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 prepareREAD MORE
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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 PresidentREAD MORE
Becker’s Health IT + RCM Conference September 19 – 22, 2018 Chicago, IL Our very own Tamara Cull will be participating in a panel discussion on behalf of Medecision. Learn more: https://www.beckershospitalreview.com/health-it-revenue-cycle-conference/general-information.htmlREAD MORE
Many leading risk-bearing entities have been moving from URAC to NCQA accreditation, but the NCQA process can be daunting for both health plans and providers. And which accreditation should you pursue: Health Plan, Utilization Management, Case Management or — new for 2018 — Population Health Management? During this one-hour webinar, 22-year NCQA surveyor Cindy Allen-FedorREAD MORE
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 veryREAD MORE