Blog Posts

Medecision CEO Recognized Among Top 35 Digital Health Leaders by Slice of Healthcare

KING OF PRUSSIA, PA – June 21, 2024 – Medecision, a leader in cloud-based, data-driven healthcare solutions, is proud to announce that…

Medecision Launches Advanced Aerial Data Platform and Clinical Intelligence Engine

KING OF PRUSSIA, PA –(BUSINESS WIRE) — June 18, 2024 — Medecision, a trailblazer in cloud-based, data-powered healthcare solutions, launched its advanced…

Introducing Aerial: The Future of Real-Time Healthcare Data

Time: Tuesday, June 25th, 12:00 PM ET Overview Join us for an insightful webinar where we explore the transformative potential of a…

Making Sense of the ‘Rainfall’ of Health Policy Rules and Regulations in 2024, Part 2: Digital Health, Cybersecurity, Data Privacy, Private Equity, and M&A

Medecision and Washington, D.C.-based advisors Maverick Health Policy hosted a discussion to share their insights about the many healthcare-related developments that the…

Making Sense of the ‘Rainfall’ of Health Policy Rules and Regulations in 2024, Part 1: AI, Utilization Management, and Interoperability

From artificial intelligence (AI) to private equity’s role in the healthcare industry, new federal regulations and private sector activities are developing at…

Better Management of Prior Authorization

For many seniors, Medicare Advantage (MA) plans appear to offer great advantages: they offer access to a wide range of non-traditional services,…

Rethinking Care Management: Lessons from Banner|Aetna, Elevance, and Medecision

Legacy care management (CM) technologies and workflows are creating challenges for healthcare organizations looking to expand their programs—which negatively impacts clinical outcomes,…

The Benefits of Real-time ADT Transactions

You may have heard that it’s important to receive admission, discharge, and transfer (ADT) transactions for patients and members. The question is,…

Making the Most of AI Hallucinations

You’ve heard the stories about the “hallucinations” produced by Generative AI engines. Often they are responses to a prompt that are presented…

Exclusive Webinar – Inside the Beltway Insights from Maverick Health Policy

2024 Elections & Health Policy: What You Need to Know Watch Playback As election year dynamics unfold, the impact on healthcare policy…

Communicating The Benefits of A Modern Health Data Platform

By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision In this final post in my series on modern data platforms…

Medecision Aerial Platform Achieves HITRUST Risk-Based Certification

Demonstrating the Highest Level of Information Protection Assurance Dallas, TX, and King of Prussia, PA, April 1, 2024 – Medecision, the leading…

Utilization Management is Fragmented and Frustrating: Here’s How New CMS Rules Can Help

Legacy utilization management (UM) technologies and workflows create a number of challenges. Even though health plans have enormous amounts of information, UM…

Ready, Set—Help: Health Plan Execs Need Tools For Transformation

Medecision was featured in a recent article from HealthLeaders. You can find the full article here. An excerpt from the article by…

Medecision Appoints Mark Gee as Chief Revenue Officer to Spearhead Growth and Innovation

Dallas, TX, and King of Prussia, PA, February 13, 2024 – Medecision, the leading clinical data and analytics platform company, has announced…

New Medecision Research Reveals Top Barriers Holding Health Plans Back from Reducing Costs, Improving Outcomes, Streamlining Efficiencies

Market report shows that health plan executives are at a critical turning point, and optimistic about AI – but are they ready…

The Top Care Management Barriers — And How To Tackle Them

To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and…

Better Software Supply Chain Security Through SBOMs

By Pamela Nigro, Vice President, Security, Medecision An executive order from President Biden in 2021 focused on enhancing software supply chain security. This…

The Modern Data Platform in Action

By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision In my last post, we looked at the characteristics of and…

Why Health Plans Need to Close the Personalization Gap — Now

New market research reveals a deep divide between health plan executives recognizing the need to have full contextual awareness of a member’s…

The State of Utilization Management in 2024 – Fragmented and Frustrating, But the Path Forward is Clear

What’s holding health plans’ Utilization Management (UM) programs back from improving efficiencies, reducing costs, and driving better outcomes? Legacy tools.  Fewer than…

Seizing the Opportunities Presented by a Modern Data Platform

By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision Every IT vendor supporting the health care industry claims to offer…

The Year Ahead in Care Management, Utilization Management, Personalization & Population Health

Did you know that, despite 95% of health plan executives stressing the importance of personalization, only a third consider their operations highly…

The Value of Real-time Data in Your Foundational Workflows

Workflows lie at the heart of efficient operations and user satisfaction. Whether it’s an admission, a transition of care…

Don’t Boil The Ocean: 5 Takeaways from the HLTH-Medecision Webinar

5 Takeaways from the HLTH-Medecision Webinar on Transforming Data into a Strategic Asset for Person-Centric Care As healthcare witnesses unprecedented advancements in…

Payers Need More than FHIR to Fix the Data Problem

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 closer look at CalAIM: Innovations in California’s Medicaid program

While the picturesque image of California is a dream for some, there’s an unsettling reality that not all residents have equal access…

Addressing Disparities in Healthcare Access: The Critical Role of Care Management Technology for Medicaid Populations

A recent Yale study shed light on a profoundly concerning trend: Despite escalating investments in health care over the past two decades,…

The Potential for Generative AI in Healthcare

There is a lot of talk lately about how to use artificial intelligence (AI) in healthcare. Right now, AI is most often…

Kenneth Young Of Medecision On 5 Things We Need To Do To Improve The US Healthcare System

