Smart + Digital Solutions

When Data And Technology Have Impact At The Health Inflection Point

Health plans have historically struggled to deliver personalization that increases member engagement, improves care coordination, drives better outcomes and reduces costs. That’s…

6 Steps to Create a More Consumer-Centric Care Management Program

Value-based care models, performance metrics and rising consumer expectations have ramped up providers’ care management efforts. Today’s most successful providers and provider…

Why Integrated Data Systems are Key to Addressing Social Determinants of Health and Preparing Health Systems for the Future

By Becker’s Healthcare in collaboration with Medecision From both a payer and provider perspective, addressing patients’ social determinants of health (SDOH) plays…

Payers Need Digital-First Innovation to Meet Consumer Expectations and Stay Competitive

The healthcare payer landscape is changing fast—and payers must change with it in order to stay relevant. Today’s consumers have higher expectations,…

Change Management Strategies for Healthcare Providers

The changes taking place in today’s healthcare ecosystem do not allow providers the luxury of continuing business as usual. The scope and…

What to Know About CMS’ Proposed Changes to Prior Authorization Rules

The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…

Healthcare Providers and the Pursuit of Cost-Saving Measures

In a recent article titled “What to expect in US healthcare in 2023 and beyond,” McKinsey & Company discussed providers’ ongoing pursuit…

Effective Utilization Management Helps Payers Deliver Financial Health and Value

In healthcare payers’ never-ending quest to reduce costs while ensuring that members receive the care they need, the importance of effective utilization…

Chronic Disease Management: Key Trends and Strategies for Providers

We frequently talk about care management, which, as defined by the Agency for Healthcare Research and Quality (AHRQ), is based on “appropriate…

Key Issues for Health Insurers in 2023: Insights from J.P. Morgan Healthcare Conference

The year kicked off with a bang at the J.P. Morgan Healthcare Conference, which its sponsor touts as “the largest and most…

5 Focus Areas for Healthcare Innovation

Medicine and technology have come a long way. In the last 20 years, new treatments, medications and technology have paved the way…

In Search of Value: The Context for Healthcare in 2023

Hospitals in the U.S. continue to face thinning financial margins, higher labor expenses and clinician burnout at the end of 2022, still…

12 Gifts of Care Management

The end of the holiday season and the calendar year is an appropriate time to take stock of the gifts we’ve been…

Traits of Actionable Healthcare Data

“Sitting on a gold mine.” That expression may hit home for healthcare organizations that have yet to begin extracting full value from…

Designing Hybrid Care With Access and Equity in Mind

A report published in August 2022 suggested that 46% of all U.S. consumers had used a mix of digital and in-person healthcare…

Your Mental Health Will Thank You for Your Gratitude

Thank you in advance for choosing to read this blog post. We are grateful for people like you. During this festive season,…

The Importance of Community Partners in Addressing SDOH

Where an individual lives, what they eat and the resources at their disposal have a greater influence on their health than one…

Comorbidities and Social Determinants of Health

What do comorbidities and social determinants of health have in common? Both can have an outsized impact on a person’s health. Both…

Home Sweet Hospital at Home? It Depends

Does “no place like home” still apply when thinking about moving acute-care patients out of hospitals and back to their home spaces?…

Ways to Support the Health and Well-Being of Your Employees

If you were to ask your employees if they felt burned out, unhappy, unsupported, overworked or underpaid, what would they say? In…

Increase the ROI of Every Care Management Activity

How can you increase the ROI of every care management activity to get more value from your care management program? The strategies…

The Social Determinants of Prescription Drugs: Taking Medicines in Real Life

We talk a lot about the price of prescription drugs in the U.S. There is bipartisan support among Americans for Medicare’s ability…

How Health Plans Can Improve Member Education Campaigns

We offer five tips for health plans seeking to improve member education campaigns. Subscribe to our blog Don’t forget to share this…

Improve Outcomes, Cost Savings and Member Engagement With Digital Care Management

New technologies and increased accessibility are expanding the range of solutions, innovations and analytics capabilities that lead to consumer insights and opportunities…

What Does It Mean to Be ‘Consumer Obsessed’?

By viewing their industry and its challenges through their patients’ eyes, organizations can put themselves on track to provide the right solutions….

