Blog Posts

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Performance Incentives and Payment Policies: Are we Addressing the Right Issues?

Don Casey MD, MPH, MBA Don Casey MD, MPH, MBA
Chief of Clinical Affairs

This three-part blog series covers topics of importance to population health initiatives in the U.S. today and shows examples of organizations that are successfully incorporating these efforts to improve value-based care. Read our first post here, covering the importance of better price transparency and the second post here, discussing value-based population healthcare and social determinants

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What is a Bold Leader?

Chris LaVictoire Mahai Chris LaVictoire Mahai
President of Aveus, a division of Medecision

There are whole sections in business libraries and bookstores dedicated to the topic of leadership.  What it is.  What it requires.  Masters write about it and rewrite about it over and over again. Some new and long established names you may have read:  Peter Drucker, John Kotter, Seth Godin, Warren Bennis, Daniel Pink, Gary Hamel, Steven

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Value-based population health: What does it take to succeed?

Don Casey MD, MPH, MBA Don Casey MD, MPH, MBA
Chief of Clinical Affairs

This three-part blog series covers topics of importance to population health initiatives in the U.S. today and shows examples of organizations that are successfully incorporating population health programs to improve care quality and reduce healthcare costs. Read our first post here, covering the importance of better price transparency and what organizations should do to prepare

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Better Population Health Begins with Price Transparency

Don Casey MD, MPH, MBA Don Casey MD, MPH, MBA
Chief of Clinical Affairs

This three-part blog series will cover topics of importance to population health initiatives in the U.S. today, and show examples of organizations that are successfully incorporating population health programs to improve care quality and reduce healthcare costs. Part 1: Better Population Health Begins with Price Transparency By Don Casey, MD, MPH, MBA,  Senior Vice President

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“Utilization Management” is all about saving health plans money. Or is it?

Debbie Hill Debbie Hill
Sr. Director, UM Product Applications

The term “Utilization Management” was first heard in healthcare roughly three decades ago. The Institute of Medicine came up with a formal definition in 1989 that discusses “…techniques used by or on behalf of purchasers of health care benefits to manage health care costs…”. In plain English: It’s how health plans determine preauthorization. Until very

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Utilization management: What’s it got to do with population health?

Debbie Hill Debbie Hill
Sr. Director, UM Product Applications

The answer: Everything. Utilization management isn’t just an insurance concept anymore. Because no hospital or health system has unlimited care resources, all have to develop “utilization management” skills. It’s a matter of deploying finite resources where they’ll have the greatest impact, within budget realities and new demands on care resources. It’s not just an essential

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Capitalize on chaos: How to zero in on opportunity with population health

Mary Kay Plona Mary Kay Plona

“In the midst of chaos, there is also opportunity.” –Sun-Tzu Healthcare is full of chaos today: regulatory reform, political uncertainty, rapid technological change, vast amounts of clinical and financial data, and the growth of alternative payment models. Yet the quote above is both powerful and true: chaos does breed opportunity. What healthcare organizations need to

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