Kenneth Young is an accomplished executive with a time-tested record of successful business performance. As the President and Chief Executive Officer of Medecision,…

When Data And Technology Have Impact At The Health Inflection Point

Health plans have historically struggled to deliver personalization that increases member engagement, improves care coordination, drives better outcomes and reduces costs. That’s…

Making Care Primary: Reinvesting in Whole Patient Health

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

Addressing Social Determinants of Health: The Key to Patient-Centered Care For far too long, the American health care system lacked economic support…

Why Medicine Needs Greater Context: The Outsized Influence of Social Drivers on Health

This article was featured in Physician’s Practice As physicians, we are trained to diagnose and treat illness. But all too often we…

6 Steps to Create a More Consumer-Centric Care Management Program

Value-based care models, performance metrics and rising consumer expectations have ramped up providers’ care management efforts. Today’s most successful providers and provider…

New Software Identifies, Fills Social Determinants of Health Gaps

Reprinted with permission from McKnight’s Home Care It’s become increasingly understood that social determinants of health, or SDOHs, play a big role…

Not All SDOH Solutions are Equal: 8 Must-Have Capabilities for Plans and Providers

Author: Terri Steinberg, MD, MBA, FACP, FAMIA, Chief Medical Officer and Chief Strategy Officer, Medecision Plans and providers know that attention to…

Medecision Further Addresses Barriers to Health Access with Uber Health

The new integration will help the digital care management solution provider address transportation-related social determinants of health for health plans and providers…

Breaking Barriers: Medecision® Launches Aerial™ Social Care Coordinator to Tackle Social Determinants of Health (SDOH)

Technology helps power whole-person healthcare through earlier interventions Dallas, TX, April 17, 2023 — Medecision®, a leading provider of digital care management…

Why Integrated Data Systems are Key to Addressing Social Determinants of Health and Preparing Health Systems for the Future

By Becker’s Healthcare in collaboration with Medecision From both a payer and provider perspective, addressing patients’ social determinants of health (SDOH) plays…

How Non-Medical Services Are Reshaping Medicare and Medicaid

Access to healthcare does not guarantee a person’s overall well-being. Factors such as where and how individuals live can impact their health…

Payers Need Digital-First Innovation to Meet Consumer Expectations and Stay Competitive

The healthcare payer landscape is changing fast—and payers must change with it in order to stay relevant. Today’s consumers have higher expectations,…

Change Management Strategies for Healthcare Providers

The changes taking place in today’s healthcare ecosystem do not allow providers the luxury of continuing business as usual. The scope and…

What to Know About CMS’ Proposed Changes to Prior Authorization Rules

The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…

Bolstering Health Equity Through the Right Data: Welcome to HEDIS 2023

When the National Committee for Quality Assurance (NCQA) launched HEDIS measures in 1991, the project was titled the “HMO Employer Data and…

Healthcare Providers and the Pursuit of Cost-Saving Measures

In a recent article titled “What to expect in US healthcare in 2023 and beyond,” McKinsey & Company discussed providers’ ongoing pursuit…

Effective Utilization Management Helps Payers Deliver Financial Health and Value

In healthcare payers’ never-ending quest to reduce costs while ensuring that members receive the care they need, the importance of effective utilization…

Chronic Disease Management: Key Trends and Strategies for Providers

We frequently talk about care management, which, as defined by the Agency for Healthcare Research and Quality (AHRQ), is based on “appropriate…

Key Issues for Health Insurers in 2023: Insights from J.P. Morgan Healthcare Conference

The year kicked off with a bang at the J.P. Morgan Healthcare Conference, which its sponsor touts as “the largest and most…

Provider Takeaways from CES and JPM: Integration as Healthcare Innovation in 2023

In the healthcare industry, the new year begins with two meetings that together convene inventors and investors, marketers and buyers of technology:…

5 Focus Areas for Healthcare Innovation

Medicine and technology have come a long way. In the last 20 years, new treatments, medications and technology have paved the way…

In Search of Value: The Context for Healthcare in 2023

Hospitals in the U.S. continue to face thinning financial margins, higher labor expenses and clinician burnout at the end of 2022, still…

12 Gifts of Care Management

The end of the holiday season and the calendar year is an appropriate time to take stock of the gifts we’ve been…

Traits of Actionable Healthcare Data

“Sitting on a gold mine.” That expression may hit home for healthcare organizations that have yet to begin extracting full value from…

How Consumer Engagement Strategies Can Improve Care Management and Member Retention

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…

Designing Hybrid Care With Access and Equity in Mind

A report published in August 2022 suggested that 46% of all U.S. consumers had used a mix of digital and in-person healthcare…

Your Mental Health Will Thank You for Your Gratitude

Thank you in advance for choosing to read this blog post. We are grateful for people like you. During this festive season,…

The Importance of Community Partners in Addressing SDOH

Where an individual lives, what they eat and the resources at their disposal have a greater influence on their health than one…

New Hospital Accreditation Standards for Health Equity

As the quest for health equity gains momentum, the nation’s oldest and largest healthcare evaluation and accreditation body has announced new standards…

Comorbidities and Social Determinants of Health

What do comorbidities and social determinants of health have in common? Both can have an outsized impact on a person’s health. Both…

Home Sweet Hospital at Home? It Depends

Does “no place like home” still apply when thinking about moving acute-care patients out of hospitals and back to their home spaces?…

Ways to Support the Health and Well-Being of Your Employees

If you were to ask your employees if they felt burned out, unhappy, unsupported, overworked or underpaid, what would they say? In…

