Meaningful Measures 2.0 goals are designed to facilitate the ongoing move toward value-based care, which targets issues including person-centered care, safety, chronic conditions, seamless care coordination, equity, affordability and efficiency,…
An abundance of actionable data exists, making it possible for care managers to be as specific as they need to be, whether targeting individual patients or populations to close healthcare…
Recently the Centers for Medicare & Medicaid Services (CMS) outlined an action plan for addressing health disparities; ensuring high-quality, affordable healthcare for everyone, regardless of their background; and driving health…
These four states are taking a boots-on-the-ground approach to addressing social determinants of health.
When you can align activities such as prior authorizations, utilization management and operational workflows with regulatory mandates for quality, timeliness, interoperability and reporting, you can improve health plan Star ratings.
Jane Sarasohn-Kahn explores the importance of embracing an ESG policy in healthcare.
DALLAS, TX – April 21, 2022 – Medecision, a leading provider of digital care management solutions and services, announces it has joined the Google Cloud Partner Advantage Program. The new partnership…
Artificial intelligence, including machine learning, can help you analyze and turn mountains of data into actionable insights. This can lead to positive outcomes for patients and your organization. Are you…
How can predictive modeling help support patients through transitions and ensure they continue to receive the care they need, adhere to medication regimens, avoid readmissions and become more actively involved…
April 1, 2022 – Dallas, Tex. and Chicago, Ill. – Medecision, a leading provider of digital care management solutions and services, and Clearstep, Inc., a healthcare technology company powering the…
When a patient goes outside the network for care, it can have negative consequences for both cost and care. Reducing network leakage should be a top priority.
As trust increases, so does the engagement of healthcare citizens with healthcare professionals and services.
Utilization management can eat up a lot of time and money—causing frustration and headaches for consumers and friction between payers and providers. With the right tools, however, you can streamline…
Oscar Health chooses Medecision solution to provide leading digital care management for its members.
When care management teams become more proactive, they can help keep members on the right track and prevent setbacks rather than react to them.
Digital care management company adds Jacob Jesson as EVP and chief revenue and experience officer.
Better care coordination? Check. Better outcomes? Check. Better reports and data analysis? Check. Medecision’s HITRUST CSFⓇ-certified software-as-a-solution, AerialTM, gives care managers a 360-degree video of each individual’s health, making care…
Social distancing is great. Medical distancing? Not so much. Doctor visits are still necessary for ensuring good health.
How can care managers improve performance metrics in addition to member outcomes?
Everyone knows that diet, lifestyle choices like alcohol consumption and smoking, exercise, and genetics play a role in your overall health. But experts suggest that social determinants—that is, the conditions…
What if there was a next-generation care management solution that helped health plans manage risk and empowered care managers to provide the highest-quality service and care to members? A solution…
Inflated prices for household products, food and utilities can stretch already thin budgets, leaving many Americans wondering how to pay bills and causing what may amount to be a healthcare…
By focusing care management activities on areas with the potential for the greatest impact and making high-value decisions, care managers can optimize patient outcomes.
Are care managers unsung heroes by helping control healthcare costs?
Healthcare consumers feel more empowered to weigh their options, share their opinions and expect more out of their healthcare experience—which is why many healthcare organizations are making 2022 the year…
The key determinants of healthcare for 2022 are rooted in our experiences from 2021.
Digital care management company adds Tal Weitzman as chief information officer to help deliver dynamic digital capabilities to customers.
Clinical informatics is leading the way in the much-needed transformation of healthcare.
Today’s consumers increasingly expect healthcare to meet them where they live, work and play, and that means big changes for care management.
Amid healthcare payers’ heightened financial pressures and members’ increased needs, it might be time to change the definition of care management.
In 2020, Medecision began supporting a clinical informatics fellowship at ChristianaCare. Meet the first two fellows to go through the program.
Optimizing healthcare workflows has both obvious and not-so-obvious benefits.
Medecision was recently honored by Modern Healthcare for its virtual health marketing campaign.
The consumer experience in healthcare is becoming more important. Health economist Jane Sarasohn-Kahn shares how healthcare ranks among other industries.
