Medecision, the leader in data-driven clinical technology solutions for healthcare organizations, announces the acquisition of Excell Healthcare Advisors (Excell), a premier healthcare consultancy that has a proven track record of supporting healthcare organizations with the transformation of their clinical operations to drive step-function improvements in administrative costs, medical trend, and patient outcomes.
Many current utilization management processes lack the transparency, speed and interoperability needed to meet current requirements — and the stakes for health…
KING OF PRUSSIA, PA — May 21, 2025 — A new report from Medecision, Building the Intelligent Health Plan, reveals a clear…
AI is advancing fast — but many payers remain stuck in “analysis paralysis.” While the potential for AI and automation to transform…
Traditional care management strategies are struggling to keep pace with rising administrative burdens, workforce shortages and increasingly complex member needs. Outdated processes…
Traditional care management strategies are struggling to keep pace with rising administrative burdens, workforce shortages and increasingly complex member needs. Outdated processes — like relying on phone calls — fail to scale engagement and leave care teams overwhelmed.
As healthcare evolves, the demand for connected, data-driven, and member- and patient-centric systems is at an all-time high. By 2027, 70% of…
As healthcare evolves, the demand for connected, data-driven, and member- and patient-centric systems is at an all-time high. By 2027, 70% of…
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Legacy care management solutions are widely recognized to be frustrating because they were not designed to succeed at the speed and complexity…
While health plan executives are increasingly recognizing the need to transform care management (CM) and engagement initiatives, consultancy Oliver Wyman explains that…
In its 2024 Trends for Payer IT report, technology analyst firm IDC explains that health plans are currently “undergoing a crisis of…
While traditional telephonic and modern digital self-service care management approaches are necessary for health plans, what both programs need now are data…
While traditional telephonic and modern digital self-service care management approaches are necessary for health plans, what both programs need now are data…
Medecision research illustrates that nearly all health plan leaders agree that generating automated digital journeys is valuable to high-risk members (98%) and…
The heartbeat of modern healthcare is real-time data. However, a staggering 74% of healthcare organizations grapple daily with real-time data integration, while…
Today’s health plans are facing increasing member complexity, skyrocketing costs and workforce shortages that strain care management teams. But research shows most plans lack…
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Why timely, data-driven, multi-channel engagement is essential for transforming care management and driving improved outcomes. To realize the full potential of CM,…
Current legacy tools are hindering the effectiveness of utilization management (UM), care management (CM), and population health management (PHM), leading to a…
As election year dynamics unfold, the impact on healthcare policy will be significant. This exclusive webinar, presented by Maverick Health Policy and…
For many seniors, Medicare Advantage (MA) plans appear to offer great advantages: they offer access to a wide range of non-traditional services,…
Legacy care management (CM) technologies and workflows are creating challenges for healthcare organizations looking to expand their programs—which negatively impacts clinical outcomes,…
You may have heard that it’s important to receive admission, discharge, and transfer (ADT) transactions for patients and members. The question is,…
You’ve heard the stories about the “hallucinations” produced by Generative AI engines. Often they are responses to a prompt that are presented…
2024 Elections & Health Policy: What You Need to Know Watch Playback As election year dynamics unfold, the impact on healthcare policy…
By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision In this final post in my series on modern data platforms…
To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and…
Legacy utilization management (UM) technologies and workflows create a number of challenges. Even though health plans have enormous amounts of information, UM…
Medecision was featured in a recent article from HealthLeaders. You can find the full article here. An excerpt from the article by…
To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and…
By Pamela Nigro, Vice President, Security, Medecision An executive order from President Biden in 2021 focused on enhancing software supply chain security. This…
The executives examined independent market research that surveyed health plan leaders about the current state of UM and what organizations need to…
New market research reveals a deep divide between health plan executives recognizing the need to have full contextual awareness of a member’s…
What’s holding health plans’ Utilization Management (UM) programs back from improving efficiencies, reducing costs, and driving better outcomes? Legacy tools. Fewer than…
By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision Every IT vendor supporting the health care industry claims to offer…
Did you know that, despite 95% of health plan executives stressing the importance of personalization, only a third consider their operations highly…
Did you know that, despite 95% of health plan executives stressing the importance of personalization, only a third consider their operations highly…
Workflows lie at the heart of efficient operations and user satisfaction. Whether it’s an admission, a transition of care…
5 Takeaways from the HLTH-Medecision Webinar on Transforming Data into a Strategic Asset for Person-Centric Care As healthcare witnesses unprecedented advancements in…
This piece was originally featured in Becker’s Payer Issues. It’s conference season in the health IT sector and the topic resonating most…
A recent Yale study shed light on a profoundly concerning trend: Despite escalating investments in health care over the past two decades,…