How Care Management Can Improve Health Equity

Healthcare coordination can overwhelm even the most knowledgeable patients, especially if they have a complex condition or treatment plan, as seen with…

Increase the ROI of Every Care Management Activity

How can you increase the ROI of every care management activity to get more value from your care management program? The strategies…

The Social Determinants of Prescription Drugs: Taking Medicines in Real Life

We talk a lot about the price of prescription drugs in the U.S. There is bipartisan support among Americans for Medicare’s ability…

How Health Plans Can Improve Member Education Campaigns

We offer five tips for health plans seeking to improve member education campaigns. Subscribe to our blog Don’t forget to share this…

Improve Outcomes, Cost Savings and Member Engagement With Digital Care Management

New technologies and increased accessibility are expanding the range of solutions, innovations and analytics capabilities that lead to consumer insights and opportunities…

What Does It Mean to Be ‘Consumer Obsessed’?

By viewing their industry and its challenges through their patients’ eyes, organizations can put themselves on track to provide the right solutions….

What Health Systems and Providers Can Learn From Hearing Aids’ Journey to Over-the-Counter

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…

Healing the Healers: Strategies for a Healthier, Happier Workplace

At this point in the pandemic, healthcare workers are experiencing burnout and need mental and emotional support more than ever. Subscribe to…

Treating the Whole Person: Integrating Physical and Mental Healthcare

As the healthcare industry shifts toward value-based care, integrated care delivery models will become even more important. Subscribe to our blog Don’t…

Foolproof Ways to Improve Medication Adherence

Until you understand the reasons why patients aren’t taking their medications, you can’t implement strategies to improve adherence. Subscribe to our blog…

How to Engage Members, Change Their Behavior

We offer strategies to better engage with members and encourage them to become active participants in their health. Subscribe to our blog…

Time For An Ethics-By-Design Approach in Healthcare

Health economist Jane Sarasohn-Kahn breaks down the recent report from Bertelsmann Stiftung and explores the implications of digital tech on health equity…

4 Ways Payers Can Simplify Prior Authorization

How can health plans help providers cross prior authorization hurdles? We give four strategies. Subscribe to our blog Don’t forget to share…

Developing an Effective SDOH Strategy

How can healthcare organizations help address social determinants of health? Subscribe to our blog Don’t forget to share this post!

Everyone Wins When Care Management Workflows Are Optimized

We share four benefits of introducing technology and automation to your care management program. Subscribe to our blog Don’t forget to share…

The Health Inequities “Tax”—A Cost of U.S. Healthcare

Health inequities have long been a dreadful, distinctive facet of the U.S. healthcare industry. Health economist Jane Sarasohn-Kahn discusses financial implications. Subscribe…

Bridging the Language Gap

We explore how health plans and health systems can help members and patients overcome health equity barriers and bridge the language gap….

Medecision Wins Google Cloud Healthcare & Life Sciences 2021 Customer Award

Dallas, TX, June 14, 2022 —Medecision, a leading provider of digital care management solutions and services, today announced it has received a…

The Nuts and Bolts of Population Health

Population health considers the health status and outcomes of an entire group of people, rather than focusing just on specific individuals. Is…

4 Core Competencies for Value-Based Care Success

Value-based care is the future of healthcare in the U.S. These four core competencies can help guide your organization toward a model…

Health Disparities Growing Among America’s Older Adults

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

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…

Zeroing In on CMS “Meaningful Measures” Targets

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…

Closing Healthcare Gaps Among Specific Patient Populations

An abundance of actionable data exists, making it possible for care managers to be as specific as they need to be, whether…

CMS’ Health Equity Strategy

Recently the Centers for Medicare & Medicaid Services (CMS) outlined an action plan for addressing health disparities; ensuring high-quality, affordable healthcare for…

Taking Action: How States Are Using Medicaid 1115 Waivers to Address SDOH

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…

Improving Health Plan Star Ratings

When you can align activities such as prior authorizations, utilization management and operational workflows with regulatory mandates for quality, timeliness, interoperability and…

Embracing an ESG Policy in Healthcare

Jane Sarasohn-Kahn explores the importance of embracing an ESG policy in healthcare. Subscribe to our blog Don’t forget to share this post!

Medecision Joins Google Cloud Partner Advantage Program

DALLAS, TX – April 21, 2022 – Medecision, a leading provider of digital care management solutions and services, announces it has joined the…

From Data to Insights to Action

Artificial intelligence, including machine learning, can help you analyze and turn mountains of data into actionable insights. This can lead to positive…

Using Data Analytics, Predictive Modeling to Ease Care Transitions

How can predictive modeling help support patients through transitions and ensure they continue to receive the care they need, adhere to medication…

Medecision and Clearstep Announce Strategic Partnership to Deliver Enhanced Patient Engagement Experiences

April 1, 2022 – Dallas, Tex. and Chicago, Ill. –  Medecision, a leading provider of digital care management solutions and services, and…

6 Strategies for Reducing Network Leakage

When a patient goes outside the network for care, it can have negative consequences for both cost and care. Reducing network leakage…

Trust and Healthcare

As trust increases, so does the engagement of healthcare citizens with healthcare professionals and services. Subscribe to our blog Don’t forget to…

Oscar Health Chooses Medecision Solution for Digital Care Management

Oscar Health chooses Medecision solution to provide leading digital care management for its members. Subscribe to our blog Don’t forget to share…

