We Can and Must Do Better
We are deeply saddened by the recent displays of injustice in America—and…
How Will Healthcare Change After COVID-19?
Dr. Jan Berger is a tri-sector healthcare executive with a background in…
Big Hearts: How Caregiving Has Changed in America
How has caregiving in America changed? For starters, more caregivers are adopting…
CMS and ONC Interoperability Rules: What Do the Latest Updates and Enforcement Delays Mean for the Industry?
CMS and ONC delays to enforcement give the industry a few additional…
COVID-19 Lessons That Can Improve All Patient Experiences
Chris LaVictoire Mahai, president of Aveus, a division of Medecision, shares six…
Embracing the ‘New Normal’ After COVID-19
People are craving a return to “normal,” but no one quite knows…
Why Liberation?
Liberation is bigger than an event or a tagline. It’s a mind-shift that’s happening in healthcare.
And Medecision is building a community of like-minded Liberators to challenge the status quo, tackle problems and advance capabilities to help its clients and the community unleash better care for people and their families.
Featured Posts
We Can and Must Do Better
We are deeply saddened by the recent displays of injustice in America—and…
How Will Healthcare Change After COVID-19?
Dr. Jan Berger is a tri-sector healthcare executive with a background in…
Big Hearts: How Caregiving Has Changed in America
How has caregiving in America changed? For starters, more caregivers are adopting…
COVID-19 Lessons That Can Improve All Patient Experiences
Chris LaVictoire Mahai, president of Aveus, a division of Medecision, shares six…
Embracing the ‘New Normal’ After COVID-19
People are craving a return to “normal,” but no one quite knows…
Aerial by Medecision Is a ‘Game Changer’ for Virtual Care Management
Healthcare providers across the nation have shifted gears and switched to telehealth—and…
Featured Contributor
Jane Sarasohn-Kahn
Through the lens of a health economist, Jane defines health broadly, working with organizations at the intersection of consumers, technology, health and healthcare. For over two decades, Jane has advised every industry that touches health including providers, payers, technology, pharmaceutical and life science, consumer goods, food, Foundations and public sector.
We Can and Must Do Better
We are deeply saddened by the recent displays of injustice in America—and the systemic racism that continues to plague our nation.
How Will Healthcare Change After COVID-19?
Dr. Jan Berger is a tri-sector healthcare executive with a background in public, private and government sectors. In 2009, she helped found Health Intelligence Partners, a global healthcare consultancy. Below, Dr. Berger shares her thoughts on how healthcare will change after COVID-19.
Big Hearts: How Caregiving Has Changed in America
How has caregiving in America changed? For starters, more caregivers are adopting technology to help them address the complex and challenging workflow. Unfortunately, more caregivers are reporting that their own health has declined. As caregiving due to COVID-19 restrictions increases, tech-enabled solutions must be prioritized.
CMS and ONC Interoperability Rules: What Do the Latest Updates and Enforcement Delays Mean for the Industry?
CMS and ONC delays to enforcement give the industry a few additional months to prepare for major overhauls to ensure the appropriate sharing of patient health information. Yet the need for these efforts is now more important than ever.
COVID-19 Lessons That Can Improve All Patient Experiences
Chris LaVictoire Mahai, president of Aveus, a division of Medecision, shares six essential practices for improving the patient experience emerging from our shared COVID-19 lessons learned.
Embracing the ‘New Normal’ After COVID-19
People are craving a return to “normal,” but no one quite knows what “normal” is anymore. Dr. Richard Popiel, Medecision Advisory Board chair and a senior adviser with McKinsey & Company, shares how he thinks the United States will change after COVID-19.
Bioethics & the COVID-19 Pandemic
To lead this episode of Liberation Lab, we invited Dr. Carolyn Smith, a retired rheumatologist and healthcare leader, to discuss the principles of bioethics during the COVID-19 pandemic, the public health code of ethics, allocation of scarce resources, and moral distress facing those involved in this pandemic.
