Many current utilization management processes lack the transparency, speed and interoperability needed to meet current requirements — and the stakes for health plans are rising as CMS-0057 deadlines loom.This podcast breaks down new nati...

Traditional care management strategies are struggling to keep pace with rising administrative burdens, workforce shortages and increasingly complex member needs. Outdated processes — like relying on phone calls — fail to scale engagement and le...

As healthcare evolves, the demand for connected, data-driven, and member- and patient-centric systems is at an all-time high. By 2027, 70% of healthcare organizations are projected to adopt digital-first care management strategies, interoperabl...

While traditional telephonic and modern digital self-service care management approaches are necessary for health plans, what both programs need now are data and insights to create deep contextual awareness of health plan members. To be effectiv...

DiscoverThe importance of platform thinking in overcoming healthcare data challengesStrategies for real-time and flexible data ingestion and integration (the toughest nut to crack)Considerations for building...