Providing the Medicare population with the right care in the right setting at the right time is increasingly a challenge. But failure to do so can have a significant impact on outcomes, Star ratings and incentive revenue. Also challenging is engaging with those...
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...
At Carenet Health, we know the power of outstanding member engagement is critical to closing gaps in care, improving member satisfaction and outcomes, guiding them to the right care setting, boosting the bottom line and more. That’s why we’re developed a...
When it comes to ensuring follow-up care for individuals diagnosed with alcohol or other drug (AOD) dependence, health plans across the board are falling short. In fact, according to the 2016 HEDIS results, among the Medicaid, Medicare and commercial populations,...
More than half of the nation’s hospitals are being penalized a total of $564 million in FY 2018 by the Centers for Medicare and Medicaid Services (CMS) for excessive Medicare patient readmissions within 30 days of discharge. A $27 million increase over 2017, this is...