There is a lot of talk lately about how to use artificial intelligence (AI) in healthcare. Right now, AI is most often…
Health plans have historically struggled to deliver personalization that increases member engagement, improves care coordination, drives better outcomes and reduces costs. That’s…
Investing in primary care can save significant costs for the U.S. health care system, and yet it has been historically underfunded. A…
Addressing Social Determinants of Health: The Key to Patient-Centered Care For far too long, the American health care system lacked economic support…
This article was featured in Physician’s Practice As physicians, we are trained to diagnose and treat illness. But all too often we…
By Becker’s Healthcare in collaboration with Medecision From both a payer and provider perspective, addressing patients’ social determinants of health (SDOH) plays…
Access to healthcare does not guarantee a person’s overall well-being. Factors such as where and how individuals live can impact their health…
The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…
When the National Committee for Quality Assurance (NCQA) launched HEDIS measures in 1991, the project was titled the “HMO Employer Data and…
We frequently talk about care management, which, as defined by the Agency for Healthcare Research and Quality (AHRQ), is based on “appropriate…
In the healthcare industry, the new year begins with two meetings that together convene inventors and investors, marketers and buyers of technology:…
Hospitals in the U.S. continue to face thinning financial margins, higher labor expenses and clinician burnout at the end of 2022, still…
The end of the holiday season and the calendar year is an appropriate time to take stock of the gifts we’ve been…
“Sitting on a gold mine.” That expression may hit home for healthcare organizations that have yet to begin extracting full value from…
By Becker’s Healthcare in collaboration with Medecision During the Becker’s Payer Issue Roundtable conference, November 7–8, 2022, Medecision CEO Ken Young and…
A report published in August 2022 suggested that 46% of all U.S. consumers had used a mix of digital and in-person healthcare…
Thank you in advance for choosing to read this blog post. We are grateful for people like you. During this festive season,…
Where an individual lives, what they eat and the resources at their disposal have a greater influence on their health than one…
As the quest for health equity gains momentum, the nation’s oldest and largest healthcare evaluation and accreditation body has announced new standards…
What do comorbidities and social determinants of health have in common? Both can have an outsized impact on a person’s health. Both…
Does “no place like home” still apply when thinking about moving acute-care patients out of hospitals and back to their home spaces?…
If you were to ask your employees if they felt burned out, unhappy, unsupported, overworked or underpaid, what would they say? In…
Healthcare coordination can overwhelm even the most knowledgeable patients, especially if they have a complex condition or treatment plan, as seen with…
We talk a lot about the price of prescription drugs in the U.S. There is bipartisan support among Americans for Medicare’s ability…
We offer five tips for health plans seeking to improve member education campaigns. Subscribe to our blog Don’t forget to share this…
New technologies and increased accessibility are expanding the range of solutions, innovations and analytics capabilities that lead to consumer insights and opportunities…
By viewing their industry and its challenges through their patients’ eyes, organizations can put themselves on track to provide the right solutions….
Will over-the-counter hearing aids usher in a new era of OTC healthcare products and services? Health economist Jane Sarasohn-Kahn explores the possibilities…
At this point in the pandemic, healthcare workers are experiencing burnout and need mental and emotional support more than ever. Subscribe to…
As the healthcare industry shifts toward value-based care, integrated care delivery models will become even more important. Subscribe to our blog Don’t…
Until you understand the reasons why patients aren’t taking their medications, you can’t implement strategies to improve adherence. Subscribe to our blog…
We offer strategies to better engage with members and encourage them to become active participants in their health. Subscribe to our blog…
Health economist Jane Sarasohn-Kahn breaks down the recent report from Bertelsmann Stiftung and explores the implications of digital tech on health equity…
How can healthcare organizations help address social determinants of health? Subscribe to our blog Don’t forget to share this post!
We share four benefits of introducing technology and automation to your care management program. Subscribe to our blog Don’t forget to share…
Health inequities have long been a dreadful, distinctive facet of the U.S. healthcare industry. Health economist Jane Sarasohn-Kahn discusses financial implications. Subscribe…
We explore how health plans and health systems can help members and patients overcome health equity barriers and bridge the language gap….
Population health considers the health status and outcomes of an entire group of people, rather than focusing just on specific individuals. Is…
Value-based care is the future of healthcare in the U.S. These four core competencies can help guide your organization toward a model…
Older adults in America face a slew of health disparities. Health economist Jane Sarasohn-Kahn dives deeper into recent research about older Americans’…
Building a care management program—and leading it—can be made easier with these three steps. Subscribe to our blog Don’t forget to share…
Meaningful Measures 2.0 goals are designed to facilitate the ongoing move toward value-based care, which targets issues including person-centered care, safety, chronic…
Recently the Centers for Medicare & Medicaid Services (CMS) outlined an action plan for addressing health disparities; ensuring high-quality, affordable healthcare for…
These four states are taking a boots-on-the-ground approach to addressing social determinants of health. Subscribe to our blog Don’t forget to share…
Jane Sarasohn-Kahn explores the importance of embracing an ESG policy in healthcare. Subscribe to our blog Don’t forget to share this post!
