Alliance News

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Member News

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    BLOG: 10 takeaways from the Alliance Fall Leadership Forum

    Joe Lastinger, Health Plan Alliance
    Health Plan Alliance leaders convened in Boston, October 9-12 to collaborate on their evolving enterprise-wide strategies. Attendees gained powerful insight into where investors are focusing their dollars today, saw how newly released Medicare data sets are being used to improve quality measurement and heard seven incredible examples of how Alliance members are delivering exceptional care management in their markets.

    BLOG: Top 10 reads of the summer

    Health Plan Alliance
    What is summer without a reading challenge? This summer, Health Plan Alliance members tapped into the resources available in the Alliance Knowledge Center and accessed more than 700 documents. Turn over a new leaf this fall with our favorite page-turners of the summer and hear from our reading challenge champion, Sarah Litchfield, Government Program Coordinator, Geisinger Health Plan.

    BLOG: Q&A - Containing costs on out of network claims

    Health Plan Alliance
    We sat down with Tim Callender, VP at The Phia Group (one of the companies in our GPO) to learn more about health plans' cost-containment challenges and the savings health plans have achieved on out of network claims with The Phia Group's newest cost-containment service, Phia Unwrapped.

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Business News

    Streamlining prior authorization to achieve the benefits of utilization management

    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.

    Improving Medicare Advantage Star Ratings Utilizing Telehealth

    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.

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Industry News

    Healthcare Midterm Election Results: A Marketing Toss-Up

    Wunderman Health
    Lindsay R. Resnick of Wunderman Health outlines several key takeaways from the midterm election impacting healthcare marketing. In today’s contentious political landscape, healthcare brands have an opportunity to emerge as trusted community resources helping customers take ownership of their health by supporting value-based financial and clinical choices.

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