Data is king in healthcare. There are multiple sources of data coming in from EMRs, home health devices, physician offices and more. So how does Aerial help care managers take…
Chris LaVictoire Mahai and a team of executives from Medecision and Aveus recently attended the HLTH 2021 conference and came back with insights on a variety of pressing topics.
Appropriate care and better outcomes are the goals of utilization management, including prior authorization. But the processes to achieving these goals need to become more efficient.
Health economist Jane Sarasohn-Kahn shares what the healthcare industry can learn about improving the consumer experience from three other organizations.
Clinician burnout isn’t a new trend, but the COVID-19 pandemic has exacerbated the issue, with many healthcare workers reporting that they are experiencing high levels of depression, exhaustion and burnout.…
Entertainment, hospitality, financial planning and aviation have important ideas for improving the member and patient experience.
At Medecision, we understand the importance of healthcare partnerships and collaboration. When we work together, we can improve healthcare for everyone.
As we return to normal life, we must not forget the lessons learned during the pandemic.
Women’s health was dramatically impacted by COVID-19. Health economist Jane Sarasohn-Kahn shares how the pandemic changed all aspects of women’s health—and how we must improve it.
Nancy Green, senior vice president at Aveus, sat down with Julie Barnes, founder of Maverick Health Policy, and Debbie Hill, vice president of product management at Medecision, to discuss changes…
Integrated health analytics and software company adds Quyen Nguyen-Haelle, CPA as chief financial officer and Pavel Grebenshikov as chief technology officer to further bolster their strategic financial planning and technology…
Health equity has become something of a catchphrase, but it’s an important one to know. At Medecision, we’re deeply committed to working toward a healthcare system that gives every person…
Many health systems are investing in population health management strategies, which help them understand target populations while identifying risks and unmet needs. Digital tools such as Aerial by Medecision can…
At Medecision, we are committed to staying at the forefront of discussions about industry-wide issues—such as pharmaceutical drug pricing. Health economist Jane Sarasohn-Kahn gives her insights into the recent conversations…
The U.S. Department of Health and Human Services has prioritized efforts to contain the COVID-19 pandemic over enforcing HIPAA rules.
America is in the midst of a mental health crisis—but hospitals and community-based organizations can partner together to identify and diagnose mental health issues before they worsen. Medecision is committed…
At Medecision, we are committed to improving healthcare and health equity for all and feel it’s important to highlight the voices championing an equitable healthcare system. That’s why we’re happy…
The COVID-19 pandemic put consumer trust to the test in 2020 and early 2021. Health economist Jane Sarasohn-Kahn shares how the healthcare industry can help rebuild trust among health citizens.
A game-changing revision to CMS rules for Star ratings puts Medicare Advantage plans under extra pressure to deliver an excellent customer experience. At Medecision, our solutions and services help health…
At Medecision, we understand the value of virtual care. But until we make the processes easy and accessible, we’re not going to change the ability of all people to access…
Guest blogger Jane Sarasohn-Kahn shares how recent acquisitions of telehealth companies means telehealth and virtual care is now a regular form of healthcare delivery.
Medecision is committed to helping the healthcare system achieve the Quadruple Aim, and a key component of that is improving the patient experience. During this National Patient Experience Week, we…
Terry McInnis, MD, MPH, CPE, president of Blue Thorn Inc. and member of the Medecision Advisory Board; and Terri Steinberg, MD, MBA, FACP, FAMIA, Medecision’s Group Senior Vice President of…
DALLAS, TX – April 14, 2021 – Medecision, an integrated health management company supporting virtual care and digital health, announced Ken Young will be named president and CEO effective immediately. Young…
Vaccine hesitancy is not uncommon in rural America. But the healthcare industry can’t forget about rural communities.
We saw a housing crisis in America this past year—and we quickly learned how important safe housing is to healthcare.
What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health Policy, and Sarah Dencker, vice president of Network…
The healthcare appeals process can be difficult to navigate. How can we ensure that patients easily understand the process and their healthcare coverage?
