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The Ongoing Search to Reduce Costs, Increase Quality
Those working in health plan operations are always in the fury of the moment. They are focused on what is the next emergency. How many people is that going to …
Value-Based Care Requires Payer-Provider Collaboration
Payers are increasingly incorporating social determinants of health (SDoH)— biology and genetics, individual behavior, social environment, physical environment…
Leveraging Real-Time Data for a Meaningful Customer Experience
Health plans know that better member engagement can lead to improved health behaviors as well as enhanced customer satisfaction. That is why they are investing…
There are several critical considerations for payers looking to build top quality, high-performing and competitive Medicare Advantage plans.
Communication i…
Analytical Insights Critical for Smart Business Decisions
For health plans with limited resources, cost pressures continue to weigh heavy. Outdated technology and siloed systems can adversely impact operational effici…
What Would a Do-Over Look Like For The Healthcare Industry?
Ever have the kind of day where you wish you could go back and start over? Press reset so you could avoid the errors you made the first time around? Unfortunat…
Inefficient Processes Stifle Creativity and Continuous Improvements
Whether it is value-based benefits, episodes of care, or evolving state and federal regulations—without the right technology, health plans will struggle to kee…
Gone are the days of the traditional, slow, steady insurance business. Welcome the next generation of health insurance, where plans must be fast and agile to p…
Don't Fear Change, Build a Culture of Continual Optimization
Health plans that implemented a core administration system twenty years ago and have only taken technical upgrades for two decades struggle to efficiently oper…
Breaking Down Silos Leads to Better Outcomes and Lower Costs
EHRs, mobile devices, wearables, claims data, and population health analytics can create enough insight for healthcare to improve outcomes at lower costs. But …
Focused on Innovation? Start with Operational Efficiency
For health plans, operational efficiency could be the first step in their approach to innovation. While it may not be the most exciting aspect of the business,…
How Successful Health Plans Transform Their Businesses
The health insurance industry is constantly evolving with the introduction of new regulations, the need to adopt value-based reimbursement (VBR) models, and ch…
