Bridging the Language Gap
We explore how health plans and health systems can help members and patients overcome health equity barriers and bridge the language gap.
We explore how health plans and health systems can help members and patients overcome health equity barriers and bridge the language gap.
Dallas, TX, June 14, 2022 —Medecision, a leading provider of digital care management solutions and services, today announced it has received a Google Cloud Healthcare & Life Sciences 2021 Customer…
Population health considers the health status and outcomes of an entire group of people, rather than focusing just on specific individuals. Is your population health strategy ready to drive results?
Value-based care is the future of healthcare in the U.S. These four core competencies can help guide your organization toward a model that improves patient outcomes while decreasing costs.
Building a care management program—and leading it—can be made easier with these three steps.
Meaningful Measures 2.0 goals are designed to facilitate the ongoing move toward value-based care, which targets issues including person-centered care, safety, chronic conditions, seamless care coordination, equity, affordability and efficiency,…
An abundance of actionable data exists, making it possible for care managers to be as specific as they need to be, whether targeting individual patients or populations to close healthcare…
Recently the Centers for Medicare & Medicaid Services (CMS) outlined an action plan for addressing health disparities; ensuring high-quality, affordable healthcare for everyone, regardless of their background; and driving health…
These four states are taking a boots-on-the-ground approach to addressing social determinants of health.
When you can align activities such as prior authorizations, utilization management and operational workflows with regulatory mandates for quality, timeliness, interoperability and reporting, you can improve health plan Star ratings.
DALLAS, TX – April 21, 2022 – Medecision, a leading provider of digital care management solutions and services, announces it has joined the Google Cloud Partner Advantage Program. The new partnership…
Artificial intelligence, including machine learning, can help you analyze and turn mountains of data into actionable insights. This can lead to positive outcomes for patients and your organization. Are you…
How can predictive modeling help support patients through transitions and ensure they continue to receive the care they need, adhere to medication regimens, avoid readmissions and become more actively involved…
April 1, 2022 – Dallas, Tex. and Chicago, Ill. – Medecision, a leading provider of digital care management solutions and services, and Clearstep, Inc., a healthcare technology company powering the…
When a patient goes outside the network for care, it can have negative consequences for both cost and care. Reducing network leakage should be a top priority.
Utilization management can eat up a lot of time and money—causing frustration and headaches for consumers and friction between payers and providers. With the right tools, however, you can streamline…
Oscar Health chooses Medecision solution to provide leading digital care management for its members.
When care management teams become more proactive, they can help keep members on the right track and prevent setbacks rather than react to them.
Digital care management company adds Jacob Jesson as EVP and chief revenue and experience officer.
Better care coordination? Check. Better outcomes? Check. Better reports and data analysis? Check. Medecision’s HITRUST CSFⓇ-certified software-as-a-solution, AerialTM, gives care managers a 360-degree video of each individual’s health, making care…
How can care managers improve performance metrics in addition to member outcomes?
Everyone knows that diet, lifestyle choices like alcohol consumption and smoking, exercise, and genetics play a role in your overall health. But experts suggest that social determinants—that is, the conditions…
What if there was a next-generation care management solution that helped health plans manage risk and empowered care managers to provide the highest-quality service and care to members? A solution…
By focusing care management activities on areas with the potential for the greatest impact and making high-value decisions, care managers can optimize patient outcomes.
Are care managers unsung heroes by helping control healthcare costs?
Healthcare consumers feel more empowered to weigh their options, share their opinions and expect more out of their healthcare experience—which is why many healthcare organizations are making 2022 the year…
Digital care management company adds Tal Weitzman as chief information officer to help deliver dynamic digital capabilities to customers.
Clinical informatics is leading the way in the much-needed transformation of healthcare.
Today’s consumers increasingly expect healthcare to meet them where they live, work and play, and that means big changes for care management.
Amid healthcare payers’ heightened financial pressures and members’ increased needs, it might be time to change the definition of care management.
In 2020, Medecision began supporting a clinical informatics fellowship at ChristianaCare. Meet the first two fellows to go through the program.
