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.
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.
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…
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,…
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…
Until recently, Utilization Management was all about how health plans determine preauthorization. But that definition is fast becoming outdated.
