A Better Engagement Approach Can Close HEDIS Gaps

A Better Engagement Approach Can Close HEDIS Gaps

Medicare Advantage plans are facing a problem—high rates of gaps in care that affect HEDIS (Healthcare Effectiveness Data and Information Set) quality measures … and ultimately revenue. The solution? Not just member engagement, but a strategic and multi-faceted...
How to Improve Your Health Plan’s ER Diversion Strategy

How to Improve Your Health Plan’s ER Diversion Strategy

Health plans need to lower ER costs, no matter what type of populations they serve—from Medicaid and Medicare to private, commercial plan members. Non-urgent ER visits cost the U.S. $4.4 billion annually, and ER costs, according to a new CDC report, have doubled in...