Liberation Lab

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 Outdated processes — like relying on phone calls — fail to scale engagement and leave care teams overwhelmed.Health plans are turning to AI-driven technologies, such as co-pilots, to modernize care management. These tools enhance traditional care management by automating outreach, improving data-driven decision-making and expanding digital engagement across all risk levels.Join industry leaders as they share real-world insights on how AI and automation are transforming care management. Learn how your organization can:Expand digital reach and engage more members effectivelyOvercome key challenges, from data quality to adoption hurdlesStreamline workflows and reduce operational burdensImprove member outcomes and measure the ROI of digital strategies

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, interoperable workflows, and advanced consumer data platforms to empower individuals, enhance experiences, and build trust, according to IDC.When providers are seamlessly integrated as essential contributors and collaborators in care management, organizations can unlock significant benefits, including better health outcomes and enhanced operational efficiency.Join industry leaders from IDC and Medecision for an engaging panel discussion where we will share IDC's latest research, practical insights, and best practices. These discussions will bridge the gap between payers and providers, laying the groundwork for future-ready care management practices.Listeners will hear about:Techniques for leveraging data interoperability and FHIR-based solutions.Best practices for establishing data-sharing transparency.Methods for aligning value-based care objectives.Approaches for promoting digital tool adoption supported by AI and analytics.Frameworks for designing comprehensive wellness and engagement programs.Insights into the importance of closed-loop feedback for sustained, coordinated care efforts.Why Listen? Gain valuable insights and practical strategies from leading experts to empower your organization's digital care management initiatives. This session is essential for healthcare leaders aiming to optimize collaboration and harness the full potential of digital care management solutions.

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 effective at scale, health plans need the technology and automation to strategically leverage all their data to optimize medical costs, reduce administrative expenses, improve outcomes and personalize engagement.What's available to empower care management teams to create that contextual awareness? Cutting-edge digital care management tools with capabilities to rapidly deliver real-time data insights that enable care management teams to build highly personalized digital outreach.During this podcast, attendees will learn:The keys to modern digital care managementThe emerging digital tools that can best support membersLessons from efforts to deliver true personalization to the member experiencePresenters: Katherine Schneider, MD, MPhil., FAAFP, CMO, MedecisionMamata Majmundar, MD, Chief Medical Officer, Evry HealthcareJai Raisinghani, Deputy Chief Information Officer, CenCal HealthRia Paul, MD, Chief Medical Officer, Santa Clara Family Health PlanHoward Brill, Senior Vice President, Population Health & Quality, Monroe Health Plan for Medical Care

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 in care intelligenceThe critical role of sub-second analytics for immediate access to dataThe benefits of integrating all clinical data sourcesSolutions for incorporating non-clinical data sources to enhance insightsWhy purpose-built healthcare data platforms are more cost-effective and efficient than custom-built solutionsFeaturing: The Aerial Data Platform and Clinical Intelligence EngineDiscover how risk-bearing healthcare organizations are leveraging the new Aerial platform to target high-value opportunities like optimizing care management, engaging individuals like a consumer company, improving prior authorization turnaround times, reducing readmissions, boosting STARS ratings, and more. Learn how Aerial's adaptability sets a new benchmark for data integration and intelligence in healthcare.SpeakersPavel Grebenshikov, Chief Technology Officer, MedecisionKatherine Schneider, MD, MPhil., FAAFP, CEO, Two Canoes Health, LLCKenneth Young, President and CEO, Medecision

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 PolicyEric Schiavone, MPH – Director, Maverick Health Policy

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 individualsEmpower patients to achieve better outcomesIncrease collaboration across the care continuumPanelistsKenneth Young, President & CEO, MedecisionDr. Robert Groves, Executive Vice President & Chief Medical Officer, Banner | AetnaJessica Chaudhary MD, Medical Director, CarelonLearn more at https://www.medecision.com/ 

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 outcomesIn 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  

Did you know that, despite 95% of health plan executives stressing the importance of personalization, only a third consider their operations highly personalized?This podcast will examine the results of Medecision's exclusive market research. We will explore the current state of utilization management and care management, the value of a contextually-aware view of members, how personalized experiences are driving impact at the health inflection point and the opportunities to more strategically leverage data.View the Market Report here. 

