Becker's Healthcare August 30, 2023
By Kenneth Young, President and CEO, Medecision

Health plans have historically struggled to deliver personalization that increases member engagement, improves care coordination, drives better outcomes and reduces costs. That’s despite spending 10% or more of their administrative budget on care management, according to McKinsey & Company, which also explained that payers are not deriving a return on investment from such programs. [1] As a result, health plans have missed opportunities to engage members outside high-risk populations, primarily because the technologies to achieve mass personalization were not adequately robust.

Turn those findings around: Health plans now have an enormous opportunity to both improve personalization and drive ROI – and, unlike in the past, new care management technologies are accelerating the critical shift toward elevated engagement. But the emergence...

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Topics: Big Data, Health IT, Insurance, Patient / Consumer, Payer, Technology
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