In this episode of the Liberation Lab podcast, we bring together healthcare leaders with vast experience in caring for and engaging underserved and vulnerable populations. Our experts include Dr. Jan…
The COVID-19 pandemic has resulted in more people on Medicaid. It’s more important than ever before for the healthcare industry to do its part to ensure compliance with privacy and…
Effectively engaging with and serving vulnerable populations is made even more difficult during the COVID-19 pandemic, when trust in healthcare systems has been eroded.
Although many Americans are lining up for their COVID-19 vaccine, we’re still far from herd immunity. But experts are hopeful that more Americans will start to resume medical care services.…
We loved this conversation about bold leaders that Chris LaVictoire Mahai, president of Aveus, had in 2018 with Coreen Dicus-Johnson, president and CEO of Network Health. Coreen shared how she…
Medecision’s Campus Partnership Program identifies top talent at colleges across the nation—and it’s proven to be beneficial.
How will the future of healthcare change under the Biden-Harris administration?
What are the top priorities for the Biden administration? Combating the COVID-19 crisis, improving livelihoods and setting the American ship on the right track.
How can organizations respond to racial injustice in humility and action in a sustainable way?
The COVID-19 pandemic has forced healthcare organizations to adapt—and adopt alternative ways of delivering care to patients. Artificial intelligence and the Internet of Things promise to revolutionize healthcare. Thank you…
New rules will ease administrative burden, speed up reimbursement and remove fears of accidental violations.
No one would deny that 2020 was a hard year. But the coronavirus-plagued year proved that we are more resilient than we realize.
It has been a long year, full of challenges and obstacles. But there are five gifts from the pandemic that we should be thankful for, says Jane Sarasohn-Kahn.
Increased attention is being paid to treating the whole person, addressing social determinants of health and recognizing the value of virtual care.
By mid-July, 53% of adults had reported their mental health had been negatively impacted by the coronavirus—and research shows that poor and disadvantaged populations are most affected by mental health…
In this episode of the Liberation Lab podcast, we speak with health economist, advisor, trend weaver, and author, Jane Sarasohn-Kahn. Jane shares the major trends she’s seeing as COVID reshapes…
What changes can we expect to see to healthcare policies during the Biden administration?
The future is virtual, especially for older people. Health economist Jane Sarasohn-Kahn explores how the industry is seeking out ways to serve older adults at home, especially in the midst…
Even before COVID-19, many Americans expressed interest in virtual health. Now, virtual health technology is being used to expand access to more healthcare services.
In this episode of the Liberation Lab podcast, we spoke with Lynne Dunbrack, Group Vice President at IDC Health Insights, and ChristianaCare CareVio leaders Nicole Masci and Barb Gillis, who…
After painstaking research, health economist Jane Sarasohn-Kahn has pinpointed five trends that are shaping the American people as a result of COVID-19.
Dr. Terri Steinberg will join the company as Group Senior Vice President of Analytics and Population Health and Chief Medical Officer, effective December 1.
The holiday season is a time for loved ones. If in-person gatherings aren’t possible this year, here are some alternative ways to celebrate together and keep the spirit alive.
Tommy Duncan adds perspectives from Medicaid care management and virtual health innovation to the group.
Dr. Terri Steinberg shares how Medecision’s Aerial platform helped ChristianaCare’s CareVio program achieve success.
In this episode of the Liberation Lab podcast, healthcare leaders Dr. Janice E. Nevin, President and CEO of ChristianaCare, and Karen L. Hanlon, Executive Vice President and Chief Operating Officer…
Medecision’s Aerial platform makes virtual care a greater possibility.
Not only have grocery stores remained open during the COVID-19 pandemic, but many have emerged as innovative leaders in addressing food insecurity.
Jesse Thomas brings valuable Medicaid managed care expertise to the Advisory Board just as Medicaid enrollment increases and virtual health modalities improve access and quality.
Disparities clearly exist, and it is our responsibility to figure out why and how to address them, for the good of everyone.
Fall is finally here, but COVID-19 may interfere with some favorite activities. But it’s still possible to enjoy the cooler weather.
As Americans, we must claim our collective health citizenship, and act on it together.
