In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that ...

Compared with usual care, a dementia care management program improved various cost of care and utilization metrics in a Medicare managed care population at 12 months. Objectives: To examine a 12-month ...

Understand the importance of Robust AI Risk Management for health care. Enhance efficiency while mitigating new risks.

When catastrophic conditions aren’t treated as their own vertical, plans risk applying standard care or general case management models that lack the depth, coordination, and domain expertise required.

Are you interested in regulatory compliance and risk management jobs in the healthcare or business finance industry? Compliance-related jobs are one of the hottest growth areas in the U.S., with the ...

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to ...