Utilization management: What’s it got to do with population health?
What does Utilization Management have to do with Population Health? The answer: everything.
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…
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…
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…
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…
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…
Health Payers: Moving Beyond the Data Analytics Status Quo
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…
