In today’s complex healthcare landscape, effective care management requires seamless coordination across multiple disciplines, including care management, utilization management, care coordination, disease management, and population health management. Automated solutions enhance efficiency, but without well-structured workflows, even the most sophisticated technology can fall short of delivering optimal outcomes.
A recent study published in JAMA Network Open suggests that physician groups operating under at-risk Medicare Advantage (MA) payment models (2-sided risk) may be delivering higher-quality, more efficient care than their fee-for-service (FFS) counterparts.
For healthcare organizations and providers involved in a Medicare Shared Savings Program (MSSP), 2025 is truly a time of transition and a little uncertainty. When colleagues recently asked for my thoughts on MSSP this year, the old saying “May you live in interesting times” kept coming to mind.
At HealthEC, we know that healthcare isn’t just about data—it’s about lives. That’s why we approach our work with empathy and humility, understanding that behind every metric are real people. This approach, combined with robust data insights, leads to meaningful change.
For more than 14 years, HealthEC has been providing fast, easy-to-use, and dependable electronic claims submission services for health organizations both large and small.
