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Curbing low-value, unnecessary Medicare spending is a goal of every plan. However, because so many factors influence spending, achieving cost reduction can be challenging. When plans look at the cause
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The pursuit of cost containment in health care never waivers. Medicare and Medicaid plans leverage various strategies, resources and tools to improve the quality of care while reducing costs. Even wit
The health outcomes of your members depend on many factors. As a Medicare plan, you may only have direct control of some of those factors. Although you can provide members with resources and access to
A member's experience of their health plan is a critical element of the healthcare ecosystem. It’s not the same as member satisfaction, instead, member experience is centered on the perception of inte
Loneliness is a significant health threat to millions of people. It’s not just a feeling and is not the same as social isolation. Chronic loneliness is a condition that changes the brain and puts thos
Emergency department (ED) visits are often time-consuming, traumatic and costly. So why is there such high overutilization of this channel? The reasons are varied and complex. They are common because
Every Medicaid plan wants to reduce health care costs. However, achieving that goal comes with many challenges.
Social determinants of health (SDOH) play a significant role in how your members seek, respond to and carry through with care. When members face challenges related to SDOH, they can impact everything
Everyone imagines they know what a lonely person “looks” like. However, Pyx Health data on loneliness contradicts what many people might expect. Our infographic debunks common loneliness myths by show
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