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How the Right PBM Can Boost the Member Experience—and Star Ratings
As member ratings, complaints and other experience measures take on added weight in the Medicare Stars program, having the right pharmacy benefit management is critical for drug plans.
7 Reasons Data Science Should Be Part of Your Risk Adjustment Coding Strategy
Big-data approaches can improve coding accuracy while relieving documentation burdens.
Evolent Health’s Emily Rafferty and Michael Miller share reasons to consider choosing a new administrative platform.
The Heart of Care: Thorough Review Uncovers a Missing Medication
Performing a patient’s annual medication review, Evolent Clinical Pharmacist Avani Arora recognized a vital missing drug and quickly addressed the issue.
Medicare beneficiaries in Evolent’s care management programs had fewer hospitalizations and lower health costs.
The Heart of Care: Addressing Behavioral Health, Immediate Needs Go Hand in Hand During Social Isolation
Behavioral Health Specialist Teena Lovern takes a whole-person approach to help patients facing challenges on multiple fronts.
The Heart of Care: Navigating Post-Discharge Care Gaps During a Pandemic
When a patient did not receive critical medications for her respiratory problems, Evolent Health's Linda Cassidy stepped in to help close the gap.
Evolent’s Brandon Barber explains how health plans can transform risk adjustment from a back-office, financial task to a patient-focused activity with clinical benefits.
The Heart of Care: Removing Roadblocks to Help a Vulnerable Patient Stay Home
Evolent's Sara Plucker helped a man with multiple chronic diseases obtain important medications and avoid out-of-pocket pharmacy costs as COVID-19 threatened his community.
Cobbling together an administrative platform from various point solutions can produce IT headaches, hurt care coordination and detract from the provider experience.