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Clone of A new model of care is emerging: Explore HealthCare360

Aug 26, 2026

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This piece is part of a series that explores the future model of care beginning to emerge in the US. We call this model HealthCare360 because it will manage health and care continuously, at scale and lower cost, with the human at the center.

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The future model of care will fundamentally reshape the patient and care team experience. Explore the interactive HealthCare360 model to see what’s next.

HealthCare360

A new model of care-a continuous ecosystem centered on the patient.

↘ Explore the model
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Five interdependent dimensions form one continuous ecosystem-always aware, proactively engaging, and directing each person to the right care, in the right place, at the right time.

1Always-on, personalized health managementShow in diagram›

Continuous, proactive support personalized to clinical history, needs and preferences, between and beyond visits.

Continuous, proactive support is available anytime and personalized to the consumer's preferences and clinical needs. Seamlessly coordinates across the consumer and care teams between and beyond visits.

Quantified self

A holistic health profile is the single source of truth encompassing: medical data captured via electronic health records (EHRs) and remote patient monitoring (RPM) devices, consumer health data, genomics, insurance and benefit information, family medical history, and social drivers of health. It incorporates consumer behavior and preferences into how patients receive care.

Plan of care

A shared clinical plan, owned and continuously updated by the care team, automatically incorporates inputs from the quantified self. It guides the consumer's personal health agent in promoting day-to-day adherence and next best actions.

Proactive engagement

A personalized health agent helps the consumer stay healthy, stick to a treatment plan, or manage chronic conditions. It tailors proactive consumer engagement with evidence-based next best actions informed by the care team, aligned with consumer preferences and behavior, and tailored to each individual's personal health profile.

Symptom management

An always-available source of verified clinical advice and support is the first step when the consumer has a clinical need. It provides in real-time initial insight into symptoms, potential diagnoses, potential treatments via search or chat and knows when the clinical need should be escalated, helping navigate the patient to the right source of care.

2Intelligent orchestration & navigationShow in diagram›

Sequencing, matching and coordination of clinical needs to the optimal site, modality and provider.

Smart sequencing, matching, and fulfillment combine to direct the consumer to the most clinically appropriate modality or site and provider. It incorporates consumer preferences and requirements.

Navigation optimization

Clinically appropriate options are matched to consumer preferences (cost, provider type, modality/site) and provider availability, considering urgency of need.

Complex care coordination

Appointments and diagnostics are sequenced based on the consumer's clinical need and care plan.

Transparent care journey

The patient and any caregivers know what to expect across the care journey. They are proactively given education on condition and treatment options, next steps, pre-visit prep, and where to go when questions arise.

Financial experience

The patient and any caregivers get clear visibility into cost of services and co-share, reducing unexpected liabilities. Insurance verification and prior authorization coordination happens in real time as care is scheduled to eliminate surprises for the consumer, provider, and health system.

3Integrated care anywhereShow in diagram›

Flexible, convenient and affordable care sites and modalities, with care delivery seamlessly integrated across them.

The health system provides flexible, convenient, and affordable care site options without defaulting to physical locations. Sites and channels are seamlessly integrated with persistent transitions, so visits pick up where the last one left off, regardless of how or where care was delivered.

Getting patients to the best modality and site

The health system provides increased optionality for more personalized, flexible care and health guidance. This includes offering more channels (e.g., asynchronous, virtual) and sites. Even as physical facilities and clinician-patient interactions remain essential, more asynchronous and digitally enabled options wrap around the episode (e.g., pre- and post-op care) to support the strongest health outcomes.

Delivering a hybrid, seamless, persistent experience

Highly coordinated, continuous care is frictionless when transitions across modalities or sites are required, and across patient interactions and care episodes. The next provider can pick up where the last one left off.

4Human-agentic care teamsShow in diagram›

AI-enhanced care teams enable extended, personalized care while also reducing administrative and coordination burden and elevating clinical quality.

Clinical decision support

AI-supported easy access to organization-specific, peer-reviewed, evidence-based guidelines inform personalized care for each patient.

Complete patient context

Insights from longitudinal medical and personal health data (e.g., care history and prior diagnostics, activity and sleep patterns, food access and housing stability) are seamlessly surfaced and integrated into care delivery so the care team can deliver holistic, context-informed, personalized care.

Clinical support activities

Agentic AI takes the lead with clinical documentation, prescriptions, referrals, orders, follow-up, referral scheduling, and patient education support. It seamlessly coordinates with care teams across entities to ensure one unified plan of care that integrates care delivered at any site, by any entity.

“Always-on” care support and management

Agentic support provides an always-available resource for patients, handling routine needs and escalating to human care team members as appropriate. It extends care management capacity between visits: proactive check ins, medication and care plan adherence support, monitoring symptom and RPM data, and flagging changes that warrant clinician attention. It coordinates directly with the consumer's personal health agent.

5Evolved healthcare financing modelsShow in diagram›

New financing mechanisms that reward longitudinal health management and outcomes, both required and enabled by HealthCare360.

This model of care will necessitate and enable an evolution in how healthcare is financed. No single shift will define that evolution, but three trends already in motion point toward payment models that reward longitudinal health management and outcomes tailored to individual needs. These shifts are made possible through integrated, longitudinal data and AI-enabled analysis to demonstrate outcomes and identify high value providers, as well as tools that make care management and proactive engagement feasible at scale.

Consumer access models

New financing channels are emerging outside of, or adjacent to, traditional coverage

What is changing

Consumers, employers, and health plans are funding direct access to care in high-demand elective areas where access is constrained, such as weight loss, musculoskeletal (MSK) care, and mental health.

Illustrative models

Provider reimbursement models

Payment is evolving to reflect tech-enabled care capabilities

What is changing

The Centers for Medicare & Medicaid Services (CMS) and other payers are expanding payment models that support proactive, longitudinal, and outcomes-oriented care, such as reimbursing care delivered between visits and tying payment to measured outcomes rather than volume of activity.

Illustrative models

Benefit and product design

Products are becoming more flexible, personalized, and value-directed

What is changing

Employers and payers are using navigation, price transparency, and tailored cost-sharing to give individuals clearer choices and guide them toward high-value care.

Illustrative models

Enabled by financing models that reward longitudinal outcomes, not episodic care.