Medecision Podcast

While traditional telephonic and modern digital self-service care management approaches are necessary for health plans, what both programs need now are data and insights to create deep contextual awareness of health plan members. To be effective at scale, health plans need the technology and automation to strategically leverage all their data to optimize medical costs, reduce administrative expenses, improve outcomes and personalize engagement.

What’s available to empower care management teams to create that contextual awareness? Cutting-edge digital care management tools with capabilities to rapidly deliver real-time data insights that enable care management teams to build highly personalized digital outreach.

During this podcast, attendees will learn:

• The keys to modern digital care management
• The emerging digital tools that can best support members
• Lessons from efforts to deliver true personalization to the member experience

Presenters: 

• Katherine Schneider, MD, MPhil., FAAFP, CMO, Medecision
• Mamata Majmundar, MD, Chief Medical Officer, Evry Healthcare
• Jai Raisinghani, Deputy Chief Information Officer, CenCal Health
• Ria Paul, MD, Chief Medical Officer, Santa Clara Family Health Plan
• Howard Brill, Senior Vice President, Population Health & Quality, Monroe Health Plan for Medical Care

Discover

• The importance of platform thinking in overcoming healthcare data challenges
• Strategies for real-time and flexible data ingestion and integration (the toughest nut to crack)
• Considerations for building in care intelligence
• The critical role of sub-second analytics for immediate access to data
• The benefits of integrating all clinical data sources
• Solutions for incorporating non-clinical data sources to enhance insights
• Why purpose-built healthcare data platforms are more cost-effective and efficient than custom-built solutions

Featuring: The Aerial Data Platform and Clinical Intelligence Engine

Discover how risk-bearing healthcare organizations are leveraging the new Aerial platform to target high-value opportunities like optimizing care management, engaging individuals like a consumer company, improving prior authorization turnaround times, reducing readmissions, boosting STARS ratings, and more. Learn how Aerial’s adaptability sets a new benchmark for data integration and intelligence in healthcare.

Speakers

• Pavel Grebenshikov, Chief Technology Officer, Medecision
• Katherine Schneider, MD, MPhil., FAAFP, CEO, Two Canoes Health, LLC
• Kenneth Young, President and CEO, Medecision

As election year dynamics unfold, the impact on healthcare policy will be significant. This exclusive webinar, presented by Maverick Health Policy and hosted by Medecision, offers you a front-row seat to understand these changes. Our panel of Washington, D.C.-based experts will dissect the latest developments and forecast what these mean for the future of healthcare.

• Election Year Insights: Gain a deeper understanding of how the 2024 elections will impact healthcare legislation and the regulatory landscape.
• Expert Analysis: Hear from leading health policy advisors who specialize in healthcare innovation. 
• Critical Topics Covered:
  • The impact of the presidential election and congressional action on health policy.
  • Latest advancements and issues in AI and utilization management.
  • Federal scrutiny on cybersecurity, data privacy, and the dynamics of M&A in healthcare.
  • Future directions for Medicare Advantage and social determinants of health (SDOH).

Meet Our Panel:

• Julie Barnes, JD – Founder and CEO, Maverick Health Policy
• Eric Schiavone, MPH – Director, Maverick Health Policy

To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and population health programs. However, many legacy tools involved in these efforts are frustrating to use and produce fragmented data, hindering successful cost and quality management.

This conversation will examine the current state of care management, including the top barriers and how organizations can break through them. Learn how to:

• Efficiently and proactively identify at-risk individuals
• Empower patients to achieve better outcomes
• Increase collaboration across the care continuum

Panelists

Kenneth Young, President & CEO, Medecision
Dr. Robert Groves, Executive Vice President & Chief Medical Officer, Banner | Aetna
Jessica Chaudhary MD, Medical Director, Carelon

Learn more at https://www.medecision.com/ 

The executives examined independent market research that surveyed health plan leaders about the current state of UM and what organizations need to transform both Utilization Management and Care Management.
Key findings relative to UM include:

- More than half of survey respondents say fragmented data (57%), data that doesn’t flow into UM workflows (55%), and burdensome data integration are the top barriers to current tools

- 68% say inefficient workflows are their organization’s primary frustration with current tools, followed by high costs associated with data silos (49%), and provider abrasion (40%)

- Why? Because respondents say current tools are not easy to use and they need technologies that are “very effective” at accessing real-time data to drive down administrative and medical costs while improving health outcomes

In addition to sharing the research, the speakers also discussed:

- Data types healthcare organizations should be integrating into UM workflows

- The power of personalization in making UM more trusted by members and providers

- How predictive modeling for risk stratification, as well as UM workflow optimization with AI and automation, can propel UM efficiency, results, and outcomes

- What leaders should understand about regulations relative to UM – including the newly-released ePrior Authorization rule  

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

This podcast will examine the results of Medecision's exclusive market research. We will explore the current state of utilization management and care management, the value of a contextually-aware view of members, how personalized experiences are driving impact at the health inflection point and the opportunities to more strategically leverage data.

View the Market Report here. 

The 2021 Star Ratings Power Hour: Bottom-Line Impact and Strategies was recorded on June 30, 2021.

In this episode, Julie Barnes, JD, Founder and Principal of Maverick Health Policy, and Kimberly Swanson, Vice President of Quality and Clinical Integration at Network Health Plan share valuable insights on the new measures and weighting, and ideas for optimizing your technology tools while implementing best practices to improve your member experience.  

In this episode, Julie Barnes, JD, Founder and Principal of Maverick Health Policy, shares valuable insight into the prior authorization rule affecting utilization management and what health plans and healthcare providers should be considering as policies evolve. 

In this episode, we bring together healthcare leaders with vast experience in caring for and engaging underserved and vulnerable populations. 

Our experts include Dr. Jan Berger, founder and CEO of Health Intelligence Partners, Jesse Thomas, CEO of Healthy Blue, and Dr. Terri Steinberg, Medecision’s group senior vice president of analytics and population health and chief medical officer. 

Facilitated by Chris Mahai, president of Aveus, this episode discusses both the challenges and opportunities of restoring trust and engaging with underserved populations.

In this episode, we bring together some of the most thoughtful and visionary healthcare policy experts for an engaging executive-level discussion about post-election policy implications for the healthcare industry.  

Our expert guests include Colin Roskey, Principal and Partner at Lincoln Policy Group, and Krista Drobac, the founder of Sirona Strategies.  Facilitated by Julie Barnes, founder and Principal of Maverick Health, this episode helps connect the dots in our changing political landscape.