Optimizing healthcare workflows has both obvious and not-so-obvious benefits.
Medecision was recently honored by Modern Healthcare for its virtual health marketing campaign.
Data is king in healthcare. There are multiple sources of data coming in from EMRs, home health devices, physician offices and more. So how does Aerial help care managers take…
Appropriate care and better outcomes are the goals of utilization management, including prior authorization. But the processes to achieving these goals need to become more efficient.
Meet Maria Colaberdino. She’s a member of our Portfolio Management team where she works as the Senior Director of Clinical Principal. Maria is also Medecision’s longest-tenured nurse and when she…
Entertainment, hospitality, financial planning and aviation have important ideas for improving the member and patient experience.
Meet Tamara Cull. She’s a member of our Revenue & Experience team where she works as the SVP of Customer Success. When she’s not leading her team down the path…
The latest episode of Liberation Lab focuses on CMS changes to Star Ratings and what the shift in weights of different measures means to MA plans. Kimberly Swanson of Network…
At Medecision, we understand the importance of healthcare partnerships and collaboration. When we work together, we can improve healthcare for everyone.
Meet Anna McDonald. She’s a member of our Customer Experience team where she works as a Technical Writer. When Anna isn’t focusing on Aerial Engage documentation or managing web content…
As we return to normal life, we must not forget the lessons learned during the pandemic.
Integrated health analytics and software company adds Quyen Nguyen-Haelle, CPA as chief financial officer and Pavel Grebenshikov as chief technology officer to further bolster their strategic financial planning and technology…
Health equity has become something of a catchphrase, but it’s an important one to know. At Medecision, we’re deeply committed to working toward a healthcare system that gives every person…
Meet Versha Shah. She’s a member of our Engineering team where she works as a Senior Application Developer, but her job at Medecision is only one small portion of the…
Many health systems are investing in population health management strategies, which help them understand target populations while identifying risks and unmet needs. Digital tools such as Aerial by Medecision can…
The U.S. Department of Health and Human Services has prioritized efforts to contain the COVID-19 pandemic over enforcing HIPAA rules.
America is in the midst of a mental health crisis—but hospitals and community-based organizations can partner together to identify and diagnose mental health issues before they worsen. Medecision is committed…
A game-changing revision to CMS rules for Star ratings puts Medicare Advantage plans under extra pressure to deliver an excellent customer experience. At Medecision, our solutions and services help health…
At Medecision, we understand the value of virtual care. But until we make the processes easy and accessible, we’re not going to change the ability of all people to access…
Medecision is committed to helping the healthcare system achieve the Quadruple Aim, and a key component of that is improving the patient experience. During this National Patient Experience Week, we…
Terry McInnis, MD, MPH, CPE, president of Blue Thorn Inc. and member of the Medecision Advisory Board; and Terri Steinberg, MD, MBA, FACP, FAMIA, Medecision’s Group Senior Vice President of…
DALLAS, TX – April 14, 2021 – Medecision, an integrated health management company supporting virtual care and digital health, announced Ken Young will be named president and CEO effective immediately. Young…
The latest episode of Liberation Lab focuses on the prior authorization rule affecting utilization management. Julie Barnes, JD, Founder and Principal of Maverick Health Policy, shares insight on what healthcare…
What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health Policy, and Sarah Dencker, vice president of Network…
In this episode of the Liberation Lab podcast, we bring together healthcare leaders with vast experience in caring for and engaging underserved and vulnerable populations. Our experts include Dr. Jan…
No one would deny that 2020 was a hard year. But the coronavirus-plagued year proved that we are more resilient than we realize.
Increased attention is being paid to treating the whole person, addressing social determinants of health and recognizing the value of virtual care.
By mid-July, 53% of adults had reported their mental health had been negatively impacted by the coronavirus—and research shows that poor and disadvantaged populations are most affected by mental health…
In this episode of the Liberation Lab podcast, we speak with health economist, advisor, trend weaver, and author, Jane Sarasohn-Kahn. Jane shares the major trends she’s seeing as COVID reshapes…
What changes can we expect to see to healthcare policies during the Biden administration?
