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NEW RESEARCH
The State of
Utilization Management,
Care Management,
and Population Health
For over a decade, healthcare insurers have grappled with a trio of challenges: soaring medical costs, complex administrative processes, and workforce limitations. These issues have spurred the evolution of population health management, along with efforts to improve care management (CM), utilization management (UM), and data integration.
This concise yet comprehensive report delves into the significant challenges health plans face, which also impact employers and government health initiatives. It evaluates the effectiveness of existing tools and strategies in CM, UM, and population health, as assessed by industry leaders.
This research, commissioned by Medecision, gathers perspectives from more than 50 C-Suite leaders, offering invaluable insights for those seeking to make a significant impact in the healthcare sector.
A crucial finding is the importance of 'contextual understanding' of the member. By integrating various data sources, health plans can achieve a more comprehensive understanding of individual needs, leading to better health outcomes.
Download The Full Report Today
Current legacy tools are hindering the effectiveness of utilization management (UM), care management (CM), and population health management (PHM), leading to a fragmented and frustrating experience. Help your organization drive down costs and improve outcomes with exclusive access to comprehensive insights from top health plan executives about the current state of UM, CM, and PHM as of 2024.
Discover key strategies to break down the barriers impeding progress.
About Medecision®
Fully delivering on the promise of data — and making the business of healthcare simpler and more successful — Medecision offers a whole new world of possibilities. The company’s flagship offering, AerialTM, stands as the market’s most extensible clinical data platform. It offers complete contextual awareness of members and automates the next best actions - simple campaigns, complex care management, utilization approvals, and more - for optimal health outcomes.
Aerial is not only quick to deploy, it is easy to manage. The platform’s effectiveness in reducing both medical and administrative costs, coupled with its role in improving the member and patient experience, has made it the preferred choice for health plans and care delivery organizations. Presently, Aerial is instrumental in catering to over 10% of the U.S. population, marking a significant milestone in advancing healthcare efficiency and effectiveness. www.medecision.com