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.
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.
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.
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.
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?
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.
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.