In today’s increasingly competitive Medicare Advantage environment, managing your Star ratings is becoming even more critical to plans so they can retain membership and achieve their financial goals. For many plans, integrated care management has become a key tool for delivering the level of care quality that helps members stay healthy and provides a positive… Continue reading The Road to Five Stars: Leveraging Integrated Care Management to Improve Your Star Ratings
Safeguarding sensitive personal health information (PHI) to protect patient privacy is of critical importance, with severe financial penalties for those who fail to comply with regulations. The rising peril of cyber-attacks and data breaches—with new threats and cybercriminals materializing daily—make it even more critical for healthcare organizations to stay ahead of potential risks. To protect… Continue reading Navigating Healthcare Security—Does Your Care Management Platform Measure Up?
If you treat complex patients, chances are that social determinants of health (SDOH) affect your outcomes. Whether you’re sharing risk in a value-based care arrangement or negotiating a risk-based contract, a care management strategy addressing social, economic, and environmental factors that influence health can help you alleviate risk and improve health equity. But can you… Continue reading Integrating Social Determinants of Health to Improve Outcomes without Sacrificing Profitability
