Effective care coordination is a critical pillar of value-based care. And as more healthcare payers adopt value-based care models, optimizing care coordination and collaboration for diverse populations will be key. This is especially true for Medicare and Medicaid...
In 2023, we expect to see the continuation of health payers and organizations shifting to value-based care models with a focus on health equity. Combined with the economic headwinds, we're also expecting to see a higher prioritization on member engagement and...
At age 67, Joe has type 2 diabetes, hypertension, and obesity. In the past month, Joe’s son has had to call 911 twice when he found himself experiencing an insulin reaction and severe hypoglycemia. During a recent telehealth visit with Joe’s care manager, Vanessa,...
This is the fourth article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explore strategies to deliver whole-person care for Medicare members with chronic...
Expedite Patient Care and Reduce the Burden Between Payers and Providers with Edifecs Automated Prior Authorization Solution Prior authorization has long been a burden across the healthcare industry, impacting payers, providers, and patients alike. Although a...
This is the fifth article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explain how to tackle challenges related to social determinants of health (SDOH)...
The term “payvider” isn’t new. It’s part of the inspiration behind our HELIOS platform – to enable and support value-based partnerships between payers and providers. But in recent years, the desire of health systems to become involved in risk management has increased....
The impact of health knowledge and what care managers can do to improve health literacy in 2023 In October 2022, VirtualHealth discussed the rising importance of health literacy with Christy Calhoun, MPH, Chief Content Officer, Healthwise, and our own Lori Coates,...
This post is the first in a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. Addressing generation-specific attitudes, concerns, and preferences regarding...
This is the third article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explore strategies to more seamlessly integrate behavioral health (BH) services...