The average Medicare Advantage plan turns over about 10% of its members every year, and for a 100,000 member plan, that can equate to about $110 million in lost premium reimbursements as well as a decline in Star ratings. This is why retaining members is a top priority among health plans. Welltok’s Medicare Retention Solution has helped leading Medicare plans reduce disenrollment rates by up to 30%, improve disenrollment-related Star ratings from 2.5 to 4 and retain up to $97 million
Read More
Social Determinants of Health (SDOH) | News, Analysis, Insights - HIT Consultant
AI in Healthcare: Enhancing Risk Models to Predict the Future Cost of Care
Traditionally, providers and health systems have relied on claims-based risk models, such as the CMS-HCC, ACG, and DxCG, which were built to forecast the risk of populations, but not at an individual level. While these models give a fairly good estimation of the risk of the population, they exhibit unsatisfactory estimation if used to predict the risk at an individual level.Innovaccer Inc., a healthcare data activation company, has taken a major step towards revolutionizing the way we identify
Read More
Healthcare’s Uncertain Future: 3 Data-Driven Approaches for Payers
Nine out of 10 healthcare leaders expect disruptive pressures to increase tremendously in the year ahead, according to a recent survey. However, fewer than half believe their organizations are prepared to withstand these forces.
In an era of transformation—in which traditional business models are continually being revamped in response to pressures such as consumerism, policy changes, and the market entrance of non-traditional healthcare players such as Amazon and Apple—payers face daunting
Read More
Lyft Now Provides Medicaid Patients Access to Medical Transportation in Arizona, Exploring Expansion to Texas & Florida
Ride-sharing company Lyft, today announced it has been approved to become an enrolled Medicaid provider in Arizona, following new state regulations for non-emergency medical transportation. Lyft is now a covered transportation option to get eligible patients to and from medical appointments. Exploring Medicaid Opportunities in Florida and TexasThe approval makes Lyft the first national ridesharing company to bring our transportation solution to millions of Medicaid beneficiaries in Arizona. In
Read More
AdhereHealth And Papa Partner to Tackle Social Determinants of Health
AdhereHealth, a healthcare technology company focused on medication adherence, announced a partnership with Papa, a companionship platform company serving the elderly, blind and disabled. AdhereHealth and Papa will work together to address social determinants of health such as loneliness, food insecurity, and transportation to improve health outcomes for Medicare beneficiaries. The partnership addresses these foundational barriers to care through a combination of advanced technologies and
Read More
Signify Health Launches Social Determinants of Health Solution Signify Community
Signify Health, a provider of technology-enabled in-home care and complex care management services, has announced the launch of Signify Community, the first and only social determinants of health (SDOH) solution that ties social interventions to quality, satisfaction, and financial outcomes—including 30% reductions in readmissions and 46% reductions in post-acute care spend for high-utilizer safety net populations.Understanding SDoHSocial determinants of health (SDOH) are complex and
Read More
It’s All Public Health, and It’s Driven by Data
Americans are used to seeing California as a bellwether. Whether or not that’s a good or bad thing often depends on individual perspective.
But there’s less room for differences of opinion when it comes to housing and homelessness. With a booming economy that is now the fifth largest on planet Earth, California has also experienced a dramatic rise in homelessness in recent years. In Los Angeles County alone, homelessness has risen in three of the last four years, with a 12 percent
Read More
Is Artificial Intelligence The Answer To A Plethora of Healthcare Problems?
The world of healthcare is changing, and with it, our approach to understanding the concept of patients and doctors, ways of delivering care, and building a better relationship between every member associated with it is also changing. Like other industries, healthcare is also going through a major revolution, and Artificial Intelligence (AI) stands at the core of it.
Biological sciences and medical research are rapidly changing fields. Each day, we witness advances in genomics, imaging, and
Read More
Cerner Launches Social Determinants Innovation Collaborative with Over 30 Health Systems
This week, Cerner announced the launch of the Social Determinants Innovation Collaborative (SDIC), a group of over 30 health systems that come together to share best practices and steps forward in addressing social determinants of health.The Impact of Social Determinants of Health DataThe CDC defines “social determinants of health” as the circumstances in which people are born, grow up, live, work, and age. Social, environmental and economic factors – such as transportation, housing, nutrition,
Read More
Top 5 Roadblocks to Population Health Management Adoption for Providers
The healthcare system is undergoing a transformation to restore the patient to the center of their care and to provide all patients with the highest quality care at the lowest possible price and with the best possible experience. Frequently the patient’s health journey is fragmented between multiple providers, an issue which must be addressed as a key part of any successful value-based care model.
Population health management (PHM) is an umbrella term that incorporates the multitude of payment
Read More