More Proactive Care Management

When care management teams become more proactive, they can help keep members on the right track and prevent setbacks rather than react…

Medecision Announces Jacob Jesson as Chief Revenue and Experience Officer

Digital care management company adds Jacob Jesson as EVP and chief revenue and experience officer. Subscribe to our blog Don’t forget to…

Better Care Coordination With Medecision

Better care coordination? Check. Better outcomes? Check. Better reports and data analysis? Check. Medecision’s HITRUST CSFⓇ-certified software-as-a-solution, AerialTM, gives care managers a…

Medical Distancing in America: A Lingering Pandemic Side Effect

Social distancing is great. Medical distancing? Not so much. Doctor visits are still necessary for ensuring good health. Subscribe to our blog…

Ways Care Managers Can Improve Performance Metrics

How can care managers improve performance metrics in addition to member outcomes? Subscribe to our blog Don’t forget to share this post!

An Infographic: Social Determinants of Health

Everyone knows that diet, lifestyle choices like alcohol consumption and smoking, exercise, and genetics play a role in your overall health. But…

Better Care Management = Higher Satisfaction

What if there was a next-generation care management solution that helped health plans manage risk and empowered care managers to provide the…

Inflation in America: The Healthcare Cost Crisis

Inflated prices for household products, food and utilities can stretch already thin budgets, leaving many Americans wondering how to pay bills and…

Making High-Value Decisions in Payer Care Management

By focusing care management activities on areas with the potential for the greatest impact and making high-value decisions, care managers can optimize…

Can Care Managers Help Control Healthcare Costs?

Are care managers unsung heroes by helping control healthcare costs?   Subscribe to our blog Don’t forget to share this post!

The Year of the Healthcare Consumer

Healthcare consumers feel more empowered to weigh their options, share their opinions and expect more out of their healthcare experience—which is why…

Healthcare Industry Overview: What’s Next for 2022?

The key determinants of healthcare for 2022 are rooted in our experiences from 2021. Subscribe to our blog Don’t forget to share…

Medecision Announces Tal Weitzman as Chief Information Officer

Digital care management company adds Tal Weitzman as chief information officer to help deliver dynamic digital capabilities to customers. Subscribe to our…

Improving Patient Care With Clinical Informatics

Clinical informatics is leading the way in the much-needed transformation of healthcare. Subscribe to our blog Don’t forget to share this post!

5 Key Strategies for a Successful Care Management Program

Today’s consumers increasingly expect healthcare to meet them where they live, work and play, and that means big changes for care management….

Care Management Reimagined: A New Definition and Better ROI

Amid healthcare payers’ heightened financial pressures and members’ increased needs, it might be time to change the definition of care management. Subscribe…

Optimizing Healthcare Workflows: The Not-So-Obvious Benefits

Optimizing healthcare workflows has both obvious and not-so-obvious benefits. Subscribe to our blog Don’t forget to share this post!

Medecision Recognized by Modern Healthcare as Winner in 2021 Healthcare Marketing Impact Awards

Medecision was recently honored by Modern Healthcare for its virtual health marketing campaign. Subscribe to our blog Don’t forget to share this…

Automation Advantages: Making Prior Authorization More Efficient

Appropriate care and better outcomes are the goals of utilization management, including prior authorization. But the processes to achieving these goals need…

Improving the Consumer Experience: 3 Lessons for Healthcare

Health economist Jane Sarasohn-Kahn shares what the healthcare industry can learn about improving the consumer experience from three other organizations. Subscribe to…

Employee Spotlight: Maria Colaberdino

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: Bringing Well-Being Back to Healthcare

Clinician burnout isn’t a new trend, but the COVID-19 pandemic has exacerbated the issue, with many healthcare workers reporting that they are…

Improve Healthcare Consumer Experience by Looking to Other Industries

Entertainment, hospitality, financial planning and aviation have important ideas for improving the member and patient experience. Subscribe to our blog Don’t forget…

Employee Spotlight: Tamara Cull

Meet Tamara Cull. She’s a member of our Revenue & Experience team where she works as the SVP of Customer Success. When…

2021 Star Ratings: Bottom-Line Impact and Strategies

The latest episode of Liberation Lab focuses on CMS changes to Star Ratings and what the shift in weights of different measures…

The Power of Healthcare Partnerships

At Medecision, we understand the importance of healthcare partnerships and collaboration. When we work together, we can improve healthcare for everyone. Subscribe…

Employee Spotlight: Anna McDonald

Meet Anna McDonald. She’s a member of our Customer Experience team where she works as a Technical Writer. When Anna isn’t focusing…

Lessons Learned From COVID-19

As we return to normal life, we must not forget the lessons learned during the pandemic. Subscribe to our blog Don’t forget…

Star Ratings Now Focused on Member Experience

Nancy Green, senior vice president at Aveus, sat down with Julie Barnes, founder of Maverick Health Policy, and Debbie Hill, vice president…

Medecision Announces New CFO and CTO

Integrated health analytics and software company adds Quyen Nguyen-Haelle, CPA as chief financial officer and Pavel Grebenshikov as chief technology officer to…

Why Does Health Equity Matter?

Health equity has become something of a catchphrase, but it’s an important one to know. At Medecision, we’re deeply committed to working…

Employee Spotlight: Versha Shah

Meet Versha Shah. She’s a member of our Engineering team where she works as a Senior Application Developer, but her job at…

Improving Population Health in the Digital Era

Many health systems are investing in population health management strategies, which help them understand target populations while identifying risks and unmet needs….