The 2021 Star Ratings Power Hour: Bottom-Line Impact and Strategies was recorded on June 30, 2021.In this episode, Julie Barnes, JD, Founder and Principal of Maverick Health Policy, and Kimberly Swanson, Vice President of Quality and Clinical Integration at Network Health Plan share valuable insights on the new measures and weighting, and ideas for optimizing your technology tools while implementing best practices to improve your member experience.  

In this episode, Julie Barnes, JD, Founder and Principal of Maverick Health Policy, shares valuable insight into the prior authorization rule affecting utilization management and what health plans and healthcare providers should be considering as policies evolve. 

In this episode, we bring together healthcare leaders with vast experience in caring for and engaging underserved and vulnerable populations. Our experts include Dr. Jan Berger, founder and CEO of Health Intelligence Partners, Jesse Thomas, CEO of Healthy Blue, and Dr. Terri Steinberg, Medecision’s group senior vice president of analytics and population health and chief medical officer. Facilitated by Chris Mahai, president of Aveus, this episode discusses both the challenges and opportunities of restoring trust and engaging with underserved populations.

In this episode, we bring together some of the most thoughtful and visionary healthcare policy experts for an engaging executive-level discussion about post-election policy implications for the healthcare industry. Our expert guests include Colin Roskey, Principal and Partner at Lincoln Policy Group, and Krista Drobac, the founder of Sirona Strategies. Facilitated by Julie Barnes, founder and Principal of Maverick Health, this episode helps connect the dots in our changing political landscape.

In this episode, we speak with health economist, advisor, trend weaver, and author, Jane Sarasohn-Kahn. Jane shares the major trends she’s seeing as COVID reshapes health consumer behavior, including virtual health adoption, digital transformation in all aspects of our lives, and keeping “health at home.” She also analyzes some of the toxic side effects of the pandemic, such as rises in loneliness, depression, and food insecurity.Designed to leave you thinking about how you can leverage the opportunity to help bring health where it needs to go, Jane has graciously offered to answer any questions our listeners may have. You may contact her by visiting her website, or find her on Twitter @healthpopuli.

In this episode, we invite Lynne Dunbrack, Group Vice President at IDC Health Insights, and ChristianaCare CareVio leaders Nicole Masci and Barb Gillis to share their expert insight into virtual care in the “new normal” and best practices for creating and optimizing a patient or member virtual engagement program.Click here to download your complimentary Guide to Starting or Accelerating Your Virtual Engagement Program.

In this episode, Medecision President and CEO Deb Gage facilitates a roundtable discussion about virtual health with healthcare leaders Dr. Janice E. Nevin, President and CEO of ChristianaCare, and Karen L. Hanlon, Executive Vice President and Chief Operating Officer of Highmark Health.Our guests discuss the value-based care and virtual health programs that they have created, and how the pandemic has required that they accelerate and adapt their digital health operating models. Also at the table, Medecision Advisory Board Member Dr. Richard Popiel brings his unique perspective on the consumer approach to healthcare and how COVID accelerated the adoption of virtual care, including telehealth and remote patient monitoring.

Game Changing Strategies for Virtual Health was recorded on September 21st, two-thousand-twenty during the Modern Healthcare Virtual Health Summit.In this episode, Medecision leaders Deb Gage and Rick Koloski , along with Dr. Terri Steinberg, the Chief Health Information Officer and Vice President of Population Health Informatics at ChristianaCare, share practical business advice for transforming your healthcare ecosystem and virtual capabilities to meet rising market demand and remain competitive.This full session is also available as an on-demand webinar.

