Blog

The latest in population health management.

Medicare Advantage Regulatory Updates

February 22, 2023

Medicaid Unwinding Progress & Concerns

Medicaid is the largest health insurance program in the U.S., covering approximately one in five Americans. That equates to 82.3 million low-income Americans, including millions of children, older adults, people with disabilities, and two million veterans. Medicaid is the single

Medicare Advantage Regulatory Updates

February 15, 2023

Medicare Advantage Regulatory Updates

Claw Backs and Beneficiary Protections in the Form of CMS Regulatory Changes – Massive Financial Implications

Handshake between doctor and payer

January 18, 2023

Impact of the New CMS Healthcare Interoperability Rule | ZeOmega

Much of the direction of the 2020 proposed rule is in the new proposed rule, particularly the sharing of prior authorization decisions/status with patients.

Key Takeaways and Insights from the 2024 Medicare Advantage Proposed Rule

December 29, 2022

Key Takeaways from 2024 Medicare Advantage Proposed Rule | ZeOmega

The Centers for Medicare and Medicaid (CMS) released the 2024 Medicare Advantage Proposed Rule on December 14, 2022 and the 957 page document is scheduled to enter the federal register on December 27th, 2022.

Male and female doctor reviewing a document at a office desk

December 6, 2022

Reducing Burden in Healthcare Prior Authorizations

To reduce the burden of the prior authorization, many providers and payers have come together to develop solutions. Learn more.

Male and female looking at data on computer screen

December 1, 2022

Healthcare Enterprise Management Platform for High-Touch Member Engagement

Contact rates for case managers were better than 50%, yet actual enrollment in our programs was less than 10%.

Data on screen

AI and Its Value in Enhancing Member Engagement

Member engagement has been a crucial component within the healthcare industry, and it is growing in importance.

Data on screen

Medicare Advantage Star Ratings at Risk for 2023

Measure year 2022 saw record-breaking numbers of Medicare Advantage (MA) health plans achieving five-Star Ratings, but with pandemic adjustments—which focused on pre-COVID-19 data.

Company meeting

Smart Electronic Prior Authorization as a Gateway to Care Management

The prior authorization process is often viewed as a burden by providers, necessitating staff resources and delaying care. Generally, the experience is considered abrasive.

Group of runners on road at sunset

Improving the Cost of Wellness vs Cost of Care

There has been a lot of talk about the cost of care, but what really is the “cost of care,” and can it be reduced? I propose striving to reduce the cost of care is a misunderstood concept.

Eldery woman talking to young adult sitting on a park bench

Customization Vs. Personalization

What’s the difference between customization and personalization, and what does that have to do with enterprise-grade population health management applications?

Data on tablet and paper

ZeOmega’s CareIntel: Improving Quality Outcomes One Person at a Time

Common wisdom holds that data is the critical component of population health. The key to success, however, comes from identifying relationships and meaning within the data that affect both broad populations and individuals within those populations.

Small team meeting in conference room

February 23, 2021

ZeOmega’s CareIntel Enhances Consumer Engagement and Experience

One of the most significant challenges for population health programs is understanding how to connect macro-level population health patterns to engage people within those populations.

Medical data on screen

February 16, 2021

ZeOmega and the Quadruple Aim: Save Time and Money by Lowering Costs

opulation health initiatives aim to help patients maintain optimal health and ultimately save money by managing and preventing disease.

Technical data on screen

February 7, 2021

Achieving the Quadruple Aim with ZeOmega’s CareIntel Artificial Intelligence Solution

It’s no secret that the Quadruple Aim – healthcare’s holy grail of reducing costs, improving population health, enhancing patient engagement, and improving the experience for healthcare providers.