Aduhelm and Alzheimer’s in America

At Medecision, we are committed to staying at the forefront of discussions about industry-wide issues—such as pharmaceutical drug pricing. Health economist Jane…

Addressing America’s Mental Health Crisis

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 Health Equity Lens: Learning and Activating the Next Phase of Impact

At Medecision, we are committed to improving healthcare and health equity for all and feel it’s important to highlight the voices championing…

Rebuilding Trust in the Healthcare Industry

The COVID-19 pandemic put consumer trust to the test in 2020 and early 2021. Health economist Jane Sarasohn-Kahn shares how the healthcare…

Star Ratings and the Need to Improve Consumer Experience

A game-changing revision to CMS rules for Star ratings puts Medicare Advantage plans under extra pressure to deliver an excellent customer experience….

Using Virtual Care to Address Healthcare Disparities

At Medecision, we understand the value of virtual care. But until we make the processes easy and accessible, we’re not going to…

How Telehealth Is Morphing Into “Just” Healthcare

Guest blogger Jane Sarasohn-Kahn shares how recent acquisitions of telehealth companies means telehealth and virtual care is now a regular form of…

4 Organizations Improving Patient Experience

Medecision is committed to helping the healthcare system achieve the Quadruple Aim, and a key component of that is improving the patient…

Facts and Myths About the COVID-19 Vaccines

Terry McInnis, MD, MPH, CPE, president of Blue Thorn Inc. and member of the Medecision Advisory Board; and Terri Steinberg, MD, MBA,…

Medecision Announces Leadership Transition

DALLAS, TX –  April 14, 2021 – Medecision, an integrated health management company supporting virtual care and digital health, announced Ken Young will…

Vaccine Hesitancy in Rural America

Vaccine hesitancy is not uncommon in rural America. But the healthcare industry can’t forget about rural communities. Subscribe to our blog Don’t…

Housing Is Key to Health

We saw a housing crisis in America this past year—and we quickly learned how important safe housing is to healthcare. Subscribe to…

The Prior Authorization Rule and Advancing Utilization Management Performance

The latest episode of Liberation Lab focuses on the prior authorization rule affecting utilization management. Julie Barnes, JD, Founder and Principal of…

What the Interoperability and Prior Authorization Rule Means for the Patient Experience

What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health…

Trust Reset: How to Better Serve Underserved Populations

In this episode of the Liberation Lab podcast, we bring together healthcare leaders with vast experience in caring for and engaging underserved…

Improving Compliance for Medicaid Populations

The COVID-19 pandemic has resulted in more people on Medicaid. It’s more important than ever before for the healthcare industry to do…

2021: The Year of Vaccines and Excess Deaths in America

Although many Americans are lining up for their COVID-19 vaccine, we’re still far from herd immunity. But experts are hopeful that more…

Top Priorities for President Biden: COVID-19, Then Everything Else

What are the top priorities for the Biden administration? Combating the COVID-19 crisis, improving livelihoods and setting the American ship on the…

Making Healthcare Smarter With Artificial Intelligence and the Internet of Things

The COVID-19 pandemic has forced healthcare organizations to adapt—and adopt alternative ways of delivering care to patients. Artificial intelligence and the Internet…

Final Updates to Stark Law Will Ease Transition to Value-Based Care

New rules will ease administrative burden, speed up reimbursement and remove fears of accidental violations. Subscribe to our blog Don’t forget to…

The Five Gifts From the Pandemic We Take Into the New Year

It has been a long year, full of challenges and obstacles. But there are five gifts from the pandemic that we should…

Medicare Advantage Benefits Expand Access to SDOH, Telehealth Services

Increased attention is being paid to treating the whole person, addressing social determinants of health and recognizing the value of virtual care….

The Impact of the COVID-19 Pandemic on Healthcare Consumers

In this episode of the Liberation Lab podcast, we speak with health economist, advisor, trend weaver, and author, Jane Sarasohn-Kahn. Jane shares…

Looking Ahead: Healthcare During the Biden Administration

What changes can we expect to see to healthcare policies during the Biden administration? Subscribe to our blog Don’t forget to share…

Post-Election Healthcare Policy Implications

Liberation Lab turns its sights to the potential implications of the November 2020 election on US healthcare policy. Our expert guests include…

For Older Adults, the Home Is Becoming the Hub for Life and Care

The future is virtual, especially for older people. Health economist Jane Sarasohn-Kahn explores how the industry is seeking out ways to serve…

Accelerate Your Virtual Patient and Member Engagement Program

In this episode of the Liberation Lab podcast, we spoke with Lynne Dunbrack, Group Vice President at IDC Health Insights, and ChristianaCare…

Dr. Terri Steinberg Joining Medecision to Drive Consumer Intelligence, Data Science and Insights

Dr. Terri Steinberg will join the company as Group Senior Vice President of Analytics and Population Health and Chief Medical Officer, effective…

Tommy Duncan Joins Medecision’s Advisory Board

Tommy Duncan adds perspectives from Medicaid care management and virtual health innovation to the group.  Subscribe to our blog Don’t forget to…

Virtual is Reality: 5 Things You Need To Know Podcast

In this episode of the Liberation Lab podcast, healthcare leaders Dr. Janice E. Nevin, President and CEO of ChristianaCare, and Karen L….

Making Virtual Health a Possibility

Medecision’s Aerial platform makes virtual care a greater possibility. Subscribe to our blog Don’t forget to share this post!

