Healthcare organizations’ success under risk sharing and value-based care relies on a well-oiled UM program.
Quality requires assessment tools that operate in an objective manner. That’s where healthcare performance measurement programs come in.
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 helps care teams engage consumers, improve patient health and drive collaboration.
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…
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…
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.