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.
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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.
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.
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.
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.
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?
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.
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.
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.
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.
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.
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.
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.
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.
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.
“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.
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.
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.
