Jonathan Murray SVP, Digital UM Solutions, eviCore healthcare
Medical benefit management (aka utilization management) solutions are proven to reduce costs, protect patient safety and drive optimal outcomes.
Sylvia Romm, MD, MPH, Vice President of Clinical Transformation, American Well
Telehealth could help health plans improve CMS star ratings by actively engaging members and delivering better, more frequent care. Of the five areas of the CMS Star Rating System, three could be directly improved via telehealth, while the other two have indirect benefits.
Merger creates leading healthcare payor-focused technology solutions company; positions company for continued innovation and accelerating growth
Prepayment strategies for correcting clinical billing errors while minimizing provider abrasion
Blue Health Intelligence
Five data and analytics tips to improve your Health Advocacy Program success.
To radically improve health care, we need to apply consumer demographic and lifestyle data in ways that help the health care industry shift its focus from providing sick care to partnering with people (rather than patients) to help them stay well.
Health plans are always looking for better ways to keep members out of the hospital and to reduce their length of stay. Yet, the role of nutrition remains poorly understood by providers, administrators, and payers. One of the leading causes for readmission to the hospital is malnutrition.
Intermountain Healthcare, a not-for-profit integrated health system based in Salt Lake City, recently presented the results of its claims analysis showing the value and quality impact direct-to-consumer telehealth has on its system and patients
Welltok Acquires Leading Interactive Messaging Company Wellpass - The acquisition expands Welltok's presence in the managed Medicaid and government markets and brings sophisticated text messaging capabilities and proven, evidence-based health programs into its consumer health activation platform.
The deal will enable Welltok, which helps organizations connect consumers to health resources, expand its footprint in the managed Medicaid and government markets.
A large health plan in Pennsylvania automates benefit product builds in 7 days with eBenefitSync, meeting enrollment goals
eBenefitSync was named a sole leader by IDC in the US Health Plan Product/Plan Benefit Configuration Solutions 2016 Vendor Assessment.
How Glooko helps health plans overcome the hurdles of engagement in traditional diabetes management programs
Many health plans may have already invested in programs of their own, but the truth is, traditional diabetes management programs are not delivering. Members are not engaging, cost is skyrocketing and satisfaction is dwindling.
Self-funded plans are leading the way and imperfect regulatory action may still create opportunities for self-funding.
In May 2018, Americas Health Insurance Plans (AHIP) published an infographic showing just 2.3% net profitability for commercial health plans. As I travel around the country speaking to plan executives, I can confirm just how real these narrow margins are, particularly for small-to-medium insurance companies.
New collaborative relationship paves the way to accelerate provider and payer success in value-based care