Aerial by Medecision Is a ‘Game Changer’ for Virtual Care Management
Healthcare providers across the nation have shifted gears and switched to telehealth—and so have care and case managers. Aerial helps care and case managers virtually connect with members to manage health, reduce costs, drive efficiency and improve the experience of patients and their caregivers.
The “New Normal” – Changes to Expect in a Post-COVID World
This episode of Liberation Lab features Dr. Richard Popiel, Medecision’s Advisory Board Chair and a distinguished healthcare executive, sharing perspectives on some of the early trends that may define our new normal, and how the healthcare industry – and society at large – are likely to look fundamentally different in a post-COVID world.
‘Don’t Waste This Crisis’: COVID-19’s Silver Lining for Value-Based Care
How will the COVID-19 pandemic affect healthcare’s shift to value-based care payment models? Tamara Cull, DHA, Senior Vice President of Portfolio Management, shares her thoughts.
Don’t Drop the Ball: How Rackspace Continued Business as Usual
As chief executive officer for Rackspace, Kevin Jones is responsible for the company’s global strategy and operations—spanning the U.S. and three other continents where Rackspace maintains offices and data centers. Kevin explains how Rackspace, a managed cloud computing company with 6,500 employees and 145,000 customers, continued operations in the midst of the COVID-19 pandemic and…
These People, Organizations Are Making a Difference in the Fight Against COVID-19
Healthcare heroes across the country are teaming up and going beyond the call of duty to provide empathetic, high-quality care during a time of great need.
Activate Your Answers: Ready, Set Do!
This is the fifth in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of BOLD leadership that can help move organizations from reacting to COVID-19 to proactively anticipating and preparing for the opportunities that lie ahead.
New Enhancements to Aerial by Medecision Support Vulnerable Populations Impacted by COVID-19
AerialTM by Medecision quickly supports the new realities of caring for vulnerable individuals in the face of COVID-19.
Novel Coronavirus: The Facts We Know, Lessons We’re Learning, and Future Implications
We’re learning more about the novel coronavirus every day. National pharma and care management expert, Dr. Terry McInnis, shares data on the COVID-19 pandemic, what lessons and perspectives providers are sharing, and what healthcare professionals should be thinking about and preparing for as we look to the future.
Learning to Find Answers in the Storm
This is the fourth in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of BOLD leadership that can help move organizations from reacting to COVID-19 to proactively anticipating and preparing for the opportunities that lie ahead.
Aerial by Medecision Liberators Are #Here4You
The Aerial by Medecision team may be working remotely, but we’re still #Here4You. Hear first hand from our Liberators about how we’re supporting our clients during COVID-19 – and the unexpected silver linings of quarantine.
COVID-19: What We Know, What We’re Learning and How Healthcare Is Changing
Dr. Terry McInnis, a board-certified physician in preventive medicine and president of Blue Thorn Inc., shares what the healthcare industry knows and is continuing to learn about the novel coronavirus, plus how she thinks the COVID-19 pandemic will change healthcare as we know it.
Staying Open or Closing Down is a Choice – The Changing World Cares Not Which You Choose
This is the third in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of BOLD leadership that can help move organizations from reacting to COVID-19 to proactively anticipating and preparing for the opportunities that lie ahead.
How to Manage Uncertainty and Anxiety During a Pandemic
The coronavirus has affected more than just our physical well-being—it’s also affecting mental health, as many people grapple with the unknowns surrounding the virus.
Believe in Tomorrow – Earn and Give Trust to Help Others Believe
This is the second in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of BOLD leadership that can help move organizations from reacting to COVID-19 to proactively anticipating and preparing for the opportunities that lie ahead.
3 Ways to Stay Active Without the Gym
Gyms and community rec centers are closed, but that doesn’t mean you have to let exercise and physical activity fall by the wayside. You can still stay active at home.
Demonstrating BOLD Leadership During a Pandemic Transformation
How can leaders show up BOLD-ly during a pandemic? Our colleagues with Aveus explore how leaders can navigate effectively during these uncertain times.
COVID-19 Reveals the Need for Universal Mental Healthcare
Long after we flatten the curve, Americans will still be dealing with lingering mental health issues.
