What We’re Reading: November Edition

Posted by Carolyn Edwards on Friday, November 30, 2018

The month of November came rushing in with midterm elections and ended with one of the wildest acquisitions in modern healthcare. It was also the month for giving thanks, although we learned that not everyone is thankful for healthcare technology. In fact, most doctors hate it.

Here are the top stories from November that we feel are worth a read:    

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What does digital care coordination mean for health plans? (video)

Posted by Carolyn Edwards on Thursday, November 8, 2018

Health plans today face a variety of obstacles and challenges, including the ability to connect with providers, close gaps in care, offer self-service options to members, and promote behavior change.

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Strengthening the Relationship Between Health Plans and Providers

Posted by Carolyn Edwards on Wednesday, August 15, 2018

The relationship between health plans and providers has long been complicated and somewhat fractured. In their dealings, both parties have struggled with various inefficiencies leading to compounding frustration over the years. One of the largest contributing factors to this frustration is how health plans manage referrals into provider offices—a process that traditionally relies on a cumbersome three-way call between the patient, provider, and health plan.

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How Humana Improved Access and Outcomes

Posted by Brad Veach on Tuesday, August 15, 2017

Humana was looking for a way to enhance access to specialists and improve clinical outcomes across their provider network with a digital solution. Typically, coordinating referrals across a disparate provider network has many challenges: long delays between referral order and actual appointment, identifying appropriate specialists, inefficient appointment coordination and scheduling, and inability to track data in real time.

These challenges lead to poor patient experience, diminished access to care, wasted time, negative clinical outcomes, and increased medical costs.

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How to close more gaps in care with digital care coordination

Posted by Brad Veach on Tuesday, July 18, 2017

Pay-for-performance incentives are impacting health plans’ bottom lines. To maximize these incentives, health plans need to improve quality scores by closing more gaps in care. Population health vendors have come a long way in identifying those gaps and then taking action to close them, but often times it all falls apart on the last step.

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How health plans can use self-scheduling

Posted by Mary Tackbary, RN, MSN on Tuesday, May 9, 2017

No one can argue that self-scheduling of provider appointments is a bad idea. It is like Uber – once someone does it, they keep doing it and won’t go back to the old way. It provides a convenient and fast way to book appointments and corrects a persistent source of frustration and complaints related to access. And as a bonus it improves quality and reduces costs.

However, it isn’t easy for a health plan to determine the best role they should play with this technology. There are many options:

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Operationalizing Referral Management

Posted by Brad Veach on Tuesday, March 21, 2017

 

Many practices do their best to ensure specialty appointments are being scheduled by their patients, that attendance is being tracked and when possible, that follow-through care is actually being provided. But with most specialists on disparate systems, it can be nearly impossible.

This does not have to be the case.

When your network of preferred providers are connected through a centralized, cloud-based platform, EHR fragmentation and phone-based workflows no longer short circuit your business.

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What our customers say

Posted by Brad Veach on Tuesday, March 7, 2017

 

How long does it take your patients to get from a primary care physician to a specialist?

Many organizations don’t know. 

Patients, however, are fully aware of the frustration of being handed a slip of paper and told to schedule their own consult. 

As a true thought leader in patient experience, Humana has set a new standard of enterprise-wide patient access that addresses this very issue.

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