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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Humana’s innovative approach to improve clinical outcomes

Posted by Brad Veach on Tuesday, February 14, 2017

Coordinating referrals across a disparate provider network is broken.

Long lead times, finding the right provider, efficiently coordinating care, and tracking the timeliness and completion of appointments are everyday obstacles.

These challenges create a time-consuming process, a poor patient experience and untimely access to care. As a result, many patients experience long delays or simply do not follow through on these referrals - correlating to lower clinical outcomes and increased medical costs.

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The top priorities for health plans in 2017

Posted by Brad Veach on Tuesday, February 7, 2017

Quality, cost management, and the consumer experience.

The top priorities for health plans have never been clearer. 

As a result, the urgency to close gaps in care is more important than ever. When your plan is connected through a digital network, appointments with healthcare providers on disparate systems is seamless, and offers surprising advantages:

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Care coordination still reigns

Posted by Daniel Collins on Wednesday, January 25, 2017

Many people are still trying to interpret the executive order on the Affordable Care Act issued by President Trump on his first day in office. As a result, members of the health industry — particularly insurers — are nervous about its impact on their businesses, as well as the effect on the health care system in general. 

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