Health Plans

Health plans are increasingly deploying a single, digital front door to improve member experience, satisfaction, outcomes and costs.

Each type of data – clinical and claims – tells part of a story – the story of patient care.

Helping physicians flag high-cost conditions among members is one of the bright spots in payer provider collaboration.

Make strategic improvements in rules management, consumer engagement and clinical integration to take control of quality performance.

Combining SDoH data with AI models gives healthcare delivery organizations the tools to contain the diabetes epidemic.

Patient relationship management and clinical data integration are best practices for successfully transitioning to value-based care.

With nearly 70 percent of adults reporting unmet social needs, physicians and staffs are being called upon to address social determinants of health

Fred Rahmanian, chief analytics and technology officer, discusses AI and population health with MedCity News.

Members are more aware of the role social factors play in their health and want help from the healthcare system to address them

Geneia