How Payers Can Reduce Emergency Department Admission Rates, Costs
- Members and payers do not always see eye-to-eye, but one point on which they closely align is their desire for members to stay out of the emergency department. Emergency department visits are associated with higher healthcare spending. A single trip to the emergency room costs $2,453, on average, under a large employer-sponsored health plan. The out-of-pocket costs can range from $128...
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3 Ways Payers Can Employ Machine Learning, Advanced Analytics
MVP Health Care (MVP) has been piloting machine learning and advanced analytics solutions and, in the process, explored three key uses for these types of tools. Machine learning falls under the umbrella of artificial intelligence tools....How AI Supports Low-Risk Member Identification, Care Management
Artificial intelligence (AI) can shed light on trends within low-risk member populations so that health plans can prevent them from progressing into the high-risk category. There are a couple of key...How Payer Forecasting Is Shifting Towards Real-Time Data Analytics
As aggregators of healthcare data, payers are modern-day seers for the healthcare industry and they are increasingly leaning on real-time analytics to perform this role. “Forecasting is a capability and an enabler to help create...Sponsored Article