Insights From Terri Kline: Tracking the Coronavirus and Its Implications on Health Plans
Terri Kline, MPH, former president and chief executive officer of Health Alliance Plan, former executive vice president of Henry Ford Health System and current Medecision Advisory Board member, shares her insights on the spread of the coronavirus and its implications on health insurers.
A Discussion About Novel Coronavirus – Facts, Lessons and a New Revolution
In this episode, A Discussion About Novel Coronavirus – Facts, Lessons and a New Revolution, our Executive Vice President and Chief Marketing and Customer Experience Officer, Ellen Dalton, facilitates a conversation with Medecision Advisory Board member, Dr. Terry McInnis.
Supporting Each Other and Looking Ahead During COVID-19
As the world continues to navigate the changes that we are personally and professionally facing due to the novel coronavirus pandemic, many healthcare leaders are looking for wisdom on how to lead their businesses and support their patients and members during these unprecedented and uncertain times.
Aerial by Medecision Enhancements and Resources for COVID-19
Aerial™ by Medecision has integrated COVID-19-specific enhancements to support clients and their employees on the front lines of managing care during this pandemic.
Stressed Out? Relax, There Are Apps for That
The coronavirus has a lot of us on edge, but our smartphones can help us breathe deep, meditate, change mental habits, get a good night’s sleep and more.
Tips for Managing Life—and Work—at Home
For many employed Americans, the coronavirus pandemic has brought about a new reality. Here’s some advice for doing your job without driving yourself—or your family—crazy.
A New View of Population Health
In this episode, Medecision Advisory Board chair-elect Dr. Jan Berger gives us some thought-provoking perspectives around what population health looks like during, as well as after, the COVID-19 pandemic, and what that may mean for the healthcare system.
Honoring Healthcare Heroes During a Challenging Time
As the world struggles with the coronavirus, our healthcare heroes are going above and beyond, working selflessly for the greater good.
Staying Connected From a Distance
Social distancing doesn’t have to mean isolation. Thankfully, we live in the digital era and there are apps to help friends and family stay connected.
Charting Coronavirus and Implications for Health Plans
For our inaugural episode, we’ve invited Terri Kline, an epidemiologist, Medecision Advisory Board member, and long-time partner to give us some fascinating and valuable perspectives around what’s happening with the COVID-19 pandemic and the implications it may have on our healthcare ecosystem.
Protecting Vulnerable Groups During a Pandemic
No one is immune from the coronavirus, but low-income and other marginalized groups of people face a higher risk of impact.
Doing Our Part to Flatten the Curve
We’re doing our part to flatten the curve and put an end to the coronavirus. Playing our small role—staying home—can have a big impact on lessening the burden on the healthcare system.
ACMQ President’s Statement Regarding Coronavirus Disease 2019 (COVID-19)
A reflection on the Coronavirus Disease 2019 (COVID-19) pandemic from our partners at the American College of Medical Quality.
Medecision Update on Coronavirus Disease 2019 (COVID-19) Readiness
During this challenging and evolving time, we are providing the following update for our clients on our business operations and how we are engaging to support our clients’ organizations.
Medecision’s Preparedness for Coronavirus Disease 2019 (COVID-19)
As the Coronavirus Disease 2019 (COVID-19) situation continues to evolve, we are sharing information about the steps we’ve taken in response to the crisis.
Addressing Social Determinants of Health: An Infographic
Social determinants of health (SDoH) are the conditions in the places where people live, learn, work, and play – and they affect a wide range of health outcomes, according to the Centers for Disease Control and Prevention and the Kaiser Family Foundation.
Leveraging Utilization Management to Reduce Medical Loss Ratio Rebates
Medical loss ratio (MLR) rebates hit a record $1.3 billion in 2019 because health plans spent too little on medical claims and too much on administrative costs. How can health plans leverage their utilization management programs to better balance their medical and administrative expenses?
Make Way for Big Tech Disruption
During a CTO and CIO roundtable discussion at Medecision’s Liberation conference this past year, some of the industry’s brightest technology leaders discussed how modern technology is changing the healthcare landscape. Srini Gurrapu, vice president of products and design at Claris, discussed how big tech and artificial intelligence are disrupting healthcare.