Liberation Lab turns its sights to the potential implications of the November 2020 election on US healthcare policy. Our expert guests include Colin Roskey, Principal and Partner at Lincoln Policy…
Even before COVID-19, many Americans expressed interest in virtual health. Now, virtual health technology is being used to expand access to more healthcare services.
In this episode of the Liberation Lab podcast, we spoke with Lynne Dunbrack, Group Vice President at IDC Health Insights, and ChristianaCare CareVio leaders Nicole Masci and Barb Gillis, who…
Dr. Terri Steinberg will join the company as Group Senior Vice President of Analytics and Population Health and Chief Medical Officer, effective December 1.
The holiday season is a time for loved ones. If in-person gatherings aren’t possible this year, here are some alternative ways to celebrate together and keep the spirit alive.
Tommy Duncan adds perspectives from Medicaid care management and virtual health innovation to the group.
In this episode of the Liberation Lab podcast, healthcare leaders Dr. Janice E. Nevin, President and CEO of ChristianaCare, and Karen L. Hanlon, Executive Vice President and Chief Operating Officer…
Jesse Thomas brings valuable Medicaid managed care expertise to the Advisory Board just as Medicaid enrollment increases and virtual health modalities improve access and quality.
Disparities clearly exist, and it is our responsibility to figure out why and how to address them, for the good of everyone.
Fall is finally here, but COVID-19 may interfere with some favorite activities. But it’s still possible to enjoy the cooler weather.
During Modern Healthcare’s Virtual Health Summit, Medecision and ChristianaCare shared practical business advice for transforming your healthcare ecosystem and virtual capabilities to meet rising market demand and remain competitive.
The Liberation Lab podcast welcomes Medecision leader Rick Koloski, along with Dr. Terri Steinberg in her role as Chief Health Information Officer and Vice President of Population Health Informatics at…
How can the healthcare industry acknowledge racial disparities and strategically work to reduce them?
‘Unplugging,’ staying connected remotely, helping with child care and being vulnerable are among the ways to fight worry, stress and burnout.
In many cities and states, workplaces are beginning to open their doors again and employees are returning to the office. What precautions should employers take to keep their employees safe…
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…
How can parents help support the mental health of their kids and ensure the upcoming school year is a positive one—no matter where “school” is or what it looks like?
Dr. Jan Berger, author and analytics, clinical and population health expert will help guide Medecision’s leadership team to a broad market position in digital health.
Payers and providers need to examine all activities, not just medical activities, that impact the care of a population. That’s why population health analytics are so critical.
How can the healthcare industry best care for the mental health and well-being of frontline providers and clinicians?
What do today’s consumers want in a healthcare experience? Personal involvement is at the center of it all. That points to an increased role for virtual health—and, with COVID-19 showing…
Rick Koloski, group senior vice president of engineering and architecture at the healthcare firm Medecision, discusses how enterprise agility has helped the business respond to COVID-19—and prepare for what’s next.
The healthcare industry is typically immune to recessions and nationwide economic struggles—but not this time. How will the pandemic impact the healthcare economy?
Why is it important for the healthcare industry to address social determinants of health?
Learning and development professionals have long recognized the stubborn gap that exists between corporate learning efforts and expected outcomes, particularly when it comes to remote training and elearning.
The COVID-19 outbreak has motivated hospitals, manufacturers and even the government to come up with alternative solutions to the challenges we face.
Can there really be positive news in the midst of a pandemic? Yes, if you look closely!
States are beginning to reopen, and more healthcare systems and hospitals are allowing elective surgeries and nonessential procedures. As we move into a post-COVID-19 environment, how can providers continue using…
Liberation Lab spoke with Julie Barnes, Founder and Principal of Maverick Health Policy, and a health care policy expert with years of experience helping the private sector navigate federal government…
Medecision appears in the Healthcare IT News Guide to Population Health IT Vendors and SDOH Tools. Visit their report for information on Medecision’s solutions to help providers and payers in their population…
Virtual health is having a heyday right now—and many experts suggest that it is here to stay long term.
