In the last few years, challenges related to prior authorization have created inefficiencies in health care that negatively impact both health outcomes for members and the costs both payers and members must pay. That’s why in December 2022, the Centers for Medicare...
The worst of COVID-19 may be retreating into the rearview, but the pandemic’s effect on general population health lingers. Whether it was limited access to care, fear of exposure, or tangential factors like lack of childcare, people of all ages and socioeconomic...
This post is the final post in a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. It’s true that meeting the health needs of individuals across generations is...
Healthcare powered by predictive analytics is transforming the healthcare space. From enabling more accurate and proactive care delivery and better patient outcomes to streamlining provider processes and workflows. And with continued advances in machine learning, and...
This is the final post in a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. It’s true that meeting the health needs of individuals across generations is partly...
This post is part of a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. It’s true that meeting the health needs of individuals across generations is partly about...
Virtual care has been a healthcare trend since the early days of the COVID-19 pandemic, but for 2023 it is now about how organizations continue to mature their telehealth offerings to members. More and more payers have been adding or expanding their telehealth and...
In theory, utilization management (UM) should reduce the overall cost of care while improving outcomes for health plan members. But for many payers and providers using homegrown solutions and outdated, siloed platforms, the reality is much different. Without the...
Inadequate health literacy affects nearly 36% of the adult U.S. population and is found in disproportionately higher rates among Medicaid-eligible populations, according to the Center for Health Care Strategies. In fact, one study estimates that more than 25% of...
This is the final 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 cover care management strategies to improve the experience for members who receive...