Donna Geringer’s Post

Calling all Health Plans: How are you planning on meeting CMS’s requirement for your Mid-Year Member Notification of Available Supplemental Benefits? Did you know that the Endear platform provides auditable engagement data and enables personalization on a member by member basis? Contact us to learn how Endear Health can help you manage CMS’s newest set of guidelines including updates to engagement requirements, data aggregation, and star ratings. #medicare #medicareadvantage #digitalhealth #VBC

#Webinar Today’s Medicare members are more technology-savvy than most people give them credit for. In one survey, 78% of seniors said they would use a service to help find and schedule doctor appointments. Health plans have an opportunity to use #DigitalHealth technologies to better connect with #Medicare members and improve health outcomes. Join Erin Roth Clark and Elizabeth Anne Shaw on June 5 for exclusive insights and best practices to enhance your #MemberEngagement strategy. Save your seat: https://ow.ly/VgWy50S0Um8

Annual RxDC reporting is essential for group health plans' compliance. Employers, take action now to ensure timely submission and avoid penalties. Learn more about this critical process. #HealthcareCompliance #RxDCReporting https://lnkd.in/gkcxahq6

Inaccurate provider data on health plan websites can lead to increased costs, compliance issues, and a burden on member services. Our 2024 Health Plan Care Access Benchmark Report highlights how critical it is for members to find accurate information online. 🎥 Watch this video for insights from Karen Conley DNP, RN, NEA-BC and then download the full report: https://hubs.li/Q02DpzN10 #MemberExperience #CareAccess #DigitalHealth

In the realm of healthcare, outcomes are the ultimate measure of success. At Post Acute Analytics, we're unwavering in our commitment to ensuring that health plan members receive the highest standard of care and, most importantly, achieve positive outcomes. Our focus isn't just on treatment; it's on the journey to recovery and a brighter, healthier future for all. We believe that every member deserves to be treated well and experience the best possible outcome at the end of their treatment. https://zurl.co/cI5b #HealthcareEfficiency #RapidAuthorizations #PostAcuteAnalytics #HealthTechInnovation

It's becoming more and more evident that our health care system needs state government intervention to regulate the market and create an even playing field. The predicted 5.6 percentage point jump in health care premium points over the previous year is yet another example of this. Competitive pricing, consumer-driven health plans, innovative care delivery models, and even provider payment reform aren't enough to tip the scales back in favor of patients. For a deep dive on the topic, join us for our four part webinar series and gain a better understanding of how state government intervention could change the health care game! #StateGovernmentIntervention #HealthcareReform #HealthPolicy https://ow.ly/guaK50Q8ojP

California's Senate Bill 1419 is setting a powerful precedent by mandating the implementation of FHIR APIs for all licensed health plans, going beyond federal requirements. This enables a more robust and inclusive interoperability ecosystem where everyone benefits.  By mandating participation from commercial plans, states are facilitating coordinated care and enabling a wider range of use cases, such as: 1. Comprehensive patient records:  Patients can have a complete picture of their health history, regardless of their insurance provider, demographics and coverage.  2. Improved care transitions: Fluid data exchange between payers and providers ensures continuity of care, especially during transitions between hospitals and other settings. 3. Enhanced population health management: Health plans and public health agencies can gain deeper insights into population health trends and identify areas for intervention. State-level initiatives like California's SB 1419 demonstrate the power of collaboration between federal and state governments to drive meaningful change in healthcare.  We, at Health Chain, are excited to see more states join this movement and contribute to a truly interoperable healthcare system in the US.  #SB1419 #FHIR #HealthDataExchange #Interoperability #CaliforniaHealthcare #PatientEmpowerment #DigitalHealth #HealthChain Sudheen (Sudheendra) Kumar 

According to our 2024 Care Access Benchmark Report for Health Plans, 47% of consumers have skipped or delayed care in the past year. But there are steps you can take to understand breakdowns in the member experience and assist members in navigating their healthcare journey. Download our full report for more insights. 📊 https://hubs.li/Q02C96fQ0 #CareAccess #MemberExperience #PriceTransparency

Chronic conditions don’t exist in isolation and new research from 24 nationally affiliated health plans shows that a whole-person care approach can help improve outcomes and lower costs for both members and organizations.     Check out our report on the value of virtual healthcare to learn how health plans are using virtual solutions to meet member demands while controlling costs:   https://lnkd.in/enDi-xYS    #VirtualCare #HealthPlans #ChronicCare  

Kyruus Health, a UPMC Enterprises portfolio company, released a comprehensive benchmark report revealing why individuals are skipping or delaying health care. ⌛💊 Explore all of the insights from Kyruus' 2024 Care Access Benchmark Report for Health Plans here ⬇️