Life in the Time of Coronavirus – Impacts on the US Health Consumer
Blog Posts, Cover Story, Featured, Industry Spotlight, Jane Sarasohn-Kahn, PerspectivesBy Jane Sarasohn-Kahn, MA, MHSA
Health economist and trend weaver Jane Sarasohn-Kahn shares insights on how COVID-19 (coronavirus) is impacting Americans’ behavior and spending – and the implications for health systems and plans.
Reflections From the 2019 Clinical Executive Summit
Participants from the Liberation 2019 Clinical Executive Summit share their insights from the conversation.
Developing Evidence-Based Care for Social Determinants of Health
As the healthcare industry shifts to a value-based reimbursement model, healthcare organizations are focusing their attention not just on making patients better—but preventing them from getting sick in the first place. Gaining a better understanding of the social issues that affect a person’s health is one of the first steps in doing so.
Medicaid Enterprise Systems Conference (MESC)
Medicaid Enterprise Systems Conference (MESC) – August 10 – 13, 2020
What Does Liberation Mean to You?
What does Liberation mean to you? Maybe it means thinking outside the box, enhancing the healthcare experience or lowering healthcare costs.
Deb Gage Brings Her Passion for Serving the Community to Role as Board Member for Grand Canyon Conservancy
Deb Gage, Medecision’s President & CEO, brings her business experience and passion for the outdoors to her role as board member.
Ending Well: Changing the Stigma About Death
Ellen Dalton, chief marketing and customer experience officer at Medecision, and Shoshana Ungerleider, MD and founder of End Well, discussed mortality and personal empowerment at Medecision’s annual Liberation conference in October 2019.
Digital Health Tech Blurs Into Healthcare: Health Plan and Provider Takeaways From CES 2020
Health economist Jane Sarasohn-Kahn shares her takeaways from CES 2020—and explains how digital health technology is blurring into healthcare.
Innovations in Digital Health: Highlights From the 2019 Clinical Executive Summit
Dr. Donald Casey, president, American College of Medical Quality, highlights the most thought-provoking insights from the Clinical Executive Summit at Liberation 2019.
C-TAC National Summit on Advanced Illness Care
C-TAC National Summit on Advanced Illness Care – October 28 – 30, 2020
National Association of Medicaid Directors (NAMD) Conference
National Association of Medicaid Directors (NAMD) Conference – November 9 – 11, 2020
How Today’s Tech Can Help Us Address Trust, Stress and Health Literacy Issues
Liberation is more than just a philosophy—it’s also about taking action. That’s why this year’s Liberation 2019 was such an exciting event for those eager to identify and actualize strategies for transforming care in the real world. One session where these ideas emerged was led by Jane Sarasohn-Kahn, health economist, author and trend-weaver.
The Importance of Comprehensive Medication Management
Non-optimized medication regimens cost 275,000 lives and $528 billion every year. The Get the Medications Right Institute (GTMRx) is issuing a call to action and convening a panel of healthcare policy leaders this February to address the problem.
Home and Community-Based Services (HCBS) Conference
Home and Community-Based Services (HCBS) Conference – December 8 – 11, 2020
Understanding At-Risk Populations: Treating the Whole Person
High-risk populations often have complicated chronic diseases and behavioral health conditions, and social issues such as employment, food insecurity, lack of transportation and education can have a negative impact on health. What can the healthcare industry do to get to the root causes of these issues?
How Brenton McKinney Protects Population Health Data
How Brenton McKinney, Medecision’s Vice President of Security, is guiding the company toward the highest possible cybersecurity standards
Medecision CEO Named a Woman to Watch in Health IT by Becker’s Hospital Review
We are incredibly proud to announce that Medecision CEO Deborah Gage has been named to the list of Women to Watch in Health IT by Becker’s Hospital Review.
Mitigate Compliance Risks by Addressing These Key Documentation and Billing Challenges for Medicaid Managed Care Plans
More state Medicaid programs are now addressing SDOH through managed care plans and Section 1115 demonstration waivers. However, while these Medicaid programs offer states the ability to experiment and innovate through various approaches, several compliance and regulation challenges must be reconciled.
