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6 Things Accountable Care Organizations Should Look for in a Medical Management Platform
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6 Things Accountable Care Organizations Should Look for in a Medical Management Platform

Medical management platforms can help accountable care organizations (ACOs) meet core goals related to providing highly coordinated, value-based care. For example, software with automated workflows and data centralization capabilities helped ACOs increase primary care services and wellness rates among members while reducing emergency department visits, hospital readmissions, and overall costs, according to a 2017 report...

Future of Care Chat – Episode 2 – The Evolution of Healthcare Data Interoperability
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Future of Care Chat – Episode 2 – The Evolution of Healthcare Data Interoperability

How has healthcare data interoperability changed in the last few years? Are data silos still a core challenge? Disconnected data negatively impacts payers and providers across the care continuum, impacting everything from healthcare experiences and health outcomes to higher costs and inaccurate care and utilization management. In Episode 2, Marcus Caraballo, VP of Product Management,...

Future of Care Chat – Episode 3 – Diving into FHIR®
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Future of Care Chat – Episode 3 – Diving into FHIR®

What is FHIR? Why does FHIR matter in healthcare data management? The HL7 FHIR (Fast Healthcare Interoperability Resources 1) standard defines how healthcare information can be exchanged between different computer systems regardless of how it is stored in those systems. And for healthcare payers and organizations today, it’s an important standard for sharing and exchanging...

How Can Accountable Care Organizations Address the Data Silo Challenge?
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How Can Accountable Care Organizations Address the Data Silo Challenge?

Nearly a decade ago, a Forbes contributor referred to data silos as “a medical tragedy.” Jump forward 10 years and we still have data silos. And the very real human consequences they create such as suboptimal health outcomes related to missed or delayed diagnoses, medical errors, and missed opportunities to provide the right care at...

Three Essentials a Value-Based Care Management Platform Must Have
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Three Essentials a Value-Based Care Management Platform Must Have

Your patients (health plan members) are the driving force behind everything you do. And with the gradual shift over the past two decades from volume-based, fee-for-service payment models to value-based care and managed care models, your team is finally able to focus on each patient as a whole. The only thing that could possibly get...

How Healthcare Payers Can Unlock More Effective Motivational Interviewing
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How Healthcare Payers Can Unlock More Effective Motivational Interviewing

Healthcare payers can help members improve health choices with digital tools and key motivational care management strategy Motivational interviewing (MI) is an evidence-based method of helping members overcome resistance to positive behavior changes that are critical to improving their health. Through effective MI, care managers can empower members to Identify personal barriers to better health...

Why Should Healthcare Payers Consider Integrated Utilization Management Technology?
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Why Should Healthcare Payers Consider Integrated Utilization Management Technology?

Drive faster authorizations, reduce human error and administrative burden, and get higher plan satisfaction ratings As value-based care models continue to grow in popularity, healthcare plans and providers should take this opportunity to consider holistically transforming their utilization management (UM) program approach. Historically, utilization management and care management have been separate disciplines with separate data....

Future of Care – Episode 10: The Connected Care Ecosystem in 2024
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Future of Care – Episode 10: The Connected Care Ecosystem in 2024

Enabling a whole-person care approach that benefits members, payors, and providers From member-centered, whole-person care to driving cost savings, better coordination of care, and more efficient processes, this is all part of the connected care ecosystem. Join Robert McChane, VP of Marketing, and Katie Nieto, Senior Program Manager, in our latest Future of Care Chat...

6 Ways Healthcare Payers and Plans Can Improve Their Data & Analytics Initiatives
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6 Ways Healthcare Payers and Plans Can Improve Their Data & Analytics Initiatives

We’re in the age of big data, and one of the challenges healthcare payers have is to make sense of all the data they capture. From pulling actionable insights to identify and close care gaps to quickly providing the quality metrics and reports needed by state and federal regulatory bodies. For healthcare organizations, integrating data-driven...

Why a Good UX is Critical for Medical Management Platforms
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Why a Good UX is Critical for Medical Management Platforms

A good UX (user experience) is a key player in how quickly a care management platform is adopted and how successfully it’s utilized. Adoption and usage are key concerns for healthcare organizations when choosing a medical management platform. This is especially true for those with large teams of care managers or case managers who need...