In a time of unprecedented transformation in the healthcare industry, staying informed and inspired is not just a benefit — it’s a necessity. That’s why Elligint Health is proud to bring you Sparking Change, our monthly e-newsletter designed especially for our clients and partners. More than just an update, Sparking Change is your strategic companion...
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.
Prior authorization can cause serious issues for members and providers if processes are not properly architected by a healthcare payor. More than nine in 10 physicians (94%) reported care delays while waiting for health care insurers to authorize necessary care, a physician survey by the American Medical Association found. Eighty percent said prior authorization can...
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.
When people have the knowledge, skills, and confidence to engage in their own health, better outcomes are much more achievable. According to the Centers for Disease Control and Prevention (CDC), this conclusion was based on a research review that linked better health outcomes to higher levels of activation (having the knowledge, skills, and confidence to...
This post 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...
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,...
