Care management: Building trust through personalized member engagement

Sponsored by
Wolters Kluwer

Health plans understand that building strong relationships with members is the key to influencing healthy behaviors, closing care gaps, improving outcomes, and reducing costs.

But most health plan care management functions are struggling to reach and engage with at-risk members. McKinsey studies found that:

  • 80% of identified at-risk members are not reached.
  • Average engagement rates across high-risk groups are less than 30%.
  • 60% of members who are reached by care management do not follow through on recommended care plans.

Health plans need to build or rebuild trust and establish stronger relationships with the members they serve. A central component of that is member engagement through which consumer-oriented, personalized experiences help members become more confident in managing their health decisions while also helping care teams build stronger member relationships, enabling them to influence behaviors and, ultimately, better outcomes.

Download this eBook to find out more!

Breaking Down Barriers for Health System Specialty Pharmacies

Sponsored by
Cardinal Health

While many health systems are exploring or expanding specialty pharmacies as a strategy to extend care to patients and generate prescription margin, their success depends on successful prescription claims adjudication — which is becoming a growing challenge.

“Implementing a specialty pharmacy model is complex,” notes Mike Brown, vice president of managed services for Cardinal Health, which operates 75 outpatient and specialty pharmacies across 25 states for hospitals of all types. “We find that many overlook the resources required to navigate payor approval of prior authorizations or lack needed support to connect patients to programs that help them better afford their out-of-pocket cost of medications.”

Read this article to learn how remote models for prescription claims adjudication can unlock greater opportunity for delivering patient care.

The Importance of Accurate, Consistent BP Measurement

Sponsored by
Midmark

Of all the vital signs, blood pressure (BP) measurement has perhaps the most clinically significant connection to point-of-care diagnosis, patient risk stratification, and proper medication dosing. These important factors of care management are essential to proper diagnostic and therapeutic decision-making tied to better outcomes.

For instance, in order to properly diagnose and treat hypertension—a major risk factor for coronary heart disease, stroke, and renal failure—caregivers need to obtain accurate BP information that includes both current BP measurements and trending data.

Inaccurate BP measurement can lead to either a missed diagnosis or misdiagnosis, both of which can cause harm to patients by either not appropriately treating hypertensive patients or medicating patients who are not hypertensive, respectively.

Because of its centrality in care and better outcomes, it is essential for BP measurement to be accurate and repeatable for all caregivers at all sites of care. Slight variations in technique and measurement can have a big impact on the effectiveness of the therapeutic management of many if not most, chronic diseases.

This paper will explore the main occurrences of inaccurate BP measurement and how healthcare organizations can take a standardized approach to BP measurement to help allow good experiences and outcomes to be duplicated.

2024 Nurse Salary and Job Satisfaction Report

The 2024 Nurse Salary and Job Satisfaction Report by Nurse.com includes data and insights from more than 3,600 nurses (RNs, APRNs/ARNPs, and LPNs/LVNs) surveyed nationwide in September and October 2023.

The report breaks down data according to demographic groups and type of licensure and reveals trends related to nurse salaries, benefits, and job satisfaction. It also explores the prevalence and impact of workplace violence, as well as mental health challenges nurses face.

Nurses also shared which of their skills they thought were underutilized by their employers and their intentions to change employers or relocate for job opportunities.

Key points

  • Salaries for RNs have increased by 2.6%, compared to Nurse.com’s 2022 report. And while the gender pay gap has narrowed, it still exists with the median salary for a male RN being $6,000 higher than female RNs.
  • Across all licensures, nurses shared the goal of continuing their education, which for many, resulted in higher salaries.
  • Workplace violence from patients, patients’ family members, and even colleagues remain a pressing concern for nurses. Nurses reported experiencing weekly and monthly occurrences of violence at their organizations.

Rethinking Value-Based Care Through Advanced Contract Management

Sponsored by
MedeAnalytics

HealthLeaders webinar: Modern technologies provide the flexibility and interoperability essential for successful implementation of all-payment models

As the industry progresses from traditional fee-for-service models to a value-based care approach, there’s an increasing need for platforms that support complex contracting, payment, and billing processes.

A recent HealthLeaders webinar, titled “Analytics and AI insights enabled value-based care contract management, payment, and billing at scale,” sponsored by MedeAnalytics, featured insights from MedeAnalytics’ David Wolf, VP of product management, as well as Rahul Sharma, CEO, and Lynn Carroll, COO of HSBlox. The discussion focused on the key elements of a value-based contracting system, highlighting the recent collaboration between MedeAnalytics and HSBlox. Their joint offering integrates analytics and AI capabilities with contract and financial administration, providing a comprehensive platform that supports healthcare organizations in managing value-based care contracts.

The panel explored the following topics:

  • The essential role of value-based care contract management across the healthcare ecosystem.
  • Strategic and tactical approaches to navigating the complexities of value-based care contracts.
  • The multifaceted ways in which analytics and AI bolster diverse payment models

Transitions Of Care: Identifying Gaps And Disparities, And Optimizing Home Care Practices To Improve Healthcare Outcomes

Sponsored by
Trualta

Of the 53 million caregivers in the United States, no two stories are the same. Some are told across decades, others in days. Still more are told in multiple languages across cultural divides. What is common among them all is a desire to help, a struggle to find balance, a need for self-care, and the utter confusion of what to do next. We’ve compiled this ebook to further illustrate these needs with actionable insights that health systems can use to enhance care quality, particularly in home settings for caregivers.

Inside this eBook, made in partnership with Trualta, you’ll find articles on:

  1. Understanding the Value of the Home as a Healthcare Site
  2. Home Caregiver Engagement is Pivotal in Patients’ Care Transitions
  3. Gaps and Racial Disparities Found in Care Transitions

And so much more. Download now to access this eBook!

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