Healthcare powered by predictive analytics is transforming the healthcare space. From enabling more accurate and proactive care delivery and better patient outcomes to streamlining provider processes and workflows. And with continued advances in machine learning, and healthcare technologies constantly honing the accuracy of predictive models and algorithms, it’s clear that the future of healthcare will...
This is the final post in a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. It’s true that meeting the health needs of individuals across generations is partly about age-related clinical factors. But there’s much more to consider. Addressing generation-specific attitudes, concerns, and preferences regarding healthcare,...
In the last few years, challenges related to prior authorization have created inefficiencies in health care that negatively impact both health outcomes for members and the costs both payers and members must pay. That’s why in December 2022, the Centers for Medicare & Medicaid Services (CMS) proposed Rule CMS-0057-P. The new rule is designed to...
Inadequate health literacy affects nearly 36% of the adult U.S. population and is found in disproportionately higher rates among Medicaid-eligible populations, according to the Center for Health Care Strategies. In fact, one study estimates that more than 25% of uninsured, Medicare, and Medicaid populations may have low health literacy skills. This can negatively impact quality of life and health...
In theory, utilization management (UM) should reduce the overall cost of care while improving outcomes for health plan members. But for many payers and providers using homegrown solutions and outdated, siloed platforms, the reality is much different. Without the ability to sync and share data across teams and departments, it’s nearly impossible to gain a...
This post is part of a five-part series highlighting top insights from our white paper, Personalized Value-Based Care: Effective Multi-Generational Care Management Strategies. It’s true that meeting the health needs of individuals across generations is partly about age-related clinical factors. But there’s more to consider. Addressing generation-specific attitudes, concerns, and preferences regarding healthcare, as well...
In 2023, we expect to see the continuation of health payers and organizations shifting to value-based care models with a focus on health equity. Combined with the economic headwinds, we’re also expecting to see a higher prioritization on member engagement and activation, addressing social determinants of health, and ensuring optimal data interoperability. Here’s the inside...
This is the final article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we cover care management strategies to improve the experience for members who receive home health care services. You can also download our white paper Effectively Managing Medicare Populations:...
This is the fourth article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explore strategies to deliver whole-person care for Medicare members with chronic conditions, aiming to improve outcomes and quality of life. You can also download our white paper...
This is the fifth article in a six-part series exploring ways to improve the delivery of whole-person, value-based care to Medicare and Medicare Advantage populations. In this post, we explain how to tackle challenges related to social determinants of health (SDOH) that can prevent members from experiencing optimal clinical outcomes. You can also download our white...