How can the healthcare industry acknowledge racial disparities and strategically work to reduce them?
‘Unplugging,’ staying connected remotely, helping with child care and being vulnerable are among the ways to fight worry, stress and burnout.
In many cities and states, workplaces are beginning to open their doors again and employees are returning to the office. What precautions should employers take to keep their employees safe…
Even before COVID-19, working-age Americans struggled to afford healthcare coverage. Now, in the event of an economic downturn, the situation could worsen. Health economist Jane Sarasohn-Kahn explores the findings of…
In April, Dr. Terry McInnis explained what researchers were learning and studying about the coronavirus. Now, five months later, Dr. McInnis shares even more information about testing, the risk of…
The Liberation Lab podcast brings back Dr. Terry McInnis to talk about what we’ve learned about the coronavirus since she spoke with us back in April 2020. Dr. McInnis is a Medecision Advisory…
How can parents help support the mental health of their kids and ensure the upcoming school year is a positive one—no matter where “school” is or what it looks like?
Grief is a normal response to loss. We’ve all lost something during COVID-19, and it’s OK to grieve that loss.
Telehealth usage surged because of COVID-19. Now, our customers are shifting gears to use virtual health technology—and we’re here to help.
Shoshana Ungerleider, M.D., founder of the End Well Project, discusses the importance of communications skills and palliative care when discussing end-of-life issues with patients.
Dr. Jan Berger, author and analytics, clinical and population health expert will help guide Medecision’s leadership team to a broad market position in digital health.
The hospital-at-home concept isn’t new, but the COVID-19 pandemic has accelerated its usage.
How can the healthcare industry best care for the mental health and well-being of frontline providers and clinicians?
In this episode of the Liberation Lab podcast, our team sits down with Shoshana Ungerleider, MD to explore how the COVID-19 pandemic is affecting and changing end-of-life decisions, patient and…
What do today’s consumers want in a healthcare experience? Personal involvement is at the center of it all. That points to an increased role for virtual health—and, with COVID-19 showing…
The healthcare industry is typically immune to recessions and nationwide economic struggles—but not this time. How will the pandemic impact the healthcare economy?
Technology is a part of our everyday lives. But how is our privacy affected when personal information is readily available on digital devices?
We’re living in a time of uncertainty, and many people are feeling stressed, anxious and panicked. Babette Apland, managing director of Call to Mind, an initiative started by American Public…
How has COVID-19 affected healthcare in rural areas? People in rural communities are typically spread out by distance already—but some could be more at risk for certain conditions because of…
The COVID-19 outbreak has motivated hospitals, manufacturers and even the government to come up with alternative solutions to the challenges we face.
How does virtual health help us take a step forward in humanizing healthcare? It works within and around a person’s life, as opposed to their sickness, to deliver care when,…
Telehealth usage skyrocketed during COVID-19. But it also revealed inequities in the healthcare system.
Can there really be positive news in the midst of a pandemic? Yes, if you look closely!
In January 2019, Medecision launched a yearlong process to achieve MARS-E compliance. Here’s how we did it.
States are beginning to reopen, and more healthcare systems and hospitals are allowing elective surgeries and nonessential procedures. As we move into a post-COVID-19 environment, how can providers continue using…
In the COVID-19 fight, let’s not overlook our most vulnerable populations and those who care for them.
Virtual health is having a heyday right now—and many experts suggest that it is here to stay long term.
COVID-19 has turned our world upside down. It’s changed so many aspects of our lives – how and where we work, how we obtain healthcare services, how we engage with…
We are deeply saddened by the recent displays of injustice in America—and the systemic racism that continues to plague our nation.
Dr. Jan Berger is a tri-sector healthcare executive with a background in public, private and government sectors. In 2009, she helped found Health Intelligence Partners, a global healthcare consultancy. Below,…
How has caregiving in America changed? For starters, more caregivers are adopting technology to help them address the complex and challenging workflow. Unfortunately, more caregivers are reporting that their own…
CMS and ONC delays to enforcement give the industry a few additional months to prepare for major overhauls to ensure the appropriate sharing of patient health information. Yet the need…
Chris LaVictoire Mahai, president of Aveus, a division of Medecision, shares six essential practices for improving the patient experience emerging from our shared COVID-19 lessons learned.
