Member Engagement Requires Advanced Analytics, Specialized Team
Member engagement strategies need to make better use of advanced analytics, be more attuned to members’ journeys of care, and culminate in a tight, dedicated team with a broad range of...UnitedHealth Group Unveils Self-Administered COVID-19 Test
UnitedHealth Group Research & Development and OptumCare clinicians have determined that self-administered COVID-19 tests are as effective as provider-administered tests and may extend resources and...Integrated Care Reduces Hospital Stays for Medicaid Children
Children enrolled in Medicaid and exposed to an integrated care management program experienced a decrease of 0.39 monthly hospital admissions and 2.20 monthly bed-days per 1,000 children, compared to...3 Ways Payers Drive Population Health Management in Cancer Care
The industry’s transition into value-based care is characterized by a focus on data and patient centered care. By driving strong population health management, payers can excel in this value-based...Community Data Informs Payer Philanthropy for Housing Stability
Poor or unstable housing contributes to a myriad of negative health outcomes. Developmental risks in young children, asthma exacerbations, and increased rates of depression are just a few of the...Mergers and Acquisitions Will Strengthen Payer Identity in 2020
Payers will seek to strengthen their identities in 2020 and they will use mergers and acquisitions as the tools for transformation, according to a recent HRI’s PricewaterhouseCoopers (PwC)...Why the Future of Value-Based Care Begins with Children’s Health
The healthcare industry is continuing to shift its focus from volume to value. Various value-based care models focus on delivering the highest quality care to patients for the lowest...Payer Philanthropy Won’t Improve Social Determinants of Health
The concept of payer philanthropy has been getting more attention lately as a novel means of solving social determinants of health (SDoH) issues, but it’s an approach that may not be the right...Strategies for Managing Chronic Conditions in Rural Areas
Over half of American adults have a chronic condition, including hypertension, diabetes, and chronic lung disease, the leading drivers of health care costs. Access to proper medical treatment, proper...Payer-Provider Partnership, Data Management Promote Population Health
Successful value-based contracts are contingent on payer-provider partnerships. These partnerships must be built on clear lines of communication so payers can support providers in delivering the best...Sponsored Article
Driving Innovation in Provider-Payer Value-Based Care Relationships
Alternative payment models have emerged in recent years as the healthcare industry has shifted its focus from a fee-for-service reimbursement model to value-based care. This transition is commonly...Health2047 Launches Medicare Advantage Plan to Address SDOH
California-based Health2047’s new health plan, Zing Health, will offer a Medicare Advantage plan that aims to address social determinants of health, the company announced. "Zing Health is...How Payers Transform Volumes of Data into Actionable Information
Payers want to know how to drive a personalized care management plan, how to excel at member engagement, and how to improve outcomes, all ultimately to cut costs. But when a payer attempts to answer...ACA Medicaid Expansion Reduces Mortality Rates, Study Shows
The Affordable Care Act’s Medicaid expansion could have saved 15,600 lives in the three years following its initiation if it was put into effect nationwide, according to a recent study from the...Sponsored Article