Blogs
The Future of D-SNPs: Enhancing Care Management with Healthcare Tech
Explore the impact of healthcare tech like telehealth, EHRs, and data analytics on health plans’ ability to improve D-SNP programs for dual-eligible individuals.
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Blogs
The BPO Boost: Outsourcing Health Plan Medical Management to Optimize Cost & Efficiency
Should your health plan outsource? Learn how healthcare BPO services and other options like co-sourcing, interim leadership, and advisory can cut costs and boost efficiency.
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Blogs
How Health Plans Can Improve Their HEDIS Measure Scores
Learn how to improve HEDIS scores to help your health plan boost NCQA star ratings, improve care delivery, and optimize member satisfaction. Discover strategies from the experts.
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Blogs
Preparing for NCQA’s Health Equity Accreditation: What Your Organization Needs to Know
By seeking NCQA Health Equity Accreditation, plans can improve healthcare outcomes, increase member satisfaction, enhance care delivery, and contribute to building healthier communities. Don’t wait to get started on the path to achieving HEA accreditation.
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Case Studies
Boosting NCQA Compliance in Complex Case Management
Many Managed Care Plans (MCPs) are under pressure to meet evolving case management standards and achieve NCQA accreditation, opting to insource services for greater process control as their member populations grow.
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Blogs
Health Equity, a Cross-Functional Commitment
Health equity isn’t merely a single departmental function; it’s a collective responsibility for the entire health plan. Every person within the health plan holds the responsibility of identifying ways to increase access, improve efficiency and guarantee quality care for all members.
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