Population health initiatives typically assume that members can participate in their own care on a basic level, yet those assumptions may not hold true for Medicare and Medicaid members. Their lives typically differ from the lives of those with commercial insurance, which makes cost-effective care management uniquely challenging—and even more important.
Keeping Medicare and Medicaid populations healthy and avoiding adverse events may require care managers to think—and manage—beyond the realms of traditional care delivery. Success will ultimately lie in educating and connecting with members at a personal level to build realistic care plans that yield better outcomes at lower costs.
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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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