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Utilization Management is Fragmented and Frustrating: Here’s How New CMS Rules Can Help

Legacy utilization management (UM) technologies and workflows create a number of challenges. Even though health plans have enormous amounts of information, UM…

Ready, Set—Help: Health Plan Execs Need Tools For Transformation

Medecision was featured in a recent article from HealthLeaders. You can find the full article here. An excerpt from the article by…

Medecision Appoints Mark Gee as Chief Revenue Officer to Spearhead Growth and Innovation

Dallas, TX, and King of Prussia, PA, February 13, 2024 – Medecision, the leading clinical data and analytics platform company, has announced…

New Medecision Research Reveals Top Barriers Holding Health Plans Back from Reducing Costs, Improving Outcomes, Streamlining Efficiencies

Market report shows that health plan executives are at a critical turning point, and optimistic about AI – but are they ready…

The Top Care Management Barriers — And How To Tackle Them

To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and…

Better Software Supply Chain Security Through SBOMs

By Pamela Nigro, Vice President, Security, Medecision An executive order from President Biden in 2021 focused on enhancing software supply chain security. This…

The Modern Data Platform in Action

By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision In my last post, we looked at the characteristics of and…

Why Health Plans Need to Close the Personalization Gap — Now

New market research reveals a deep divide between health plan executives recognizing the need to have full contextual awareness of a member’s…

The State of Utilization Management in 2024 – Fragmented and Frustrating, But the Path Forward is Clear

What’s holding health plans’ Utilization Management (UM) programs back from improving efficiencies, reducing costs, and driving better outcomes? Legacy tools.  Fewer than…