What a Grocery Store Can Teach Us About Social Determinants of Health

Not only have grocery stores remained open during the COVID-19 pandemic, but many have emerged as innovative leaders in addressing food insecurity….

Medecision welcomes Jesse Thomas to its Advisory Board

Jesse Thomas brings valuable Medicaid managed care expertise to the Advisory Board just as Medicaid enrollment increases and virtual health modalities improve access…

Is Healthcare Really a ‘Black and White’ Issue?

Disparities clearly exist, and it is our responsibility to figure out why and how to address them, for the good of everyone….

The Emergence of Health Citizens: What This Means for U.S. Healthcare

As Americans, we must claim our collective health citizenship, and act on it together. Subscribe to our blog Don’t forget to share…

Game Changing Strategies for Virtual Health

The Liberation Lab podcast welcomes Medecision leader Rick Koloski, along with Dr. Terri Steinberg in her role as Chief Health Information Officer…

Racial Disparities of COVID-19 Demand That We Explore and Address Root Causes

How can the healthcare industry acknowledge racial disparities and strategically work to reduce them? Subscribe to our blog Don’t forget to share…

Smart Companies Support Employees’ Mental Health

‘Unplugging,’ staying connected remotely, helping with child care and being vulnerable are among the ways to fight worry, stress and burnout. Subscribe…

Health Insurance Affordability: A Call to Action for Healthcare Industry Stakeholders in the Pandemic

Even before COVID-19, working-age Americans struggled to afford healthcare coverage. Now, in the event of an economic downturn, the situation could worsen….

COVID-19: What We’ve Learned the Past Six Months

In April, Dr. Terry McInnis explained what researchers were learning and studying about the coronavirus. Now, five months later, Dr. McInnis shares…

COVID-19 – August 2020 Facts and Prevention Strategies

The Liberation Lab podcast brings back Dr. Terry McInnis to talk about what we’ve learned about the coronavirus since she spoke with us back in…

End-of-Life Care in a COVID-19 Environment

Shoshana Ungerleider, M.D., founder of the End Well Project, discusses the importance of communications skills and palliative care when discussing end-of-life issues…

Medecision names Jan Berger, MD, as its new Advisory Board Chair

Dr. Jan Berger, author and analytics, clinical and population health expert will help guide Medecision’s leadership team to a broad market position…

How the Pandemic Is Accelerating the Hospital-at-Home Concept

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…

COVID-19 and the Impact on End of Life Decisions

In this episode of the Liberation Lab podcast, our team sits down with Shoshana Ungerleider, MD to explore how the COVID-19 pandemic…

The Consumerism of Healthcare

What do today’s consumers want in a healthcare experience? Personal involvement is at the center of it all. That points to an…

Making Measurable Improvements in Healthcare Quality

Moving forward, Fast Healthcare Interoperability Resources (FHIR) will be used for the digitalization of HEDIS quality measures. Subscribe to our blog Don’t…

Transforming Healthcare in the Age of the Coronavirus

Rick Koloski, group senior vice president of engineering and architecture at the healthcare firm Medecision, discusses how enterprise agility has helped the…

How Will COVID-19 Impact the Healthcare Economy?

The healthcare industry is typically immune to recessions and nationwide economic struggles—but not this time. How will the pandemic impact the healthcare…

The Importance of Addressing Social Determinants of Health

Why is it important for the healthcare industry to address social determinants of health? Subscribe to our blog Don’t forget to share…

Mental Well-Being and Coronavirus

In this episode of the Liberation Lab podcast, we invited Babette Apland, Managing Director of Call to Mind, to share her thoughts…

Grass Roots Tactics for Effective Remote Learning

Learning and development professionals have long recognized the stubborn gap that exists between corporate learning efforts and expected outcomes, particularly when it…

Normalizing Conversations About Mental Health

We’re living in a time of uncertainty, and many people are feeling stressed, anxious and panicked. Babette Apland, managing director of Call…

Coronavirus Workarounds

The COVID-19 outbreak has motivated hospitals, manufacturers and even the government to come up with alternative solutions to the challenges we face….

Humanizing Healthcare With Virtual Health

How does virtual health help us take a step forward in humanizing healthcare? It works within and around a person’s life, as…

How Telehealth and Health Equity Can Survive After COVID-19

Telehealth usage skyrocketed during COVID-19. But it also revealed inequities in the healthcare system. Subscribe to our blog Don’t forget to share…

Medecision’s Path Toward MARS-E Compliance

In January 2019, Medecision launched a yearlong process to achieve MARS-E compliance. Here’s how we did it. Subscribe to our blog Don’t…

Driving Quality Initiatives Now & Into the Future

Liberation Lab spoke with Julie Barnes, Founder and Principal of Maverick Health Policy, and a health care policy expert with years of…

Healthcare IT News: Medecision in the Guide to Pop Health IT Vendors and SDOH Tools

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…

Virtual Health Is Here to Stay

Virtual health is having a heyday right now—and many experts suggest that it is here to stay long term. Subscribe to our…

Recognizing Front Line Heroes During COVID-19

COVID-19 has turned our world upside down. It’s changed so many aspects of our lives – how and where we work, how…

How Will Healthcare Change After COVID-19?

Dr. Jan Berger is a tri-sector healthcare executive with a background in public, private and government sectors. In 2009, she helped found…

Big Hearts: How Caregiving Has Changed in America

How has caregiving in America changed? For starters, more caregivers are adopting technology to help them address the complex and challenging workflow….

CMS and ONC Interoperability Rules: What Do the Latest Updates and Enforcement Delays Mean for the Industry?