Healing the Healers: Strategies for a Healthier, Happier Workplace

At this point in the pandemic, healthcare workers are experiencing burnout and need mental and emotional support more than ever. Subscribe to…

Treating the Whole Person: Integrating Physical and Mental Healthcare

As the healthcare industry shifts toward value-based care, integrated care delivery models will become even more important. Subscribe to our blog Don’t…

Foolproof Ways to Improve Medication Adherence

Until you understand the reasons why patients aren’t taking their medications, you can’t implement strategies to improve adherence. Subscribe to our blog…

How to Engage Members, Change Their Behavior

We offer strategies to better engage with members and encourage them to become active participants in their health. Subscribe to our blog…

4 Ways Payers Can Simplify Prior Authorization

How can health plans help providers cross prior authorization hurdles? We give four strategies. Subscribe to our blog Don’t forget to share…

Developing an Effective SDOH Strategy

How can healthcare organizations help address social determinants of health? Subscribe to our blog Don’t forget to share this post!

Everyone Wins When Care Management Workflows Are Optimized

We share four benefits of introducing technology and automation to your care management program. Subscribe to our blog Don’t forget to share…

The Nuts and Bolts of Population Health

Population health considers the health status and outcomes of an entire group of people, rather than focusing just on specific individuals. Is…

Health Disparities Growing Among America’s Older Adults

Older adults in America face a slew of health disparities. Health economist Jane Sarasohn-Kahn dives deeper into recent research about older Americans’…

Building a Care Management Program

Building a care management program—and leading it—can be made easier with these three steps. Subscribe to our blog Don’t forget to share…

Closing Healthcare Gaps Among Specific Patient Populations

An abundance of actionable data exists, making it possible for care managers to be as specific as they need to be, whether…

Embracing an ESG Policy in Healthcare

Jane Sarasohn-Kahn explores the importance of embracing an ESG policy in healthcare. Subscribe to our blog Don’t forget to share this post!

From Data to Insights to Action

Artificial intelligence, including machine learning, can help you analyze and turn mountains of data into actionable insights. This can lead to positive…

Using Data Analytics, Predictive Modeling to Ease Care Transitions

How can predictive modeling help support patients through transitions and ensure they continue to receive the care they need, adhere to medication…

6 Strategies for Reducing Network Leakage

When a patient goes outside the network for care, it can have negative consequences for both cost and care. Reducing network leakage…

More Proactive Care Management

When care management teams become more proactive, they can help keep members on the right track and prevent setbacks rather than react…

Better Care Coordination With Medecision

Better care coordination? Check. Better outcomes? Check. Better reports and data analysis? Check. Medecision’s HITRUST CSFⓇ-certified software-as-a-solution, AerialTM, gives care managers a…

Ways Care Managers Can Improve Performance Metrics

How can care managers improve performance metrics in addition to member outcomes? Subscribe to our blog Don’t forget to share this post!

Better Care Management = Higher Satisfaction

What if there was a next-generation care management solution that helped health plans manage risk and empowered care managers to provide the…

Inflation in America: The Healthcare Cost Crisis

Inflated prices for household products, food and utilities can stretch already thin budgets, leaving many Americans wondering how to pay bills and…

Making High-Value Decisions in Payer Care Management

By focusing care management activities on areas with the potential for the greatest impact and making high-value decisions, care managers can optimize…

Can Care Managers Help Control Healthcare Costs?

Are care managers unsung heroes by helping control healthcare costs?   Subscribe to our blog Don’t forget to share this post!

The Year of the Healthcare Consumer

Healthcare consumers feel more empowered to weigh their options, share their opinions and expect more out of their healthcare experience—which is why…

Improving Patient Care With Clinical Informatics

Clinical informatics is leading the way in the much-needed transformation of healthcare. Subscribe to our blog Don’t forget to share this post!

5 Key Strategies for a Successful Care Management Program

Today’s consumers increasingly expect healthcare to meet them where they live, work and play, and that means big changes for care management….

Consumer Experience: How Healthcare Ranks Among Other Industries

The consumer experience in healthcare is becoming more important. Health economist Jane Sarasohn-Kahn shares how healthcare ranks among other industries. Subscribe to…

Differentiating Signal From Noise With Data

Data is king in healthcare. There are multiple sources of data coming in from EMRs, home health devices, physician offices and more….

Improving the Consumer Experience: 3 Lessons for Healthcare

Health economist Jane Sarasohn-Kahn shares what the healthcare industry can learn about improving the consumer experience from three other organizations. Subscribe to…

Improve Healthcare Consumer Experience by Looking to Other Industries

Entertainment, hospitality, financial planning and aviation have important ideas for improving the member and patient experience. Subscribe to our blog Don’t forget…

The Power of Healthcare Partnerships

At Medecision, we understand the importance of healthcare partnerships and collaboration. When we work together, we can improve healthcare for everyone. Subscribe…

Lessons Learned From COVID-19

As we return to normal life, we must not forget the lessons learned during the pandemic. Subscribe to our blog Don’t forget…

Women’s Health After the Pandemic

Women’s health was dramatically impacted by COVID-19. Health economist Jane Sarasohn-Kahn shares how the pandemic changed all aspects of women’s health—and how…

Improving Population Health in the Digital Era

Many health systems are investing in population health management strategies, which help them understand target populations while identifying risks and unmet needs….

