Business Sponsors
Streamlining prior authorization to achieve the benefits of utilization management
Jonathan Murray SVP, Digital UM Solutions, eviCore healthcare
12/17/2018
Medical benefit management (aka utilization management) solutions are proven to reduce costs, protect patient safety and drive optimal outcomes.
Improving Medicare Advantage Star Ratings Utilizing Telehealth
Sylvia Romm, MD, MPH, Vice President of Clinical Transformation, American Well
12/3/2018
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.
Convey Health Solutions to Combine with HealthScape Advisors and Pareto Intelligence
BusinessWire
11/29/2018
Merger creates leading healthcare payor-focused technology solutions company; positions company for continued innovation and accelerating growth
Reducing Medical Billing Waste and Abuse
MultiPlan
11/13/2018
Prepayment strategies for correcting clinical billing errors while minimizing provider abrasion
Impactful Health Advocacy Programs are Built on Analytics
Blue Health Intelligence
11/9/2018
Five data and analytics tips to improve your Health Advocacy Program success.
As Seen in HBR: Gathering Health Care Insights from Data About Peoples Daily Lives
Welltok
11/5/2018
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.
Study Shows Nutrition Intervention Reduces Hospital Readmissions
GA Foods
10/15/2018
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.
How Intermountain and SelectHealth Engaged Members and Saw ROI with Direct-to-Consumer Telehealth
Intermountain
10/2/2018
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
Welltok
10/1/2018
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.
Welltok Scoops Up Messaging Company Wellpass to Reach Medicaid Market
Welltok
10/1/2018
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
Simplify Healthcare
8/31/2018
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
Glooko
8/31/2018
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.
Creating the tools for healthcare cost containment
Phia Group
8/31/2018
Self-funded plans are leading the way and imperfect regulatory action may still create opportunities for self-funding.
Two-Step Strategy for Capital Generation and Plan Modernization
DST Systems
8/29/2018
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.
Lumeris Survey highlights interest for launching Medicare Advantage plans;
Lumeris
8/22/2018
New collaborative relationship paves the way to accelerate provider and payer success in value-based care