CMS and ONC delays to enforcement give the industry a few additional months to prepare for major overhauls to ensure the appropriate…

COVID-19 Lessons That Can Improve All Patient Experiences

Chris LaVictoire Mahai, president of Aveus, a division of Medecision, shares six essential practices for improving the patient experience emerging from our…

Embracing the ‘New Normal’ After COVID-19

People are craving a return to “normal,” but no one quite knows what “normal” is anymore. Dr. Richard Popiel, Medecision Advisory Board…

Bioethics & the COVID-19 Pandemic

To lead this episode of Liberation Lab, we invited Dr. Carolyn Smith, a retired rheumatologist and healthcare leader, to discuss the principles…

The “New Normal” – Changes to Expect in a Post-COVID World

This episode of Liberation Lab features Dr. Richard Popiel, Medecision Advisory Board member and a distinguished healthcare executive, sharing perspectives on some…

‘Don’t Waste This Crisis’: COVID-19’s Silver Lining for Value-Based Care

How will the COVID-19 pandemic affect healthcare’s shift to value-based care payment models? Tamara Cull, DHA, Senior Vice President of Portfolio Management,…

These People, Organizations Are Making a Difference in the Fight Against COVID-19

Healthcare heroes across the country are teaming up and going beyond the call of duty to provide empathetic, high-quality care during a…

New Enhancements to Aerial Support Vulnerable Populations Impacted by COVID-19

AerialTM quickly supports the new realities of caring for vulnerable individuals in the face of COVID-19. Subscribe to our blog Don’t forget to…

Aerial Liberators Are #Here4You

The Aerial team may be working remotely, but we’re still #Here4You. Hear first hand from our Liberators about how we’re supporting our…

COVID-19: What We Know, What We’re Learning and How Healthcare Is Changing

Dr. Terry McInnis, a board-certified physician in preventive medicine and president of Blue Thorn Inc., shares what the healthcare industry knows and…

How to Manage Uncertainty and Anxiety During a Pandemic

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…

3 Ways to Stay Active Without the Gym

Gyms and community rec centers are closed, but that doesn’t mean you have to let exercise and physical activity fall by the…

Demonstrating BOLD Leadership During a Pandemic Transformation

How can leaders show up BOLD-ly during a pandemic? Our colleagues with Aveus explore how leaders can navigate effectively during these uncertain…

COVID-19 Reveals the Need for Universal Mental Healthcare

Long after we flatten the curve, Americans will still be dealing with lingering mental health issues. Subscribe to our blog Don’t forget…

Insights From Terri Kline: Tracking the Coronavirus and Its Implications on Health Plans

Terri Kline, MPH, former president and chief executive officer of Health Alliance Plan, former executive vice president of Henry Ford Health System…

A Discussion About Novel Coronavirus – Facts, Lessons and a New Revolution

In this episode of the Liberation Lab podcast, Medecision Advisory Board member, Dr. Terry McInnis, shares information about the novel coronavirus during…

Tips for Managing Life—and Work—at Home

For many employed Americans, the coronavirus pandemic has brought about a new reality. Here’s some advice for doing your job without driving…

A New View of Population Health

In this episode, Medecision Advisory Board Chair Dr. Jan Berger gives some thought-provoking perspectives around what population health looks like during, as…

Honoring Healthcare Heroes During a Challenging Time

As the world struggles with the coronavirus, our healthcare heroes are going above and beyond, working selflessly for the greater good. Subscribe…

Charting Coronavirus and Implications for Health Plans

For our inaugural episode of Liberation Lab, we’ve invited Terri Kline, an epidemiologist, Medecision Advisory Board member, and long-time partner to give…

ACMQ President’s Statement Regarding Coronavirus Disease 2019 (COVID-19)

A reflection on the Coronavirus Disease 2019 (COVID-19) pandemic from our partners at the American College of Medical Quality. Subscribe to our…

Medecision Update on Coronavirus Disease 2019 (COVID-19) Readiness

During this challenging and evolving time, we are providing the following update for our clients on our business operations and how we…

Medecision’s Preparedness for Coronavirus Disease 2019 (COVID-19)

As the Coronavirus Disease 2019 (COVID-19) situation continues to evolve, we are sharing information about the steps we’ve taken in response to…

Leveraging Utilization Management to Reduce Medical Loss Ratio Rebates

Medical loss ratio (MLR) rebates hit a record $1.3 billion in 2019 because health plans spent too little on medical claims and…

Life in the Time of Coronavirus – Impacts on the US Health Consumer

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?

What does Liberation mean to you? Maybe it means thinking outside the box, enhancing the healthcare experience or lowering healthcare costs. Subscribe…

Innovations in Digital Health: Highlights From the 2019 Clinical Executive Summit

Dr. Donald Casey, president, American College of Medical Quality, highlights the most thought-provoking insights from the Clinical Executive Summit at Liberation 2019….

