ED Utilization: Addressing the Ongoing Industry Challenge

Ian Chuang, MD Ian Chuang, MD
SVP, Chief Analytics Officer

The appropriate utilization of an emergency department (ED) as a place of health care services remains an ongoing industry challenge. The reasons and circumstances for this persistent issue are varied for consumers, providers and payers. The appropriateness of an ED visit inferred from administrative claims data after the fact is often too categorical in nature,

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Next-generation Care Management: The Importance of Data Collection and Member Engagement

Pam Brooks Pam Brooks
Senior Director, Care Management Applications

What if you could build care plans for your members that were tailored to the whole person, instead of just a specific clinical condition or two? What if you could get members more engaged in their overall health by asking them fewer — but more targeted — questions that resonate with their personal situations? What

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Medecision Acquires Transformational Change Firm, Aveus

James Coates James Coates
Vice President, Marketing Services

Helps Medecision’s clients assess and accelerate population health strategies and outcomes DALLAS, TX and MINNEAPOLIS, MN – May 22, 2018 – Medecision, a leader in population health management solutions, announced today the acquisition of Minneapolis, MN-based Aveus, a consulting services firm with deep roots in strategy, innovation and customer experience.  The largest independent provider of

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Strengthen your network through automated appeals and grievances

Debbie Hill Debbie Hill
Sr. Director, UM Product Applications

Most health plans with Medicare Advantage, Medicaid and dual eligible populations know they need to be prepared to respond quickly to CMS audit requests – including a full account of appeals and grievances history, activity and status. After all, two of five Star Ratings factors can be tied to appeals and grievances processes, and noncompliance

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Medecision Launches Integrated Solution to Simplify Appeals and Grievances Processes for Health Plans Serving Government Populations

James Coates James Coates
Vice President, Marketing Services

Aerial™ Appeals and Grievances to help plans with Medicare Advantage, Medicaid & dual eligible beneficiaries improve compliance, minimize penalties & improve quality scores DALLAS, TX – May 1, 2018, Medecision, the leader in population health management solutions for risk-bearing entities, announced today it has launched AerialTM Appeals and Grievances, which will enable health plans, particularly

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Trend-Weaving Medecision Liberation 2018: A three-part guest blog series by Jane Sarasohn-Kahn, blogger at Health Populi and Founder, THINK-Health

Jane Sarasohn-Kahn Jane Sarasohn-Kahn

These posts are written to summarize what I learned participating in Medecision’s annual meeting of the company’s partners, held March 27-29, 2018 at the Ritz-Carlton in Dallas, TX. – Jane Part 3: From the fog of war to re-imagining American healthcare By Jane Sarasohn-Kahn Tan Le, whom I introduced in the conclusion of the second

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Trend-Weaving Medecision Liberation 2018: A three-part guest blog series by Jane Sarasohn-Kahn, blogger at Health Populi and Founder, THINK-Health

Jane Sarasohn-Kahn Jane Sarasohn-Kahn

These posts are written to summarize what I learned participating in Medecision’s annual meeting with the company’s partners, held March 27-29, 2018 at the Ritz-Carlton in Dallas, TX. – Jane Part 2: Design to liberate healthcare By Jane Sarasohn-Kahn I concluded the first of this three-part series with Dr. Don Rucker’s belief that, “Patients are

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