Medecision and GSI Health Are Better Together
In October 2019, Medecision acquired health delivery system transformation pioneer GSI Health. GSI Health has been an innovator in driving change in the industry since 2003. The GSI Health population health platform, HealthCoordinator, will become part of Medecision’s Aerial solution.
Healthcare 2020: The Only Certainty Is Uncertainty
The future is uncertain—even with 2020 vision. Jane Sarasohn-Kahn shares key uncertainties about politics, economics, technology and social factors that healthcare stakeholders should keep in mind when planning for the new year.
Trust Matters: Rebuilding Public Trust in Healthcare Institutions
Public trust in healthcare institutions is ranked as one of the nation’s lowest sectors, according to the Edelman Trust Barometer. We explore how health systems and hospitals can work to build trust in their organization.
Accessing the Data We Need to Get the Medications Right
What new health IT requirements mean for you — and for consumers.
Improving the Health of Justice-Involved Individuals: How Medicaid Can Help
Some states are working with their Medicaid managed care organizations and community partners to coordinate care for justice-involved individuals prior to release with the goal of improving continuity of care and smoothing community transitions.
A Conference About Dying Taught Me How to Live
A conference about dying brings to light important lessons about living.
Automating Compliance in the Cloud
In his “Automating Compliance in the Cloud” session during the CTO Roundtable at Liberation 2019, Gerry Miller, the founder and CEO of Cloudticity, discussed the inherent benefits and challenges of digitizing medical data and automating compliance in the Cloud.
Transforming Addiction Treatment by Developing National Standards of Care
Addiction is a national crisis. Deaths from drug overdose, suicide and alcoholic liver diseases—referred to as “diseases of despair”—are at the highest levels in U.S. history. Read one father’s personal experience with the loss of his son and his efforts to ensure that addiction is treated with the same efficacy as other chronic diseases.
Change, Transformation and Tribes
Health Evolution CEO Julie Murchinson challenged Liberation attendees to gather with their personal tribes to drive change in the healthcare industry.
New Rules From CMS Carry Heavy Weight for Payers
In February 2019, the Centers for Medicare and Medicaid Services (CMS) issued new requirements for Medicaid, the Children’s Health Insurance Program, Medicare Advantage plans and Qualified Health Plans, mandating they provide enrollees with immediate electronic access to health data by 2020. So what do these new requirements mean for those payers?
Being Transparent About Healthcare Transparency: Policy and Politics for Patients
Patients are more responsible for healthcare costs now than ever. And this election season, they’re speaking up about price transparency in the healthcare industry—both with their ballots and their choice of provider.
Utilization Management Requires TLC Under Value-Based Care Models
As healthcare moves toward the full embrace of value-based care models, utilization management is increasingly leveraged as a means to not only manage costs but to ensure quality and manage risk as well.
Medecision Appoints New Senior Vice President of People Resources
Shenée Rayford oversees all aspects of Human Resources for the integrated health management provider, which promotes a unique culture devoted to “liberating” healthcare.
2019 Clinical Performance and Quality Measures for Adults With High Blood Pressure
Failing to correctly diagnose and control high blood pressure (HBP) can put people at increased risk for cardiovascular disease, stroke, and renal failure. In the US, 20% of adults with hypertension do not know that they have the condition and 53% of US adults taking antihypertensive medication have uncontrolled BP. New guidelines to improve detection…
No Hospital Rooms and Medical ‘Selfies’: Bold Ideas From Dr. Eric Topol at Liberation 2019
Some of the most enthusiastic feedback from this year’s Liberation event came in response to our world-renowned keynote speaker, Eric Topol, MD. Dr. Topol is recognized as one of the leading innovators in medicine today.
Value Based Care: What’s Stopping Us?
Deb Gage, Medecision’s President & Chief Executive Officer, shared her thoughts on moving to value based care at Health Evolution 2019. Hear from Deb on aligning financial incentives, the shifting of risk, and the importance of interoperability.
