Medecision was featured in a recent article from HealthLeaders. You can find the full article here.
An excerpt from the article by Laura Beerman:
“A new Medecision market report highlights payer UM, CM and population health challenges in 2024.”
KEY TAKEAWAYS
- Current health tech can’t meet the industry’s greatest challenges: poor outcomes, preventable utilization, rising medical costs and a shrinking workforce.
- Health plan executives believe member engagement is key to optimizing utilization, case, and population health management.
- The problem? They can’t achieve peak personalization with today’s tools and current AI and data limitations.
“Healthcare’s key Whats remain dependent on its Hows. Three of those Whats are utilization management, case management, and population health management (UM, CM and PHM). The How is personalization that can improve the care experience while reducing cost and improving outcomes and efficiencies. But personalization in a digital world requires automation and data. Today’s tools and platforms aren’t cutting it, and hope is not a plan.”
The rest of the article goes on to discuss the implications of Medecision’s most recent Market Report:
Our recent report sheds light on the existing disparities between healthcare executives’ recognition of the importance of personalization and the current implementation status. The survey, conducted in collaboration with Sage Growth Partners, involved 53 healthcare leaders from 24 organizations, revealing key barriers hindering the achievement of the Triple Aim.
Health plan CEOs, CIOs, and CMOs highlighted their systems’ limitations as obstacles to achieving cost reductions, better outcomes, and efficiencies. While optimism persists, advanced patient personalization remains out of reach with current utilization management (UM), care management (CM), and population health management (PHM) technologies. Our CEO, Kenneth Young, stresses the need for transformation in these areas, emphasizing the strategic use of data and new technologies to drive impact at the crucial health inflection point.
Addressing frustrations like inefficient workflows and limited member engagement tools, health plan leaders advocate for AI-driven automation and diversified data solutions. However, significant gaps persist between the desired healthcare transformation and current systems. Medecision recommends customizing CM and PHM, streamlining processes with intelligent automation, and leveraging data for informed decision-making. Personalization emerges as a crucial element, seen as pivotal in achieving desired outcomes while maintaining regulatory compliance across the care continuum.
About The Author: Medecision
Fully delivering on the promise of data — and making the business of healthcare simpler and more successful — Medecision offers a whole new world of possibilities. The company's flagship offering, Aerial™, stands as the market's most extensible clinical data platform. It offers complete contextual awareness of members and automates next best actions — simple campaigns, complex care management, utilization approvals, and more — for optimal health outcomes.
Aerial is not only quick to deploy, it is easy to manage. The platform's effectiveness in reducing both medical and administrative costs, coupled with its role in improving the member and patient experience, has made it the preferred choice for health plans and care delivery organizations. Presently, Aerial is instrumental in catering to over 10% of the U.S. population, marking a significant milestone in advancing healthcare efficiency and effectiveness.
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