Understanding At-Risk Populations: Treating the Whole Person

High-risk populations often have complicated chronic diseases and behavioral health conditions, and social issues such as employment, food insecurity, lack of transportation…

Medecision and GSI Health Are Better Together

In October 2019, Medecision acquired health delivery system transformation pioneer GSI Health. GSI Health has been an innovator in driving change in…

Utilization Management Requires TLC Under Value-Based Care Models

As healthcare moves toward the full embrace of value-based care models, utilization management is increasingly leveraged as a means to not only…

Medecision Appoints New Senior Vice President of People Resources

Shenée Rayford oversees all aspects of Human Resources for the integrated health management provider, which promotes a unique culture devoted to “liberating”…

No Hospital Rooms and Medical ‘Selfies’: Bold Ideas From Dr. Eric Topol at Liberation 2019

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 Acquires Health Delivery System Transformation Pioneer GSI Health

Medecision’s acquisition of health delivery system transformation pioneer GSI Health expands the company’s expertise and solutions for Medicaid beneficiary management and member…

Medecision Integrates Change Healthcare InterQual Connect™ Solution into iExchange® Provider Portal

Medecision has integrated the Change Healthcare InterQual Connect medical review service into the iExchange provider data-entry solution. This press release was originally…

Listening to Osler Listening to the Patient – How to Liberate Health Care at Liberation 2019

The following blog post is courtesy of Jane Sarasohn-Kahn of healthpopuli.com, one of the featured speakers at the Liberation 2019 event. Subscribe…

The Long-Term Impact of Digital Health

Digital health technologies may one day potentially solve some of healthcare’s biggest problems. But big problems require big solutions in order to…

Medecision Appoints Advisory Board

Medecision’s Advisory Board will provide insights and facilitate relationships for Medecision’s leadership teams in advancement of the company’s strategic goals. Subscribe to…

Beyond the Wow Factor: Getting the Most Out of Disruptive Technologies

As technological innovations continue to flood the market, will healthcare organizations adopt them at a pace that results in big-bang disruption or…

Chatting About Bingo: How Partnering With Patients Builds Trust and Healthy Outcomes

Technology can help scale social determinants of health. But to be effective, we must first understand the people with whom we wish…

Improving Rural Healthcare Access: My mother-in-law, a 20-mile drive and the reality of healthcare access in rural America

In rural areas, doctors are like a revolving door, rarely staying in one place for long. There are disparities in healthcare access…

Concierge Care Management: A Model that Makes Members Happier and Healthier

The concierge care model looks to provide personalized service to health plan members. Subscribe to our blog Don’t forget to share this…

Leveraging Social Determinants of Health

A combination of technological advancements and increasing clinical evidence has created a clearer understanding of how much the environment in which people…

Medecision Launches New Interactive Digital Experience Under the Aerial Brand

A simulation of Aerial’s integrated health management capabilities now available via a new digital experience at aerialhealth.io. Subscribe to our blog Don’t forget…

Access to Comprehensive Data Empowers Health Plans to Improve Medication Management

When patients don’t follow doctors’ orders, the consequences are dire. Health plans can help by understanding the specific challenges that members are…

Balancing Act: Managing Outcomes and Costs for Medicare and Medicaid Populations

Population health initiatives typically assume that members can participate in their own care on a basic level, yet those assumptions may not…

3 Benefits of Participation in BPCI-Advanced

The open window to apply for CMS’ Bundled Payments for Care Improvement (BPCI)-Advanced closed on June 24, 2019, but there’s still plenty of opportunity for health systems to move forward…

The Importance of HITRUST Certification

In this last installment of our three-part blog series on healthcare data security, we’ll describe the benefits of choosing technology vendors that…

The Consumer and the Payor, Bingo and Trust: My Day At Medecision Liberator Bootcamp

HIT companies have to remember that at the end of a digital transaction, there’s a person. Subscribe to our blog Don’t forget…

Medecision’s Aerial Complex Care Management™ and Aerial Insights™ Solutions Among First in Nation to Earn NCQA Population Health Management Prevalidation Status

  DALLAS, TX – Oct. 16, 2018 – Medecision, the leader in population health and care management solutions, announced today its Aerial…

Medecision Launches Aerial UM Connector™ to Drive In-Network Referrals and CMS Reporting Compliance for Government Health Plans and TPAs

SaaS application connects provider contract and member enrollment details for real-time authorizations and referrals, eliminates costs and delays tied to manual utilization…

Medecision Achieves HITRUST CSF® Certification to Manage Risk, Improve Security Posture, and Meet Compliance Requirements

HITRUST CSF Certification validates Medecision is committed to meeting key regulations and protecting sensitive information DALLAS, TX – July 24, 2018 – Medecision, a…

Medecision Acquires Transformational Change Firm, Aveus

Helps Medecision’s clients assess and accelerate population health strategies and outcomes DALLAS, TX and MINNEAPOLIS, MN – May 22, 2018 – Medecision, a leader…

Medecision Named to the 2017 IDC Health Insights HealthTech Rankings Top 50

Company recognized as one of the leading global healthcare information technology providers for payers and providers Wayne, PA – August 14, 2017 –…

Medecision Recognized for the Third Year in a Row on Healthcare Informatics’ 2017 HCI100 List

Company earns highly coveted ranking year over year among top healthcare IT vendors WAYNE, PA – July 5, 2017  Medecision, the leader…

Medecision Listed by Gartner as Representative Vendor of Population Health Management Platforms for Providers

WAYNE, PA – Nov. 2, 2016 Medecision, the leader in population health management solutions for risk-bearing healthcare entities, has been named in Gartner’s 2016…

Medecision Recognized as a “Most Promising Big Data Solution Provider” by CIO Review

  WAYNE, PA – Dec. 17, 2015, Medecision, the leader in population health management and connected care solutions for risk-bearing entities like provider-…

Medecision Recognized by Black Book Market Research as a Top Financial Solution for Value-Based Healthcare

WAYNE, PA – Nov. 10, 2015, Medecision, the leader in population health management and connected care solutions for risk-bearing entities like provider- and…