DALLAS, TX – April 21, 2022 – Medecision, a leading provider of digital care management solutions and services, announces it has joined the…
How can predictive modeling help support patients through transitions and ensure they continue to receive the care they need, adhere to medication…
When a patient goes outside the network for care, it can have negative consequences for both cost and care. Reducing network leakage…
As trust increases, so does the engagement of healthcare citizens with healthcare professionals and services. Subscribe to our blog Don’t forget to…
When care management teams become more proactive, they can help keep members on the right track and prevent setbacks rather than react…
Social distancing is great. Medical distancing? Not so much. Doctor visits are still necessary for ensuring good health. Subscribe to our blog…
How can care managers improve performance metrics in addition to member outcomes? Subscribe to our blog Don’t forget to share this post!
Everyone knows that diet, lifestyle choices like alcohol consumption and smoking, exercise, and genetics play a role in your overall health. But…
Inflated prices for household products, food and utilities can stretch already thin budgets, leaving many Americans wondering how to pay bills and…
By focusing care management activities on areas with the potential for the greatest impact and making high-value decisions, care managers can optimize…
Are care managers unsung heroes by helping control healthcare costs? Subscribe to our blog Don’t forget to share this post!
Healthcare consumers feel more empowered to weigh their options, share their opinions and expect more out of their healthcare experience—which is why…
The key determinants of healthcare for 2022 are rooted in our experiences from 2021. Subscribe to our blog Don’t forget to share…
Amid healthcare payers’ heightened financial pressures and members’ increased needs, it might be time to change the definition of care management. Subscribe…
Medecision was recently honored by Modern Healthcare for its virtual health marketing campaign. Subscribe to our blog Don’t forget to share this…
Health economist Jane Sarasohn-Kahn shares what the healthcare industry can learn about improving the consumer experience from three other organizations. Subscribe to…
Meet Maria Colaberdino. She’s a member of our Portfolio Management team where she works as the Senior Director of Clinical Principal. Maria…
Clinician burnout isn’t a new trend, but the COVID-19 pandemic has exacerbated the issue, with many healthcare workers reporting that they are…
Entertainment, hospitality, financial planning and aviation have important ideas for improving the member and patient experience. Subscribe to our blog Don’t forget…
Meet Tamara Cull. She’s a member of our Revenue & Experience team where she works as the SVP of Customer Success. When…
The latest episode of Liberation Lab focuses on CMS changes to Star Ratings and what the shift in weights of different measures…
At Medecision, we understand the importance of healthcare partnerships and collaboration. When we work together, we can improve healthcare for everyone. Subscribe…
As we return to normal life, we must not forget the lessons learned during the pandemic. Subscribe to our blog Don’t forget…
Health equity has become something of a catchphrase, but it’s an important one to know. At Medecision, we’re deeply committed to working…
Meet Versha Shah. She’s a member of our Engineering team where she works as a Senior Application Developer, but her job at…
At Medecision, we are committed to staying at the forefront of discussions about industry-wide issues—such as pharmaceutical drug pricing. Health economist Jane…
America is in the midst of a mental health crisis—but hospitals and community-based organizations can partner together to identify and diagnose mental…
The COVID-19 pandemic put consumer trust to the test in 2020 and early 2021. Health economist Jane Sarasohn-Kahn shares how the healthcare…
A game-changing revision to CMS rules for Star ratings puts Medicare Advantage plans under extra pressure to deliver an excellent customer experience….
Guest blogger Jane Sarasohn-Kahn shares how recent acquisitions of telehealth companies means telehealth and virtual care is now a regular form of…
Terry McInnis, MD, MPH, CPE, president of Blue Thorn Inc. and member of the Medecision Advisory Board; and Terri Steinberg, MD, MBA,…
We saw a housing crisis in America this past year—and we quickly learned how important safe housing is to healthcare. Subscribe to…
The latest episode of Liberation Lab focuses on the prior authorization rule affecting utilization management. Julie Barnes, JD, Founder and Principal of…
What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health…
In this episode of the Liberation Lab podcast, we bring together healthcare leaders with vast experience in caring for and engaging underserved…
Although many Americans are lining up for their COVID-19 vaccine, we’re still far from herd immunity. But experts are hopeful that more…
What are the top priorities for the Biden administration? Combating the COVID-19 crisis, improving livelihoods and setting the American ship on the…
It has been a long year, full of challenges and obstacles. But there are five gifts from the pandemic that we should…
Increased attention is being paid to treating the whole person, addressing social determinants of health and recognizing the value of virtual care….