Medecision Acquires Health Delivery System Transformation Pioneer GSI Health
Medecision’s acquisition of health delivery system transformation pioneer GSI Health expands the company’s expertise and solutions for Medicaid beneficiary management and member engagement in community care settings.
Medecision Integrates Change Healthcare InterQual Connect™ Solution into iExchange® Provider Portal
Medecision has integrated the Change Healthcare InterQual Connect medical review service into the iExchange provider data-entry solution. This press release was originally issued by Change Healthcare and appears on their website: https://www.changehealthcare.com/press-room/press-releases/detail/medecision-integrates-change-healthcare-interqual-connect-solution-into-iexchange-provider-portal
Listening to Osler Listening to the Patient – How to Liberate Health Care at Liberation 2019
The following blog post is courtesy of Jane Sarasohn-Kahn of healthpopuli.com, one of the featured speakers at the Liberation 2019 event.
Liberation 2019 Brings Together a Lineup of Highly Regarded Visionaries to Share their Perspectives on Healthcare Transformation at a Dallas-based Event October 22-24, 2019
Medecision’s community of “Liberators,” along with Dr. Eric Topol, Jane Sarasohn-Kahn, Nick Adkins and many other leading experts will be on hand to discuss the “bold moves” needed to drive meaningful, sustainable industry change at this one-of-a-kind gathering.
The Long-Term Impact of Digital Health
Digital health technologies may one day potentially solve some of healthcare’s biggest problems. But big problems require big solutions in order to demonstrate significant Impact on Quality (IoQ).
Risk Sharing Requires Health Plans to Hone Utilization Management Process
Healthcare organizations’ success under risk sharing and value-based care relies on a well-oiled UM program.
Leveraging Standardized Performance Measurement to Optimize Quality Improvement
Quality requires assessment tools that operate in an objective manner. That’s where healthcare performance measurement programs come in.
Collaboration Is the New Black for Mental Health and Trust
Managing mental health is critical for achieving desired physical health outcomes. That’s why some companies are partnering with health organizations to make mental health a priority.
Medecision’s New Aerial Experience Gives a 360-Degree View of Integrated Health Management
Medecision’s new Aerial Experience helps care teams engage consumers, improve patient health and drive collaboration.
Improving Medication Adherence is a Key Component of Liberating Healthcare
Deb Gage, Medecision’s President & CEO, shares why Medecision is partnering with the GTMRx institute and what that means for healthcare liberation.
Medecision Appoints Advisory Board
Medecision’s Advisory Board will provide insights and facilitate relationships for Medecision’s leadership teams in advancement of the company’s strategic goals.
Beyond the Wow Factor: Getting the Most Out of Disruptive Technologies
As technological innovations continue to flood the market, will healthcare organizations adopt them at a pace that results in big-bang disruption or will they simply stick to the more measured approach that has historically been so common in the industry?
Addressing Social Determinants of Health Can Lead to Better Health Outcomes
Research shows that social determinants of health (SDoH)—such as housing, transportation, access to healthy food and more—are linked to patient outcomes. Managed care organizations are partnering with community and social support providers to address SDoH to deliver better health outcomes.
Medication Management to Drive Consumer Engagement and Well-Being
Hear from Medecision President & CEO Deb Gage on why medication management is a critical priority for consumer engagement and well-being.
How Health Plans Can Leverage Data to Strengthen Their Population Health Management Programs
Data can help health plans identify medically at-risk members and intervene with the appropriate prevention and wellness programs to keep them as healthy as possible and avoid a costly trip to the doctor or emergency room.
Chatting About Bingo: How Partnering With Patients Builds Trust and Healthy Outcomes
Technology can help scale social determinants of health. But to be effective, we must first understand the people with whom we wish to engage.
Medication Adherence and Why Medecision Supports the GTMRx Institute
In this brief video, Deb Gage, Medecision’s President & Chief Executive Officer, shares the importance of effective and appropriate use of medications, and why she and Medecision are involved with the Get The Medications Right (GTMRx) Institute.
