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Medicaid Redetermination: 5 Reasons Why Texting is Essential for Reaching Members Before It’s Too LateThe average person checks their phone 58 times a day, so there is a good chance that a text message will be read.
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Using Predictive and Prescriptive Insights to Close Care GapsBy using a combination of predictive and prescriptive next best action insights, providers can close the gap in care for individual patients by leveraging a combination of data sources — clinical data, patient surveys, SDOH data, and consumer and behavioral data sets — and applying artificial intelligence techniques to create those insights.
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Paying it Forward: How Payers Can Accelerate the Transition to Value-based CareWith healthcare costs outpacing income growth and health insurance deductibles increasing by 212% over the past decade, many patients are left feeling that their health insurance doesn’t provide as much value as it did 10 years ago.
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Improving Operations Through CFO and CIO CollaborationFinance departments have tended to view information system departments as budget breakers. But information system departments are contributors to other departments in an organization that drive profits.
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Fixing Prior Authorization: How to Improve Outcomes Using Episodic Care PathsAs the industry becomes oriented toward value-based care and its focus on high-value outcomes, utilization management must evolve to address the entire patient care journey, often across multiple episodes of care.
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Opportunity Uncovered: How COVID-19 Accelerated Healthcare TransformationBy embracing change, leveraging emerging trends and prioritizing patient-centered care, organizations and individuals can find opportunities for growth and innovation in the post-pandemic era.
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How Precision Medicine and Genetic Testing Will Drive Value-based CareThe shift to value-based care in the U.S. has been slow in coming, in large part because providers have continued to cling to the traditional “fee for service” healthcare model that historically has worked well for them.
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Health Plans Under Pressure | Predictions for 2025Michael Lutz, managing director of Avalere, shares his prediction for the year.
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Multicancer Detection Assays Not Quite Ready for Prime Time in Early Cancers | ASCO 2025Despite high specificity, the tests show low sensitivity for early-stage cancers, necessitating further validation through large-scale, randomized controlled trials.
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What the Trump Presidency Will Mean for U.S. Healthcare and Managed CareThis webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.
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Reducing Clinician Burnout with Better Care Management ToolsFor many provider organizations, one way to address burnout begins with making clinicians’ lives easier by giving them the right technology to seamlessly access critical patient data at the point of care.
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DOJ Issues Important Updates to Evaluation of Corporate Compliance GuidanceA strong, up-to-date compliance program should be part of a healthcare company's risk management strategy.
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Can Medical Schools Help Improve Outcomes for Minorities Living with Diabetes?Professional development should take steps to incorporate outreach into medical school curriculums, say Rosemay Michel, D.P.M., and Gary M. Rothenberg, D.P.M. "Students must learn what motivates people to make healthy choices in their daily lives, including the influences of schools, faith-based groups, social media and extended family on personal decision-making," argue Michel and Rothenberg.
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Personal Emergency Response Systems Are More Than Just About Fall DetectionAmid a growing population of older people, many with chronic diseases, personal emergency response systems can be a way to reduce preventable hospitalizations.
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What the Trump Presidency Will Mean for U.S. Healthcare and Managed CareThis webinar on "What the Trump Presidency Will Mean for U.S. Healthcare and Managed Care" includes panelists Lindsay Greenleaf, J.D., MBA; Ryann Hill, M.P.H. and Patrick Cooney, discussing possible changes to healthcare policies and programs under the Trump administration, including the future of the Inflation Reduction and Affordable Care Acts, PBM reform and Medicare Advantage.
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Why Now is the Right Time to Double Down on Digital Workforce ManagementBy doubling down on digital investments that transform the workplace, organizations improve their workforce management through the end of the crisis and build up their digital capabilities for a promising future.
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FDA Approves GSK's BLA for 5-in-1 Meningococcal VaccineThe vaccine combines the antigenic components of its two meningococcal vaccines: Bexsero and Menveo. The action date is Feb. 14, 2025.
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For Rural ACOs, New Primary Care Model From CMS Offers Much-Needed Financial HelpCMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. The ACO Primary Care (PC) Flex Model will launch on New Year’s Day 2025.
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For Rural ACOs, New Primary Care Model From CMS Offers Much-Needed Financial HelpCMS recently introduced a new ACO model designed to ease the cost of setup for low-revenue ACOs focusing on primary care. The ACO Primary Care (PC) Flex Model will launch on New Year’s Day 2025.
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Inflation Reduction Act: Reforms to Patient Cost-SharingLower out-of-pocket costs for patients might put upward pressure on drug prices, as manufacturers face less price sensitivity, note Matthew Majewski and Rhett Johnson of Charles River Associates. But they also note that upward pressure on price is likely to be limited to the inflation rate as any additional price increase would need to be paid back to CMS in the form of inflation rebates.
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3 Approaches to Creating a Connected Care FutureBy integrating capabilities and services, we can create health experiences that are much more than the sum of their parts
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How the Move to Digital Pharmacy Addresses Brick and Mortar Closures | Asembia’s AXS25 SummitDigital pharmacy solutions can help brick and mortar locations become more efficient, according to Sarah Thomas, VP of sales and commercialization at HealthDyne and David Skomo, COO of HealthDyne.
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Building a Culture of ResiliencyEmphasizing best practices and a healthy culture rather than focusing narrowly on compensation will help medical groups thrive.
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The Reaching Impact of Health Disparities: Why Closing the Gap Begins Before BirthManaged care organizations must ensure that all of their members—including their youngest—receive the most equitable start in life. Here’s how to get started.
