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…
Quality requires assessment tools that operate in an objective manner. That’s where healthcare performance measurement programs come in.
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.
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?
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.
When it comes to pricing transparency, the healthcare industry should be in a copasetic state. That’s far from the reality.
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.
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?
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.