COVID-19 has turned our world upside down. It’s changed so many aspects of our lives – how and where we work, how we obtain healthcare services, how we engage with…
We are deeply saddened by the recent displays of injustice in America—and the systemic racism that continues to plague our nation.
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…
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…
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.
AerialTM quickly supports the new realities of caring for vulnerable individuals in the face of COVID-19.
The Aerial 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…
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.
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.
Aerial™ has integrated COVID-19-specific enhancements to support clients and their employees on the front lines of managing care during this pandemic.
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.
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.
As the world struggles with the coronavirus, our healthcare heroes are going above and beyond, working selflessly for the greater good.
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.
No one is immune from the coronavirus, but low-income and other marginalized groups of people face a higher risk of impact.
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…
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.
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…
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.…
Participants from the Liberation 2019 Clinical Executive Summit share their insights from the conversation.
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…
What does Liberation mean to you? Maybe it means thinking outside the box, enhancing the healthcare experience or lowering healthcare costs.
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…
How Brenton McKinney, Medecision’s Vice President of Security, is guiding the company toward the highest possible cybersecurity standards.
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…
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…
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…
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…
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…
Health Evolution CEO Julie Murchinson challenged Liberation attendees to gather with their personal tribes to drive change in the healthcare industry.
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…
Shenée Rayford oversees all aspects of Human Resources for the integrated health management provider, which promotes a unique culture devoted to “liberating” healthcare.
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…
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 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.
Quality requires assessment tools that operate in an objective manner. That’s where healthcare performance measurement programs come in.
Medecision’s new Aerial Experience helps care teams engage consumers, improve patient health and drive collaboration.
Medecision’s Advisory Board will provide insights and facilitate relationships for Medecision’s leadership teams in advancement of the company’s strategic goals.
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…
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…
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…
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.
The concierge care model looks to provide personalized service to health plan members.
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…
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,…
A simulation of Aerial’s integrated health management capabilities now available via a new digital experience at aerialhealth.io.
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…
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…
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…
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…
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…
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…
Over the years, the term “population health management” has taken on various definitions. One constant, however, is the concept of collaboration.
DALLAS, TX – Oct. 16, 2018 – Medecision, the leader in population health and care management solutions, announced today its Aerial Complex Care Management™ and Aerial Insights™ solutions are…
Medecision executive, author, and leadership pro Chris LaVictoire Mahai uncovers the secrets of BOLD leaders and their importance for organizational success DALLAS, TX – September 25, 2018 – Medecision, the leader in…
HITRUST CSF Certification validates Medecision is committed to meeting key regulations and protecting sensitive information DALLAS, TX – July 24, 2018 – Medecision, a leader in population health and care management solutions,…
Helps Medecision’s clients assess and accelerate population health strategies and outcomes DALLAS, TX and MINNEAPOLIS, MN – May 22, 2018 – Medecision, a leader in population health management solutions, announced today the…
Company recognized as one of the leading global healthcare information technology providers for payers and providers Wayne, PA – August 14, 2017 – Medecision announced it has been ranked #47 on…
Company earns highly coveted ranking year over year among top healthcare IT vendors WAYNE, PA – July 5, 2017 Medecision, the leader in population health management solutions for risk-bearing entities,…
WAYNE, PA – Nov. 2, 2016 Medecision, the leader in population health management solutions for risk-bearing healthcare entities, has been named in Gartner’s 2016 “Market Guide for Healthcare Provider Population Health Management…
WAYNE, PA – Dec. 17, 2015, Medecision, the leader in population health management and connected care solutions for risk-bearing entities like provider- and payer-sponsored ACOs, hospitals, IDNs and health plans,…
WAYNE, PA – Nov. 10, 2015, Medecision, the leader in population health management and connected care solutions for risk-bearing entities like provider- and payer-sponsored ACOs, hospitals, IDNs and health plans, has…