Thought Leadership
Stories and trends changing the healthcare landscape
AI for Population Health Management
AI for Population Health Management AI Practical Uses and Understanding STARTING WITH THE FUNDAMENTALSThis is the first in our short series of articles about prospects for advancements in population health management (and health care overall) through the application of Artificial Intelligence...
Precision Medicine – Part 1
The term “Precision Medicine” refers to the tailoring of clinical and other health care-related interventions based upon an individual’s unique make-up and circumstances. While personalization of care has long been the underpinning of best practice medicine, personalized care and Precision...
Medicare Advantage: Planning for the Future
Medicare Advantage: Planning for the Future July 2024 Well Solutions Group Part 1: The Current Landscape The remarkable growth in Medicare Advantage enrollment over the past twelve years is raising questions about both the cost and quality of that coverage as well as the ultimate impact on health...
Payment Integrity 101 – Article 3
Over the past decade, the healthcare industry has seen payment integrity evolve from an under-resourced operational niche to a strategic asset that is central to the overall management of medical expense. A paradigm shift is underway, wherein many payers are recognizing that the status quo will...
Payment Integrity 101 – Article 2
Today’s technology innovations and workforce challenges (need to drive toward greater efficiency) are prompting payers to take a closer look at payment integrity with an eye toward a more strategic framework. More and more payers are recognizing that the status quo will not suffice in a volatile,...
Payment Integrity 101
Payment Integrity 101 May 2024 Well Solutions Group Article 1: Current State of Healthcare Payment Integrity Payment integrity encompasses efforts by payers and healthcare providers to navigate ongoing challenges relative to achieving accurate and efficient payment. Having a system of payment...
AI: Healthcare Data Privacy & Security
AI at its core encompasses taking advantage of the rich and diverse sources of information that individuals and health care providers amass across the continuum of health-related behaviors, interactions, and management. Being able to better leverage these stores of data to enable predictions of...
Successful Process Improvement
Learn what makes the difference between a well-executed improved process and one that fails to deliver demonstrative, sustainable results.
The Evolution of Healthcare – Article 3
In this the third article in our series on Mental and Physical Health, we will delve further into describing some of the different modalities in use to address mental and physical health more holistically, emerging collaborative models, as well as existing barriers to adoption.Health care...
The Evolution of Healthcare – Article 2
Mental & Physical Health The Mind-Body Connection – Is this the Next Frontier? In our first of this series of articles, The Evolution of Healthcare - Article 1, we introduced recognition of the evolution of healthcare to address the whole person, and related opportunities to support a broader...
Analytics for Population Health Management – Article 5
Use of Expanded Data Sources for Program Outcomes and Evaluations The challenge related to having the right data at the right time. Development of population health programs is a key responsibility of population health managers and within a health plan setting, investments associated with these...
The Evolution of Healthcare – Article 1
Mental & Physical Health Recognizing the importance of managing individuals’ health holistically via integration of mainstream and alternative care Historically, health management programs have focused on one chronic disease at a time, often missing opportunities to support a broader set of...