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The State of Utilization Management in 2024? Fragmented and Frustrating, But the Path Forward is Clear

What’s holding health plans’ Utilization Management (UM) programs back from improving efficiencies, reducing costs, and driving better outcomes? Legacy tools.  Fewer than…

Seizing the Opportunities Presented by a Modern Data Platform

By Terri Steinberg, Chief Medical Officer and Chief Strategy Officer, Medecision Every IT vendor supporting the health care industry claims to offer…

The Year Ahead in Care Management, Utilization Management, Personalization & Population Health

Did you know that, despite 95% of health plan executives stressing the importance of personalization, only a third consider their operations highly…

The Value of Real-time Data in Your Foundational Workflows

Workflows lie at the heart of efficient operations and user satisfaction. Whether it’s an admission, a transition of care…

Don’t Boil The Ocean: 5 Takeaways from the HLTH-Medecision Webinar

5 Takeaways from the HLTH-Medecision Webinar on Transforming Data into a Strategic Asset for Person-Centric Care As healthcare witnesses unprecedented advancements in…

Payers Need More than FHIR to Fix the Data Problem

This piece was originally featured in Becker’s Payer Issues.  It’s conference season in the health IT sector and the topic resonating most…

A closer look at CalAIM: Innovations in California’s Medicaid program

While the picturesque image of California is a dream for some, there’s an unsettling reality that not all residents have equal access…

Addressing Disparities in Healthcare Access: The Critical Role of Care Management Technology for Medicaid Populations

A recent Yale study shed light on a profoundly concerning trend: Despite escalating investments in health care over the past two decades,…

The Potential for Generative AI in Healthcare

There is a lot of talk lately about how to use artificial intelligence (AI) in healthcare. Right now, AI is most often…