From member-centered, whole-person care to driving cost savings, better coordination of care, and more efficient processes, this is all part of the connected care ecosystem. Join Robert McChane, VP of Marketing, and Katie Nieto, Senior Program Manager, in our latest Future of Care Chat episode about creating a connected care ecosystem and why this matters for #healthcare payors focused on value-based care.
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Prior authorization can cause serious issues for members and providers if processes are not properly architected by a healthcare payor. More than nine in 10 physicians (94%) reported care delays while waiting for health care insurers to authorize necessary care, a...
We’re in the age of big data, and one of the challenges healthcare payers have is to make sense of all the data they capture. From pulling actionable insights to identify and close care gaps to quickly providing the quality metrics and reports needed by state and...
Mental health and behavioral health support is a critical need for health plan members. This is especially true for payers handling commercial, individual, and Medicaid populations with members. As of 2024, the National Institutes of Health has found mental health...
A good UX (user experience) is a key player in how quickly a care management platform is adopted and how successfully it’s utilized. Adoption and usage are key concerns for healthcare organizations when choosing a medical management platform. This is especially true...
Use industry-leading rules engines and intelligent workflows for efficiency gains Did you know that HELIOS already has built-in functionality that helps clients automate and streamline care management, utilization management, and case and disease management? This...