health plans

5 Threats to Avoid: Care Management Solutions

Care management is a consumer-centered strategy that provides health plan members, providers, and their support systems with clinical management solutions to enhance health outcomes and reduce costs....

REDUCING UNNECESSARY ER VISITS IN YOUR MEMBER POPULATION

(5 Minute Read) As emergency department utilization continues to steadily increase, health plans must strategically limit their cost exposure. Every year there are approximately 139 million visits to...

HEDIS 2020: WHAT YOU NEED TO KNOW

(4 Minute Read) The Healthcare Effectiveness Data and Information Set (HEDIS®) was created by the National Committee for Quality Assurance (NCQA) to measure the clinical quality performance of health...