People are craving a return to “normal,” but no one quite knows what “normal” is anymore. Dr. Richard Popiel, Medecision Advisory Board chair and a senior adviser with McKinsey &…
Healthcare providers across the nation have shifted gears and switched to telehealth—and so have care and case managers. Aerial helps care and case managers virtually connect with members to manage…
How will the COVID-19 pandemic affect healthcare’s shift to value-based care payment models? Tamara Cull, DHA, Senior Vice President of Portfolio Management, shares her thoughts.
As chief executive officer for Rackspace, Kevin Jones is responsible for the company’s global strategy and operations—spanning the U.S. and three other continents where Rackspace maintains offices and data centers.…
Healthcare heroes across the country are teaming up and going beyond the call of duty to provide empathetic, high-quality care during a time of great need.
This is the fifth in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of…
AerialTM quickly supports the new realities of caring for vulnerable individuals in the face of COVID-19.
We’re learning more about the novel coronavirus every day. National pharma and care management expert, Dr. Terry McInnis, shares data on the COVID-19 pandemic, what lessons and perspectives providers are…
This is the fourth in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of…
The Aerial team may be working remotely, but we’re still #Here4You. Hear first hand from our Liberators about how we’re supporting our clients during COVID-19 – and the unexpected silver…
Dr. Terry McInnis, a board-certified physician in preventive medicine and president of Blue Thorn Inc., shares what the healthcare industry knows and is continuing to learn about the novel coronavirus,…
This is the third in a five-part series about demonstrating BOLD leadership during a pandemic transformation from our colleagues at Aveus. Each entry in the series focuses on the characteristics of…
The coronavirus has affected more than just our physical well-being—it’s also affecting mental health, as many people grapple with the unknowns surrounding the virus.
Gyms and community rec centers are closed, but that doesn’t mean you have to let exercise and physical activity fall by the wayside. You can still stay active at home.
Long after we flatten the curve, Americans will still be dealing with lingering mental health issues.
Terri Kline, MPH, former president and chief executive officer of Health Alliance Plan, former executive vice president of Henry Ford Health System and current Medecision Advisory Board member, shares her…
As the world continues to navigate the changes that we are personally and professionally facing due to the novel coronavirus pandemic, many healthcare leaders are looking for wisdom on how…
Aerial™ has integrated COVID-19-specific enhancements to support clients and their employees on the front lines of managing care during this pandemic.
The coronavirus has a lot of us on edge, but our smartphones can help us breathe deep, meditate, change mental habits, get a good night’s sleep and more.
For many employed Americans, the coronavirus pandemic has brought about a new reality. Here’s some advice for doing your job without driving yourself—or your family—crazy.
As the world struggles with the coronavirus, our healthcare heroes are going above and beyond, working selflessly for the greater good.
Social distancing doesn’t have to mean isolation. Thankfully, we live in the digital era and there are apps to help friends and family stay connected.
No one is immune from the coronavirus, but low-income and other marginalized groups of people face a higher risk of impact.
We’re doing our part to flatten the curve and put an end to the coronavirus. Playing our small role—staying home—can have a big impact on lessening the burden on the…
During this challenging and evolving time, we are providing the following update for our clients on our business operations and how we are engaging to support our clients’ organizations.
Health economist and trend weaver Jane Sarasohn-Kahn shares insights on how COVID-19 (coronavirus) is impacting Americans’ behavior and spending – and the implications for health systems and plans.
Patients are more responsible for healthcare costs now than ever. And this election season, they’re speaking up about price transparency in the healthcare industry—both with their ballots and their choice…
Medecision’s acquisition of health delivery system transformation pioneer GSI Health expands the company’s expertise and solutions for Medicaid beneficiary management and member engagement in community care settings.
Digital health technologies may one day potentially solve some of healthcare’s biggest problems. But big problems require big solutions in order to demonstrate significant Impact on Quality (IoQ).
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.