How Telehealth Is Morphing Into “Just” Healthcare

Guest blogger Jane Sarasohn-Kahn shares how recent acquisitions of telehealth companies means telehealth and virtual care is now a regular form of…

4 Organizations Improving Patient Experience

Medecision is committed to helping the healthcare system achieve the Quadruple Aim, and a key component of that is improving the patient…

Vaccine Hesitancy in Rural America

Vaccine hesitancy is not uncommon in rural America. But the healthcare industry can’t forget about rural communities. Subscribe to our blog Don’t…

What a Biden-Harris Administration May Mean for the Future of Healthcare

How will the future of healthcare change under the Biden-Harris administration? Subscribe to our blog Don’t forget to share this post!

Making Healthcare Smarter With Artificial Intelligence and the Internet of Things

The COVID-19 pandemic has forced healthcare organizations to adapt—and adopt alternative ways of delivering care to patients. Artificial intelligence and the Internet…

Medicare Advantage Benefits Expand Access to SDOH, Telehealth Services

Increased attention is being paid to treating the whole person, addressing social determinants of health and recognizing the value of virtual care….

Mental Health, SDOH Drive Health Equity

By mid-July, 53% of adults had reported their mental health had been negatively impacted by the coronavirus—and research shows that poor and…

For Older Adults, the Home Is Becoming the Hub for Life and Care

The future is virtual, especially for older people. Health economist Jane Sarasohn-Kahn explores how the industry is seeking out ways to serve…

How Can Virtual Health Be Used to Expand Access to Care?

Even before COVID-19, many Americans expressed interest in virtual health. Now, virtual health technology is being used to expand access to more…

Accelerate Your Virtual Patient and Member Engagement Program

In this episode of the Liberation Lab podcast, we spoke with Lynne Dunbrack, Group Vice President at IDC Health Insights, and ChristianaCare…

Five Major Trends Shaping Health Consumers

After painstaking research, health economist Jane Sarasohn-Kahn has pinpointed five trends that are shaping the American people as a result of COVID-19….

Even From a Distance, It Can Be the Most Wonderful Time of the Year

The holiday season is a time for loved ones. If in-person gatherings aren’t possible this year, here are some alternative ways to…

Making Virtual Health a Possibility

Medecision’s Aerial platform makes virtual care a greater possibility. Subscribe to our blog Don’t forget to share this post!

What a Grocery Store Can Teach Us About Social Determinants of Health

Not only have grocery stores remained open during the COVID-19 pandemic, but many have emerged as innovative leaders in addressing food insecurity….

Is Healthcare Really a ‘Black and White’ Issue?

Disparities clearly exist, and it is our responsibility to figure out why and how to address them, for the good of everyone….

Family Fun This Fall

Fall is finally here, but COVID-19 may interfere with some favorite activities. But it’s still possible to enjoy the cooler weather. Subscribe…

Game Changing Strategies for Virtual Health

The Liberation Lab podcast welcomes Medecision leader Rick Koloski, along with Dr. Terri Steinberg in her role as Chief Health Information Officer…

Racial Disparities of COVID-19 Demand That We Explore and Address Root Causes

How can the healthcare industry acknowledge racial disparities and strategically work to reduce them? Subscribe to our blog Don’t forget to share…

Smart Companies Support Employees’ Mental Health

‘Unplugging,’ staying connected remotely, helping with child care and being vulnerable are among the ways to fight worry, stress and burnout. Subscribe…

Back to Work: Precautions Employers Can Take as Employees Reenter the Workplace

In many cities and states, workplaces are beginning to open their doors again and employees are returning to the office. What precautions…

Supporting Children’s Mental Health in Uncertain Times

How can parents help support the mental health of their kids and ensure the upcoming school year is a positive one—no matter…

Moving Forward With Virtual Health Investments

Telehealth usage surged because of COVID-19. Now, our customers are shifting gears to use virtual health technology—and we’re here to help. Subscribe…

Turning Analysis Into Population Health Action

Payers and providers need to examine all activities, not just medical activities, that impact the care of a population. That’s why population…

Transforming Healthcare in the Age of the Coronavirus

Rick Koloski, group senior vice president of engineering and architecture at the healthcare firm Medecision, discusses how enterprise agility has helped the…

Is Anything Private? Securing Personal Information in the Digital Era

Technology is a part of our everyday lives. But how is our privacy affected when personal information is readily available on digital…

Coronavirus Workarounds

The COVID-19 outbreak has motivated hospitals, manufacturers and even the government to come up with alternative solutions to the challenges we face….

