Medecision Podcast  By  cover art

Medecision Podcast

By: Medecision Podcast
  • Summary

  • Expert perspectives on the hot topics in healthcare.
    © 2024 Medecision Podcast
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  • Inside the Beltway Insights from Maverick Health Policy
    May 13 2024

    As election year dynamics unfold, the impact on healthcare policy will be significant. This exclusive webinar, presented by Maverick Health Policy and hosted by Medecision, offers you a front-row seat to understand these changes. Our panel of Washington, D.C.-based experts will dissect the latest developments and forecast what these mean for the future of healthcare.

    • Election Year Insights: Gain a deeper understanding of how the 2024 elections will impact healthcare legislation and the regulatory landscape.
    • Expert Analysis: Hear from leading health policy advisors who specialize in healthcare innovation.
    • Critical Topics Covered:
      • The impact of the presidential election and congressional action on health policy.
      • Latest advancements and issues in AI and utilization management.
      • Federal scrutiny on cybersecurity, data privacy, and the dynamics of M&A in healthcare.
      • Future directions for Medicare Advantage and social determinants of health (SDOH).

    Meet Our Panel:

    • Julie Barnes, JD – Founder and CEO, Maverick Health Policy
    • Eric Schiavone, MPH – Director, Maverick Health Policy

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    59 mins
  • The Top Care Management Barriers — And How To Tackle Them
    Mar 20 2024

    To manage costs and advance value-based care models, health plans and health systems that take on risk need effective care management and population health programs. However, many legacy tools involved in these efforts are frustrating to use and produce fragmented data, hindering successful cost and quality management.

    This conversation will examine the current state of care management, including the top barriers and how organizations can break through them. Learn how to:

    • Efficiently and proactively identify at-risk individuals
    • Empower patients to achieve better outcomes
    • Increase collaboration across the care continuum


    Kenneth Young, President & CEO, Medecision
    Dr. Robert Groves, Executive Vice President & Chief Medical Officer, Banner | Aetna
    Jessica Chaudhary MD, Medical Director, Carelon

    Learn more at

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    53 mins
  • The State of Utilization Management 2024
    Feb 15 2024

    The executives examined independent market research that surveyed health plan leaders about the current state of UM and what organizations need to transform both Utilization Management and Care Management.
    Key findings relative to UM include:

    - More than half of survey respondents say fragmented data (57%), data that doesn’t flow into UM workflows (55%), and burdensome data integration are the top barriers to current tools

    - 68% say inefficient workflows are their organization’s primary frustration with current tools, followed by high costs associated with data silos (49%), and provider abrasion (40%)

    - Why? Because respondents say current tools are not easy to use and they need technologies that are “very effective” at accessing real-time data to drive down administrative and medical costs while improving health outcomes

    In addition to sharing the research, the speakers also discussed:

    - Data types healthcare organizations should be integrating into UM workflows

    - The power of personalization in making UM more trusted by members and providers

    - How predictive modeling for risk stratification, as well as UM workflow optimization with AI and automation, can propel UM efficiency, results, and outcomes

    - What leaders should understand about regulations relative to UM – including the newly-released ePrior Authorization rule

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    56 mins

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