In this episode, special guest Dr. Terry McInnis joins us to talk about what we’ve learned about the coronavirus, since she spoke with us back in April. Terry began her career as a physician in the Air Force, and has since held many roles as chief medical director and chief medical officer at large and small companies, including GE, Michelin, Glaxo, and most recently, leading the value-based care organization at LabCorp. Today, Terry shares her perspectives on what we know, several months in, about Covid-19. She shares updates around the symptoms people are experiencing, concerns over the long-term impact of the virus, and the hot topics that are on all of our mind – When will we see a vaccine? Is it safe to send my kids back to school? What kind of mask is best?The not-to-be-missed episode ends with some Q-and-A with Medecision’s Liberators, and was recorded on Monday, August 10, 2020.

Facilitated by Ellen Dalton, Medecision’s Executive Vice President and Chief Marketing and Customer Experience Officer, and our special guest, Dr. Shoshana Ungerleider, this episode explores how the COVID-19 pandemic is affecting and changing end-of-life decisions, patient and care team dynamics, palliative care choices, and grief and mourning.Dr. Ungerleider is an internal medicine physician focused largely on improving the end-of-life experience for patients and their families, as well as increasing access to communications skills training for clinicians. She is the founder of the End Well Project, a multidisciplinary community that unites design, technology, health policy, and activist initiatives to create a cultural shift in how we think about end of life.

In this episode, we spoke with Babette Apland, the Managing Director of Call to Mind, the initiative from American Public Media and Minnesota Public Radio focused on fostering an open conversation about the importance of mental health, particularly during this time of unprecedented change and unknowns. At Call to Mind, Babette leads a national initiative to measurably raise the public’s awareness and understanding of mental health, how it is integral to the health and well-being of individuals, and its critical importance to the vitality of communities and society. This episode, including a Q-and-A session with the live audience, is facilitated by Chris Mahai, the President of Aveus and People Resources at Medecision.

This episode, Driving Quality Initiatives Now and Into The Future, is the second of a two-part conversation. In part one of this conversation, Julie Barnes from Maverick Health Policy discussed the evolving CMS quality measure guidance due to COVID-19.In this episode, Rebecca Molesworth, Medecision’s Senior Director of Data Intelligence, continues the conversation around quality measurement with our guest, Kevin Weinstein, who is the President of the Population Health Division of SPH Analytics. They discuss the heightened importance of a value-based approach, what quality initiatives may look like in a post-COVID-19 world, and how the Medecision and SPH partnership is transforming quality measurement.

In this episode, Julie Barnes, Founder and Principal of Maverick Health Policy, and a health care policy expert with years of experience helping the private sector navigate federal government activities that impact the health care system, discusses the evolving CMS quality measurement guidance due to the COVID-19 pandemic, and the implications it may have for all of the stakeholders in healthcare.

In this episode, Dr. Carolyn Smith discusses the principles of bioethics during the COVID-19 pandemic, the public health code of ethics, and triage and the allocation of scare resources. She examines the ethics of research, end of life issues, and moral distress facing everyone involved in this pandemic.

In this episode, Medecision Advisory Board Chair, Dr. Richard Popiel, examines some of the early trends that may define our new normal, and highlight how the healthcare industry - and society at large - are likely to look fundamentally different in a post-COVID world.

In this episode, A Discussion About Novel Coronavirus – Facts, Lessons and a New Revolution, our Executive Vice President and Chief Marketing and Customer Experience Officer Ellen Dalton facilitates a conversation with Medecision Advisory Board member, Doctor Terry McInnis.

Doctor Jan Berger gives us some thought-provoking perspectives around what Population Health looks like during, as well as after the COVID-19 pandemic, and what that may mean for the healthcare ecosystem.

Terri Kline, an epidemiologist, Medecision Advisory Board member, and long-time partner gives us some fascinating and valuable perspectives around what’s happening with the COVID-19 pandemic and the implications it may have on our healthcare ecosystem.