Humanizing Healthcare With Virtual Health

How does virtual health help us take a step forward in humanizing healthcare? It works within and around a person’s life, as…

Utilizing Virtual Health With Elective Surgeries and Nonessential Procedures

States are beginning to reopen, and more healthcare systems and hospitals are allowing elective surgeries and nonessential procedures. As we move into…

Virtual Health Is Here to Stay

Virtual health is having a heyday right now—and many experts suggest that it is here to stay long term. Subscribe to our…

Big Hearts: How Caregiving Has Changed in America

How has caregiving in America changed? For starters, more caregivers are adopting technology to help them address the complex and challenging workflow….

Aerial by Medecision Is a ‘Game Changer’ for Virtual Care Management

Healthcare providers across the nation have shifted gears and switched to telehealth—and so have care and case managers. Aerial helps care and…

New Enhancements to Aerial Support Vulnerable Populations Impacted by COVID-19

AerialTM quickly supports the new realities of caring for vulnerable individuals in the face of COVID-19. Subscribe to our blog Don’t forget to…

Aerial Enhancements and Resources for COVID-19

Aerial™ has integrated COVID-19-specific enhancements to support clients and their employees on the front lines of managing care during this pandemic. Subscribe…

Protecting Vulnerable Groups During a Pandemic

No one is immune from the coronavirus, but low-income and other marginalized groups of people face a higher risk of impact. Subscribe…

Medecision Update on Coronavirus Disease 2019 (COVID-19) Readiness

During this challenging and evolving time, we are providing the following update for our clients on our business operations and how we…

Make Way for Big Tech Disruption

During a CTO and CIO roundtable discussion at Medecision’s Liberation conference this past year, some of the industry’s brightest technology leaders discussed…

Reflections From the 2019 Clinical Executive Summit

Participants from the Liberation 2019 Clinical Executive Summit share their insights from the conversation. Subscribe to our blog Don’t forget to share…

Digital Health Tech Blurs Into Healthcare: Health Plan and Provider Takeaways From CES 2020

Health economist Jane Sarasohn-Kahn shares her takeaways from CES 2020—and explains how digital health technology is blurring into healthcare. Subscribe to our…

Innovations in Digital Health: Highlights From the 2019 Clinical Executive Summit

Dr. Donald Casey, president, American College of Medical Quality, highlights the most thought-provoking insights from the Clinical Executive Summit at Liberation 2019….

Healthcare 2020: The Only Certainty Is Uncertainty

The future is uncertain—even with 2020 vision. Jane Sarasohn-Kahn shares key uncertainties about politics, economics, technology and social factors that healthcare stakeholders…

Improving the Health of Justice-Involved Individuals: How Medicaid Can Help

Some states are working with their Medicaid managed care organizations and community partners to coordinate care for justice-involved individuals prior to release…

Transforming Addiction Treatment by Developing National Standards of Care

Addiction is a national crisis. Deaths from drug overdose, suicide and alcoholic liver diseases—referred to as “diseases of despair”—are at the highest…

Utilization Management Requires TLC Under Value-Based Care Models

As healthcare moves toward the full embrace of value-based care models, utilization management is increasingly leveraged as a means to not only…

No Hospital Rooms and Medical ‘Selfies’: Bold Ideas From Dr. Eric Topol at Liberation 2019

Some of the most enthusiastic feedback from this year’s Liberation event came in response to our world-renowned keynote speaker, Eric Topol, MD….

Medecision Integrates Change Healthcare InterQual Connect™ Solution into iExchange® Provider Portal

Medecision has integrated the Change Healthcare InterQual Connect medical review service into the iExchange provider data-entry solution. This press release was originally…

The Long-Term Impact of Digital Health

Digital health technologies may one day potentially solve some of healthcare’s biggest problems. But big problems require big solutions in order to…

Leveraging Standardized Performance Measurement to Optimize Quality Improvement

Quality requires assessment tools that operate in an objective manner. That’s where healthcare performance measurement programs come in. Subscribe to our blog…

Medecision’s New Aerial Experience Gives a 360-Degree View of Integrated Health Management

Medecision’s new Aerial Experience helps care teams engage consumers, improve patient health and drive collaboration. Subscribe to our blog Don’t forget to…

