Michael Crosnick

In the rapidly evolving landscape of healthcare, the integration of Artificial Intelligence (AI) is poised to revolutionize the business models of health plans. From enhancing care coordination to streamlining claims processing, utilization management, authorizations, denials, enrollment, and customer service, AI presents unprecedented opportunities for efficiency, cost-effectiveness, and improved patient outcomes. In this article, I will explore the potential impact of AI across various facets… Show more

In the rapidly evolving landscape of healthcare, the integration of Artificial Intelligence (AI) is poised to revolutionize the business models of health plans. From enhancing care coordination to streamlining claims processing, utilization management, authorizations, denials, enrollment, and customer service, AI presents unprecedented opportunities for efficiency, cost-effectiveness, and improved patient outcomes. In this article, I will explore the potential impact of AI across various facets of health plan operations, accompanied by hypothetical examples. Show less

Managed care, as a strategic approach to healthcare delivery, encompasses various models designed to improve efficiency, quality, and accessibility. This brief article explores the benefits of managed care, encompassing aspects such as cost containment, patient engagement, innovation, and the integration of behavioral health services.

Medicaid managed care plans play a crucial role in the U.S. healthcare system, serving as a mechanism to deliver cost-effective and coordinated care to vulnerable populations. However, these plans are not without their challenges. This article will explore some of the key hurdles faced by Medicaid managed care plans and their strategic objectives for meeting and overcoming these challenges.

Making a commitment to incorporate teamwork and communication as part of the EHR implementation project is critical to the success of the project; and collaboration, as an integral part of culture change, is an essential part of the EHR implementation plan. While nothing can guarantee success, lack of teamwork, collaboration and communication will certainly advance failure.

In the rush to meet government mandates or receive CMS incentives, many hospitals and providers have adopted EHRs utilizing the same clinical workflows established in their pre-EHR setting. In other words, they have simply automated an inefficient process overlooking strategies to improve decision support, workflow efficiency, effectual user training, communication, and financial performance. That said, there is still ample opportunity to for process improvements in a post EHR implementation… Show more

In the rush to meet government mandates or receive CMS incentives, many hospitals and providers have adopted EHRs utilizing the same clinical workflows established in their pre-EHR setting. In other words, they have simply automated an inefficient process overlooking strategies to improve decision support, workflow efficiency, effectual user training, communication, and financial performance. That said, there is still ample opportunity to for process improvements in a post EHR implementation environment. Show less

Always communicate extensively with the staff about which phase of the adoption path the EHR implementation is in. Also, as the practice gets to actual implementation, the practice should begin thinking about how it plans to communicate this change to the patients. Within the practice, a well-defined communication plan should be in place that provides a framework for informing, involving, and obtaining buy-in from all participants throughout the duration of the project.