In this episode of the Liberation Lab podcast, we speak with health economist, advisor, trend weaver, and author, Jane Sarasohn-Kahn. Jane shares…
What changes can we expect to see to healthcare policies during the Biden administration? Subscribe to our blog Don’t forget to share…
Liberation Lab turns its sights to the potential implications of the November 2020 election on US healthcare policy. Our expert guests include…
The future is virtual, especially for older people. Health economist Jane Sarasohn-Kahn explores how the industry is seeking out ways to serve…
In this episode of the Liberation Lab podcast, we spoke with Lynne Dunbrack, Group Vice President at IDC Health Insights, and ChristianaCare…
In this episode of the Liberation Lab podcast, healthcare leaders Dr. Janice E. Nevin, President and CEO of ChristianaCare, and Karen L….
Not only have grocery stores remained open during the COVID-19 pandemic, but many have emerged as innovative leaders in addressing food insecurity….
Disparities clearly exist, and it is our responsibility to figure out why and how to address them, for the good of everyone….
As Americans, we must claim our collective health citizenship, and act on it together. Subscribe to our blog Don’t forget to share…
The Liberation Lab podcast welcomes Medecision leader Rick Koloski, along with Dr. Terri Steinberg in her role as Chief Health Information Officer…
How can the healthcare industry acknowledge racial disparities and strategically work to reduce them? Subscribe to our blog Don’t forget to share…
‘Unplugging,’ staying connected remotely, helping with child care and being vulnerable are among the ways to fight worry, stress and burnout. Subscribe…
Even before COVID-19, working-age Americans struggled to afford healthcare coverage. Now, in the event of an economic downturn, the situation could worsen….
The hospital-at-home concept isn’t new, but the COVID-19 pandemic has accelerated its usage. Subscribe to our blog Don’t forget to share this…
What do today’s consumers want in a healthcare experience? Personal involvement is at the center of it all. That points to an…
The healthcare industry is typically immune to recessions and nationwide economic struggles—but not this time. How will the pandemic impact the healthcare…
Why is it important for the healthcare industry to address social determinants of health? Subscribe to our blog Don’t forget to share…
Telehealth usage skyrocketed during COVID-19. But it also revealed inequities in the healthcare system. Subscribe to our blog Don’t forget to share…
Liberation Lab spoke with Julie Barnes, Founder and Principal of Maverick Health Policy, and a health care policy expert with years of…
Medecision appears in the Healthcare IT News Guide to Population Health IT Vendors and SDOH Tools. Visit their report for information on Medecision’s solutions…
COVID-19 has turned our world upside down. It’s changed so many aspects of our lives – how and where we work, how…
How has caregiving in America changed? For starters, more caregivers are adopting technology to help them address the complex and challenging workflow….
Healthcare heroes across the country are teaming up and going beyond the call of duty to provide empathetic, high-quality care during a…
The coronavirus has affected more than just our physical well-being—it’s also affecting mental health, as many people grapple with the unknowns surrounding…
Gyms and community rec centers are closed, but that doesn’t mean you have to let exercise and physical activity fall by the…
How can leaders show up BOLD-ly during a pandemic? Our colleagues with Aveus explore how leaders can navigate effectively during these uncertain…
Long after we flatten the curve, Americans will still be dealing with lingering mental health issues. Subscribe to our blog Don’t forget…
For many employed Americans, the coronavirus pandemic has brought about a new reality. Here’s some advice for doing your job without driving…
As the world struggles with the coronavirus, our healthcare heroes are going above and beyond, working selflessly for the greater good. Subscribe…
Health economist and trend weaver Jane Sarasohn-Kahn shares insights on how COVID-19 (coronavirus) is impacting Americans’ behavior and spending – and the…
What does Liberation mean to you? Maybe it means thinking outside the box, enhancing the healthcare experience or lowering healthcare costs. Subscribe…
High-risk populations often have complicated chronic diseases and behavioral health conditions, and social issues such as employment, food insecurity, lack of transportation…
Some of the most enthusiastic feedback from this year’s Liberation event came in response to our world-renowned keynote speaker, Eric Topol, MD….
Medecision has integrated the Change Healthcare InterQual Connect medical review service into the iExchange provider data-entry solution. This press release was originally…
The following blog post is courtesy of Jane Sarasohn-Kahn of healthpopuli.com, one of the featured speakers at the Liberation 2019 event. Subscribe…
Technology can help scale social determinants of health. But to be effective, we must first understand the people with whom we wish…
HIT companies have to remember that at the end of a digital transaction, there’s a person. Subscribe to our blog Don’t forget…
Company recognized as one of the leading global healthcare information technology providers for payers and providers Wayne, PA – August 14, 2017 –…