Business Sponsors
HAP partners with Livongo to help Medicare Advantage members manage diabetes
Health Alliance Plan (HAP)
4/18/2019
Health Alliance Plan announced it has partnered with Livongo, a whole person platform that empowers people with chronic conditions to live better and healthier lives, to provide HAP Medicare Advantage members with a more personalized experience to help them better manage their diabetes.
PreferredOne partners with Wellbeats to bring on-demand, virtual fitness to employer-sponsored health plans
Wellbeats
4/16/2019
PreferredOne will offer Wellbeats to fully insured groups upon renewal beginning in July. Self-insured groups will also have the option to add Wellbeats to their plan design.
2019 Medicare AEP Campaign Highlights from Regional Health Insurers with Strong Enrollment Growth
Media Logic Healthcare Team
4/12/2019
With the switch rate for the Medicare Annual Election Period (AEP) ticking up this year, it wasn’t just the national plans who made big gains. We took some time to study some successful regional health plans – and with some help* from Mintel, we pulled their direct mail to see if these plans were employing any interesting creative approaches that may have helped them achieve their enrollment gains.”
Analytics toolkit + techno-functional SMEs = HEDIS® & Star success
Cognizant
4/12/2019
We have seen many health plans spend millions of dollars in HEDIS analytics solutions and big data software, but left wondering what to do next! HEDIS and Star ratings are something you can’t afford to ignore. Every incremental opportunity, small or large, needs to be squeezed to get to that all-important 4+ Star rating.
Reference-based pricing explained
The Phia Group
4/10/2019
While many view reference-based pricing as an immediate solution – and it certainly has proven to be a useful cost-containment tool for many – others view it as a way to change the industry for the better.
Geisinger Health Plan partners with RxAnte to Drive Pharmacy Quality Strategy and Outcomes
RxAnte
2/15/2019
Through this partnership, RxAnte will deliver population-level analytics and member-level decision support to inform Geisinger’s pharmacy quality strategy in 2019.
Taking the Hassle out of HEDIS: 3 Ways Analytics Can Help
MedeAnalytics
2/11/2019
Learn how to overcome hurdles and achieve the high HEDIS scores you deserve. With an end-to-end quality management solution, you can streamline chart chases, identify gaps in care, and engage providers year-round with meaningful dialogue.
The Road to Value-Based Care – How Analytics Can Help Payers and Providers Align
MedeAnalytics
2/11/2019
Misalignment between payers and providers can hinder the industry's shift to value-based care. Find out what steps can payers take to better collaborate with providers and deliver on the promise of quality care.
Diagnostic Error: How Big a Deal Is It?
V. Katherine Gray, PhD, Sage Health
2/5/2019
Most Americans have heard about medication errors that can cause harm or death, but an even bigger issue is diagnostic errors causing harm or death.
RxAnte Announces Partnership with Geisinger Health Plan to Drive Pharmacy Quality Strategy and Outcomes
BioSpace
2/4/2019
Through this partnership, RxAnte will deliver population-level analytics and member-level decision support to inform Geisinger’s pharmacy quality strategy in 2019.
Vital Decisions Partners with Care N' Care to Support Health Plan Members Struggling with Complex or Advanced Illness
Vital Decisions
2/4/2019
Vital Decisions, LLC, the leading organization in serious illness advance care planning (ACP) and alignment, announced today a partnership with Care N' Care, a leading Medicare Advantage plan in North Texas, to provide its members and their families with a personal approach to decision-making and support during challenging times of advanced illness.
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