Blue Shield of CA Technology Partnership Improves Care Management
- Blue Shield of California has partnered with a software company to improve care management services for members and streamline enrollment for employers. Through its collaboration with Salesforce, the payer has adopted Salesforce Health Cloud, which will help expand care management services and promote high-quality care. The two organizations have...
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How Do Payers Approach Care Management Strategies, Technologies?
An essential element of value-based care success is proper care management. Care management revolves around team-based, patient-centered strategies that work toward helping patients manage their medical conditions in a cost-effective...Sponsored Article
Real-Time Data: Enhancing Payer Contracts in Post-Acute Care Settings
Payers face limitations when relying too heavily on claims data for managing care and selecting partners in post-acute care settings. Claims data tends to be outdated and lacks sufficient detail. That...Humana Seeks to Improve Medicare Advantage Specialty Needs Benefits
Humana has announced a partnership with Longevity Health Plan to improve Medicare Advantage members’ specialty needs plan benefits. Humana’s partner is both a clinical services company and...Sponsored Article
How Interventional Analytics Will Improve Nursing Care for MA Members
The Medicare Advantage population is set for tremendous growth over this decade. Estimates show that the MA program will cover more than two-thirds of the Medicare population by 2030. This growing and...Sponsored Article
How a Growing, Changing Medicare Population Will Impact Payers
The demand for post-acute and long-term care is increasing dramatically and will continue to do so in the decades ahead. The Medicare population continues to expand and is set for rapid growth as the...Sponsored Article
How Data, Analytics, and Collaboration Drive Healthcare Innovation
For the healthcare industry to achieve the goals of truly patient-centered care, stakeholders must work collaboratively and break down silos of information and knowledge. With a reimbursement...Payer Fuses Family, Maternal Care Through Virtual Care, Care Management
Blue Cross Blue Shield of Michigan and Blue Care Network have partnered with Maven Clinic to combine family-building and maternal care support through virtual care and care management...Sponsored Article
How Payers Overcome Nursing Shortages to Improve Patient Experience
While Medicare continues to ramp up efforts to reward quality over quantity of services, payers find themselves strapped for personnel to ensure the collection and reporting of care quality data. More...Sponsored Article
Value of a Strategic Partnership for Improving the Member Experience
Member experience has become a primary focus of payers as consumer expectations have evolved, technology use continues to expand, and quality ratings depend more heavily on how individuals access the...Sponsored Article
How Payers Can Deliver Value Through Care Management Models
Now more than ever, healthcare consumers are looking for value from their health plans. Traditionally, value has centered on the quality of clinical care and the total cost of care for those services....Sponsored Article
How Nurses Enable Health Plans to Support Members Aging in Place
The United States population is aging, with an influx of Baby Boomers set to dramatically increase the population of individuals over age 65 by tens of millions. According to the Federal Interagency...Sponsored Article
Leveraging a Network of RNs Boosts Member Experience, Spending
The healthcare system is buckling under rising costs. The situation will likely worsen as the number of older Americans increases rapidly unless payers and their partners make fundamental care...CareFirst Partnership Aims to Identify, Address Social Risk Factors
CareFirst BlueCross BlueShield (CareFirst) has partnered with a healthcare analytics company to help identify members with social risk factors and advance health equity. By leveraging Socially...Sponsored Article
How Health Plans Use Communication to Enable Member Empowerment
Health plans are making concerted efforts to become advocates for their members, working on behalf of the latter to ensure access to high-quality, affordable healthcare. Some have even set bold goals...Sponsored Article
How Health Plans Build Trust to Become Member Advocates
For the past two years, the healthcare industry — from lawmakers and regulators to payers and providers — has made strides in supporting members through a pandemic by providing convenient...Sponsored Article
How Patient Management Promotes Medication Adherence, Lowers Costs
Every year in the US, payers spend $100 billion on medication-related hospitalizations. These incidents come with a time cost, too. Reduced productivity is responsible for a $16,000 loss per...Top Benefits, Challenges of NC Medicaid Managed Care Model
Medicaid managed care enables care coordination, incorporation of social determinants of health into care, trust-building between healthcare stakeholders, stakeholder accountability, and flexibility...Sponsored Article
What Member Engagement Means to Today’s Healthcare Consumers
Members view payers as instrumental in improving their health as well as their experience navigating the healthcare system. However, far too many still think health plans can do more to support...Sponsored Article
