SOURCE: MEDecision Inc.

Medecision Inc.

February 24, 2014 09:00 ET

Medecision Paving the Road to Population Health Management

Announces Patent-Pending Extension of Aerial™ Platform to Automate Clinical and Financial Insight

WAYNE, PA--(Marketwired - Feb 24, 2014) - Medecision, the leader in connected care solutions for risk-bearing healthcare entities, announced today that executives from ApolloMed (Glendale, CA) and Baystate Health (Springfield, MA) will team with the Company at HIMSS 2014, February 23-27, to showcase their business and technology strategies to "Connect Care" -- in the pursuit of highest-quality population health management.

Medecision will demonstrate the Company's Aerial™ platform at HIMSS 2014 Booth #4665. The platform includes capabilities to drive insight and action within the healthcare ecosystem. With Aerial, risk-bearing healthcare organizations can measure performance, identify and stratify at-risk patient populations, manage workflow tasks, create care plans, and connect care providers, consumers and health plans to create personalized and high-quality experiences for consumer engagement and activation.

At HIMSS, the company will introduce and demonstrate a new, patent-pending interface which automates referrals and authorizations at the point of care, automating data and decisions from the EHR to and through health plans and back to the exam room. Currently deployed in the market, this access to bi-directional, real-time clinical and financial insight instantly informs the care team; saves physician, nursing and clerical time; and delights consumers with critical treatment and coverage information completed at the point of care during the office visit. 

"As the industry moves to transform systems of care from episodic management to population health, Medecision is liberating health systems, physicians and consumers by delivering technology innovation with exemplary execution and expertise," said Deborah M. Gage, president and CEO, Medecision. "Our clients and business partners are progressive organizations that are committed to solving the legacy challenges of disconnected data silos, disengaged consumers and disenfranchised physicians. We are excited to be among the first to showcase use cases where advanced value-based care is defined and delivered." 

HIMSS 2014: See Connected Care in Action

At HIMSS14, Medecision will host leaders representing progressive organizations that are partnered with the Company to improve health and care within their communities. These industry-leading, innovative "Connectors" will present in Medecision Booth #4665 to highlight how they are leveraging Aerial across the care cycle in their organizations:

  • At the individual consumer level, to deliver seamless, patient-centric care coordination and care management
  • At a population health management level, to profitably and effectively manage populations at risk
  • Throughout the care cycle, to streamline workflow, engage patients and members, and improve experiences and outcomes in the care process

Meet the "Connectors"

  • Gary Augusta, executive chairman, ApolloMed

    Tuesday, February 25, 2014: 10:00-10:30 AM, Medecision Booth #4665

    Headquartered in Glendale, California and dedicated to putting the patient first, ApolloMed is a leading physician-driven, integrated healthcare company. Its integrated model combines hospitalist medicine, critical care medicine, case management and transition management, and Medecision's Aerial platform to help healthcare organizations engage in performance payments for utilization efficiency, quality of care objectives and shared accountability arrangements. ApolloMed ACO was one of only eight ACOs selected to participate in the Medicare Shared Savings Program by CMS in California in 2012. At HIMSS, Gary Augusta, executive chairman for ApolloMed, will draw upon his experiences to host a discussion that focuses on the top three factors in "Building a Thriving, Integrated, Multi-Disciplinary Network of Connected Care."

    Register Here
  • Joel Vengco, vice president and CIO, Baystate Health

    Tuesday, February 25, 2014: 2:00-2:30 PM in Medecision Booth #4665

    Baystate Health, one of the largest health systems in New England, and its subsidiary Health New England (HNE) are partnering with Medecision to drive new levels of innovation, connectivity, transparency and flexibility across the care cycle and multiple health IT systems. At HIMSS, Joel Vengco, vice president and CIO for Baystate Health, will lead a discussion focused on "Liberating Data to Improve Engagement and Outcomes," highlighting the approach Baystate is taking to liberate their most valued asset--data (beyond the EMR)--so that it can work to improve health and engage Baystate's patients and community. He will speak to the health system's efforts to crowd source innovation around the possibilities that emerge from liberated data, and how this approach might benefit the ACO, the hospital, IDN and the payer/provider entering into new care and risk models.

    Register Here

At HIMSS, Medecision will also introduce further value in Connecting Care with the revelation of its patent-pending Aerial™ "Utilization Management Data Liberation Engine"--the only application to eliminate the waiting time, patient inconvenience and physician-required staffing associated with burdensome Utilization Management--preauthorization, referral and eligibility--processes. With the introduction of the engine, staff time and touch against UM processes are completely eliminated. Physicians can now order procedures from within the EHR, and the requests automatically loop through to the payer and, if approved, authorization comes back immediately. 

  • Automating the preauthorization/referral and eligibility verification process saves, on average, an estimated $10 per transaction per year (1).
  • The average physician practice devoted 1 hour of physician time, 13.1 hours of nursing time, and 6.3 hours of clerical time to the prior authorization process each week (2).
  • Nearly two-thirds of physicians (63%) typically wait several days to receive prior authorization (3).

Register for a Private Demonstration of Aerial

For more information about Medecision at HIMSS, or to learn about how to start the journey to Connected Care and profitable and effective population health management, visit http://www.medecision.com.

About Medecision

Medecision is the leading provider of Connected Care technology and services for risk-bearing healthcare organizations including health plans, hospitals, thousands of physicians and millions of consumers. Working within the framework that patients, care providers and health plans are all driving towards better health outcomes, Medecision and its Aerial™ solution help connect all stakeholders to liberate the highest quality and most cost-efficient care.

As more organizations transition to accountable care and delegated risk management, Medecision continually applies its 25 years of experience, comprehensive technology platforms, significant investments in research and development, and the broadest implementation and clinical expertise to ensure consumers receive the best possible care. With Medecision as a business partner, health plans and care providers confidently manage through market changes, regulatory updates and new populations, while improving quality and reducing costs.

1 Electronic Transactions Between Payors and Providers: Pathways to Administrative Cost Reductions in Health Insurance, Milliman, May 6, 2010
2 "What Does It Cost Physician Practices To Interact With Health Insurance Plans," Lawrence P. Casalino et al, Health Affairs 28.4 (2009): w533-w543 at w537
3 New AMA Survey Finds Insurer Preauthorization Policies Impact Patient Care, press release, Nov. 22, 2010