Healthcare payers are operating under sustained margin pressure. Rising specialty drug costs, post-COVID utilization shifts, Medicaid and Medicare Advantage margin compression, and increasing quality expectations are all converging at once. At the same time, organizations have more data than ever before.  So why isn’t performance improving at the pace it should? In our recent Becker’s Healthcare webinar, industry…

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Becker’s Payer Issues Webinar: Disconnected Analytics Are Holding Back Payer MLR Performance

The growing pressure on payer performance Healthcare organizations have more data than ever before yet achieving meaningful performance improvement has never been more difficult. Rising costs, specialty drug spend, and Medicare Advantage challenges are putting increased pressure on payer leaders to improve medical loss ratio (MLR) and overall margin performance. The solution isn’t more insights.…

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While health and wellness are critical objectives for every person and population, achieving them is most urgent for Medicaid patients and plan members. To ensure the wellbeing and longevity of all communities, health care organizations, technologies and systems must be able to communicate, share information and work together effectively. This blog post will explain why…

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Wise Health System Building

A recurring theme here on our blog is discussing the powerful effects a culture of analytics can have on hospitals and health systems. In this post, see how Wise Health System used MedeAnalytics solutions to cultivate this type of culture – leading to improved revenue cycle management and enhanced customer care. The Challenge Large, Texas-based…

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OHSU aerial photo

MedeAnalytics and Oregon Health and Science University (OHSU) co-hosted a HIMSS Learn webinar exploring the power of data to measurably improve case mix index, CC/MCC capture rates and physician engagement. In fact, OHSU successfully leveraged self-service analytics and reporting to: To open the webinar, healthcare expert and VP of Go-to-Market Strategy at MedeAnalytics, Andy Dé,…

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Nebraska-Methodist-Building

Patient accounting systems (PASs) are valuable sources of revenue cycle information for hospitals, but they are often not equipped with the deep analytics capabilities necessary to quickly identify trends and make changes. Realizing this, not-for-profit health system Nebraska Methodist partnered with MedeAnalytics to maximize the value of its patient accounting system. The Challenge: Leadership at…

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ConcertoCare reduced hospitalizations among high-risk populations with predictive analytics

ConcertoCare (previously called Concerto Health) is a leading, risk-bearing provider of field-based complex care for vulnerable populations in California. By focusing on addressing social determinants of health, they apply data to effectively deliver high-touch, individualized care to create measurable impact. The Challenge: ConcertoCare came to MedeAnalytics with a few central business objectives: They also had…

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