Improving Rural Healthcare Access: My mother-in-law, a 20-mile drive and the reality of healthcare access in rural America
In rural areas, doctors are like a revolving door, rarely staying in one place for long. There are disparities in healthcare access in rural America, but technology may be a solution to increasing healthcare access.
A Proactive Approach to Consumer Engagement
Healthcare organizations need consumers actively involved in their own care in order to dramatically improve outcomes. As such, healthcare organizations, including health plans, need to forge partnerships with consumers.
Concierge Care Management: A Model that Makes Members Happier and Healthier
The concierge care model looks to provide personalized service to health plan members.
Leveraging Social Determinants of Health
A combination of technological advancements and increasing clinical evidence has created a clearer understanding of how much the environment in which people are born, grow, live, work and age impacts their health.
HITRUST Helps Move Data Security Initiatives Forward
Reports of the industry’s data breaches have been grabbing headlines for several years now. The challenge for healthcare organizations is to go beyond acknowledging vulnerabilities and to do something about them. But what? And, how?
Managing Clinical Workflow with all the Right Information Tools
To effectively manage care, care team members need to have access to the right information at the right time. Without access to relevant data at the point of decision, however, consumers might unfortunately experience a variety of unwanted outcomes.
Encountering Hurdles on the Road to Pricing Transparency
When it comes to pricing transparency, the healthcare industry should be in a copasetic state. That’s far from the reality.
Medecision Launches New Interactive Digital Experience Under the Aerial Brand
A simulation of Aerial’s integrated health management capabilities now available via a new digital experience at aerialhealth.io.
Access to Comprehensive Data Empowers Health Plans to Improve Medication Management
When patients don’t follow doctors’ orders, the consequences are dire. Health plans can help by understanding the specific challenges that members are facing – and then intervening to enable them to overcome medication adherence barriers.
“Utilization Management” is all about saving health plans money. Or is it?
Until recently, Utilization Management was all about how health plans determine preauthorization. But that definition is fast becoming outdated.
Utilization management: What’s it got to do with population health?
What does Utilization Management have to do with Population Health? The answer: everything.
Addressing Access to Care Challenges in Rural America
Access to healthcare in rural settings is a true challenge. Americans living in rural areas are more likely to die from five leading causes than their urban counterparts. How should we be thinking about and addressing this issue?
Balancing Act: Managing Outcomes and Costs for Medicare and Medicaid Populations
Population health initiatives typically assume that members can participate in their own care on a basic level, yet those assumptions may not hold true for Medicare and Medicaid members. Their lives typically differ from the lives of those with commercial insurance, which makes cost-effective care management uniquely challenging—and even more important.
Deborah Gage: What it Takes to Have a Fearless Approach
Several years ago at a national healthcare conference, Chris Mahai, now the President of Aveus, a division of Medecision, joined a small breakout group discussion and met Deborah Gage, CEO of Medecision, across the table.
Getting Social: Why Health Plans Need to Go Beyond Clinical and Claims Data
In addition to leveraging claims and clinical data, insurers are now relying on social determinants of health data to paint a better picture of their member populations, create meaningful interventions and manage risk.
3 Benefits of Participation in BPCI-Advanced
The open window to apply for CMS’ Bundled Payments for Care Improvement (BPCI)-Advanced closed on June 24, 2019, but there’s still plenty of opportunity for health systems to move forward with value-based care and care management initiatives — and the care redesign they represent.
Next-Generation Engagement Gets Personal to Drive Better Health
One-to-one transactions do not really constitute holistic engagement. Payers should take a fresh look at what it really means to engage consumers by providing solutions that empower their consumers to make decisions that lead to improved outcomes.
Medecision Appoints New Senior Vice President, Chief Information Officer
Brett Lansing will help lead IT strategy and operations for the company’s transformative digital health, care management and population health solutions.
Health Payers: Moving Beyond the Data Analytics Status Quo
Health plan leaders are recognizing that they need new ways to address a member’s health sooner to prevent them from escalating into poor outcomes that drive great financial risk for the plan.
Population Health: How Christiana Care Health System Built a Strong Foundation
Over the years, the term “population health management” has taken on various definitions. One constant, however, is the concept of collaboration.
