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.
The Medicare Shared Savings Program (MSSP), the accountable care organization (ACO) model that served 10.6 million seniors in 2020, collectively saved Medicare $4.1 billion last year, and $1.9 billion after accounting for shared savings payments, according to the National Association of ACOs (NAACOs) and as recently published in Healthcare Finance. 513 ACOs participated in the...
We know data from population health technology can assist the provider organizations to make management strategy decisions that make a significant impact in disease management, for instance, with diabetic populations thanks to sophisticated technology and tracking tools that add real-time data from remote monitoring devices to influence the drug regime changes for optimizing patient outcomes,...
This month we celebrated International Women’s Day, a time set aside to honor immense and varied contributions of women made over the course of history and in contemporary society. HealthEC is proud of its female leaders in our organization who have gone above and beyond to drive healthcare and population health management (PHM) since its...
Exhaustion. De-personalization. Lack of Efficacy. These three cardinal symptoms characterize physician burnout, as defined by the World Health Organization, and measurable by the Maslach Burnout InventoryTM developed by Christina Maslach and her colleagues at the University of San Francisco in the 1970s. Our nation’s clinicians have expressed burnout for several years due to personal and...
Dr. Nick van Terheyden, host of HealthcareNOW Radio show The Incrementalist, recently sat down with HealthEC CIO and Chief Data Scientist, Sita Kapoor, to discuss high-volume data processing in healthcare and the role of artificial intelligence in delivering clinically actionable insights to caregivers.
“Easy” isn’t a term that government healthcare professionals throw around very often. In fact, when you consider the constantly changing dynamics of the healthcare landscape — especially Medicaid — nothing is easy.