Beyond the Wow Factor: Getting the Most Out of Disruptive Technologies

As technological innovations continue to flood the market, will healthcare organizations adopt them at a pace that results in big-bang disruption or…

How Health Plans Can Leverage Data to Strengthen Their Population Health Management Programs

Data can help health plans identify medically at-risk members and intervene with the appropriate prevention and wellness programs to keep them as…

Chatting About Bingo: How Partnering With Patients Builds Trust and Healthy Outcomes

Technology can help scale social determinants of health. But to be effective, we must first understand the people with whom we wish…

A Proactive Approach to Consumer Engagement

Healthcare organizations need consumers actively involved in their own care in order to dramatically improve outcomes. As such, healthcare organizations, including health…

Concierge Care Management: A Model that Makes Members Happier and Healthier

The concierge care model looks to provide personalized service to health plan members. Subscribe to our blog Don’t forget to share this…

Leveraging Social Determinants of Health

A combination of technological advancements and increasing clinical evidence has created a clearer understanding of how much the environment in which people…

Medecision Launches New Interactive Digital Experience Under the Aerial Brand

A simulation of Aerial’s integrated health management capabilities now available via a new digital experience at aerialhealth.io. Subscribe to our blog Don’t forget…

Access to Comprehensive Data Empowers Health Plans to Improve Medication Management

When patients don’t follow doctors’ orders, the consequences are dire. Health plans can help by understanding the specific challenges that members are…

Balancing Act: Managing Outcomes and Costs for Medicare and Medicaid Populations

Population health initiatives typically assume that members can participate in their own care on a basic level, yet those assumptions may not…

3 Benefits of Participation in BPCI-Advanced

The open window to apply for CMS’ Bundled Payments for Care Improvement (BPCI)-Advanced closed on June 24, 2019, but there’s still plenty of opportunity for health systems to move forward…

Next-Generation Engagement Gets Personal to Drive Better Health

One-to-one transactions do not really constitute holistic engagement. Payers should take a fresh look at what it really means to engage consumers…

Health Payers: Moving Beyond the Data Analytics Status Quo

Health plan leaders are recognizing that they need new ways to address a member’s health sooner to prevent them from escalating into…

The Importance of HITRUST Certification

In this last installment of our three-part blog series on healthcare data security, we’ll describe the benefits of choosing technology vendors that…

The Consumer and the Payor, Bingo and Trust: My Day At Medecision Liberator Bootcamp

HIT companies have to remember that at the end of a digital transaction, there’s a person. Subscribe to our blog Don’t forget…

Prepare, Respond, Recover: 3 Essential Steps to Thwart Data Security Breaches

In this second installment of our three-part blog series on healthcare data security, we’ll cover ways to Prepare for, Respond to, and…

Hackers Take Aim: The Challenges Facing Healthcare Data Security

Think for a moment about the vast amount of clinical, financial and other personal data collected within healthcare information systems today. It’s…

Medecision’s Aerial Complex Care Management™ and Aerial Insights™ Solutions Among First in Nation to Earn NCQA Population Health Management Prevalidation Status

  DALLAS, TX – Oct. 16, 2018 – Medecision, the leader in population health and care management solutions, announced today its Aerial…

Medecision Launches Aerial UM Connector™ to Drive In-Network Referrals and CMS Reporting Compliance for Government Health Plans and TPAs

SaaS application connects provider contract and member enrollment details for real-time authorizations and referrals, eliminates costs and delays tied to manual utilization…

Medecision Acquires Transformational Change Firm, Aveus

Helps Medecision’s clients assess and accelerate population health strategies and outcomes DALLAS, TX and MINNEAPOLIS, MN – May 22, 2018 – Medecision, a leader…

Medecision Recognized for the Third Year in a Row on Healthcare Informatics’ 2017 HCI100 List

Company earns highly coveted ranking year over year among top healthcare IT vendors WAYNE, PA – July 5, 2017  Medecision, the leader…

Medecision Listed by Gartner as Representative Vendor of Population Health Management Platforms for Providers

WAYNE, PA – Nov. 2, 2016 Medecision, the leader in population health management solutions for risk-bearing healthcare entities, has been named in Gartner’s 2016…

Medecision Recognized as a “Most Promising Big Data Solution Provider” by CIO Review

  WAYNE, PA – Dec. 17, 2015, Medecision, the leader in population health management and connected care solutions for risk-bearing entities like provider-…

Medecision Recognized by Black Book Market Research as a Top Financial Solution for Value-Based Healthcare

WAYNE, PA – Nov. 10, 2015, Medecision, the leader in population health management and connected care solutions for risk-bearing entities like provider- and…