empower Ongoing Engagement With Health 

It’s no surprise that consumers are willing to pay to engage with their health (i.e., Fitbit; Apple Watch; fitness, sleep, wellness tracking apps, etc.) Connecting the healthcare experience to meet consumer needs and their desire to be “always on” has the power to turn engagements from transitional to longitudinal. Facebook enjoys regular engagement from users drawn in by sharing features, community connections, and a focus on life’s moments (“on this day,” birthdays, etc.). 

So much of the journey happens outside of the clinical experience. What are we doing to engage patients in between those appointments, those procedures? Modern consumers demand autonomy- agency in their healthcare journey. If we can give them agency, they’ll take advantage of it.

Jeremy Rogers, Executive Director, Digital Marketing & Experience, Indiana University Health 

We envision a world where care support is everywhere – a doctor prescribes a curriculum where the patient can access tools and educational content about their prescription regimen, diet, broader wellness – and not have to go digging and find it on their own.

Ken Chaplin, Chief Marketing Officer, City of Hope 

3. Create and Drive New Revenue Streams 

Platforms have the power to optimize white space opportunities to create new revenue streams. They also have the potential to shift health systems’ focus from “sick care” to “well care”. Northwell Direct saw an opportunity to disrupt the traditional payer model and better serve employers by strengthening the connection between health coverage and care. They implemented a plan to reduce the hurdles for providers and patients, to drive to more comprehensive wellness for the employees they serve.  

We have an opportunity to serve our communities through a different pathway. We took this idea and said, how do we create a business around this? Yes, to meet employer needs through services…but also to disrupt the payer space because it’s our belief that a more direct relationship between those who provide the care and those who pay for the care is beneficial to delivering higher quality care and to better managing and improving outcomes.

Nick Stefanizzi, Chief Executive Officer, Northwell Direct 

4. Make Personalized Care Scalable 

The balance between the hyper personal and the need to scale across a health system is daunting. There are myriad nuances that impact or shift an individual’s health journey. Value-generating data collection through platforms can help to bridge this gap. Consider Nike’s app family – from workout classes and SNKRS drops to monitoring runs and alerts when footwear needs replacing based on the integrated mileage tracking, they can serve consumers what they need before they know they need it. 

The dream of our Smart Rooms is to give us real time feedback so we can solve problems with a patient in moment – but down the road, we could use the increased data use and AI to help us anticipate when something could go wrong and recommend solutions so we can get ahead of an individual’s care needs.

Sara Saldoff, Head of Product Management & User Experience, OhioHealth 

If we can hyper personalize, for example, for a person whose family was touched by asthma or coronary heart disease or cancer or diabetes, and determine how to engage that individual over a lifetime with preventative behaviors and interactions, it can cut across things like health, education, literacy, economic status and be inclusive of race, religion, gender, etc. It’s going to be hard – but it’s also going to be a big game changer.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

We see exciting signs of progress. It is still early days for health systems, though clear signs of progress are emerging. From OhioHealth’s “smart rooms” to City of Hope’s connected patient communities, there are signs on where health systems are heading. Others, like Advocate Health, are already leading with their LiveWell Platform, which helps consumers manage both their health and their wellness. Jamey Shiels, SVP Consumer & Digital Experience at Advocate Health emphasized that driving organizational alignment required connecting the vision with pre-determined patient needs with business requirements.  For example, easier check-in process means less stress on front-line staff, on-line scheduling means reduced volume in the call centers and more  

We are constantly improving LiveWell, listening to what our consumers are telling us about the experience to create a feedback loop we can engineer back into the experience. We mapped the consumer needs to the business metrics and showed how lifting those needs could improve the business metrics; connecting what matters most to the consumer to what matters most to the business is our biggest challenge but where I think platforms play a large role. We believe platforms are the business model of the future. Healthcare is behind, but we want to get into the game and lead the way.

Jamey Shiels, Senior Vice President Consumer & Digital Experience, Advocate Health 

If platforms are the answer, how do we get started? To begin building a Platform Connection, start by thinking about how to align your platform’s needs with your organizational ambition. Winning Through Platforms lays out a path to success, and it starts with cultural shifts to gain three key advantages: Strategic, In-Market, and Alignment. 

Strategic Advantage: Bring Something Structural to the Market That the Competition Doesn’t Have  

• How might the organization’s portfolio of solutions (i.e. care, coverage, ancillary services) better connect to demonstrate the value of the care network it offers? 
• How can teams better share assets to reduce efforts and increase flexibility? 
• How can the organization align on the customer personas (patients? payers? referring physicians?) and journeys to align strategic intention? 

In-Market Advantage: Grow at Higher-Than-Market Rates Through Better-Than-Competitor Practices, Spanning Go-to-Market and Innovation 

• What technology is required to capture patient information and organize it for action that results in customer and system benefit? 
• How can content across the journey be personalized by life stage, condition type, and relevant social determinants?  
• What role might community and patient-generated content play in enriching the overall engagement experience – and keeping patients engaged beyond the transactional? 

Alignment Advantage: Translate Better Internal Alignment and Teaming Into Stronger Customer Engagement and Superior Organizational Performance 

• How might the traditional functional silos be restructured into a full journey, collaborative, go-to-market model? 
• How will internal teams align on and ensure a consistent set of customer interaction standards? 
• What will define best practices when it comes to an elevated patient experience? 

There’s too much at stake to not figure out the right way to partner for better outcomes for patients.

Jodi Rosen, Vice President Innovation & Digital Strategy, City of Hope 

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The healthcare industry is facing a massive labor and operating model problem – one that involves a predicted workforce shortage of up to 3.2 million people. With more than a quarter of the industry workforce planning to leave in the next two years and $9 billion in annual burnout-related turnover costs the healthcare industry is at a crossroads. So, where do we start?  

Prophet suggests that the solution starts with our nurses. In this report, we clarify the magnitude of the crisis, identify tangible issues to tackle and introduce viable solutions that will begin to drive impact against this behemoth of a challenge.  

Key Takeaways:  

• Addressing the workforce shortage starts with a focus on nurses. By starting with the largest population of clinical workers, we can begin to make a more meaningful impact on the collective workforce challenge.
• Sustainable solutions to this crisis are not just about workforce retention. They will require us to revisit hiring and talent development practices, redesign care delivery models and the roles required, and rethink the infrastructure needed to support innovation and scale care.
• Ultimately, to drive meaningful impact for nurses, we need to hear from nurses. Once nurses have a say in the tools and solutions we develop for them, real change can happen.
• Before jumping to the most ground-breaking innovations, we must bring ourselves back to the day-to-day needs of our nurses. Simplifying their routines with technology can help them feel heard and improve employee and patient satisfaction.
• Prophet’s Human-Centered Transformation Model can help you understand where your organization can begin to tackle organizational and cultural dynamics that contribute to the labor crisis.