Explore articles around population health management, utilization management, SDOH and more.


Automated Prior Authorization Integration Within HELIOS Is New Opportunity For Payers

Prior authorization has long been a burden across the healthcare industry, impacting payers, providers, and patients alike. To help solve this, HELIOS now offers automated prior authorization within the platform via an integration of Edifecs’ automated prior authorization solution.

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How to Get Started with the Making Care Primary Model

Track 1: Building the Infrastructure for Better Value-Based Primary Care CMS recently announced its new Making Care Primary (MCP) model, a voluntary initiative set to launch in July 2024 among selected participants in eight states. As of September 2023: “CMS is...

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