Resources

The $12B Behavioral Health Challenge: Why Health Plans Must Prioritize Care Coordination and Value-Based Care Today

Health Plans managing behavioral health (BH), mental health (MH), substance use disorder (SUD), and reentry programs face mounting pressures. The stakes are high—not just for the vulnerable populations they serve, but for the plans themselves. Poor care transitions, lack of measurable outcomes, and outdated processes cost $12B annually while jeopardizing state contracts and competitive bids. As value-based care (VBC) becomes a cornerstone of healthcare reform, the time to act is now. Health Plans must adopt a care coordination strategy that ensures seamless transitions across all levels of care while establishing meaningful benchmarks to drive accountability and success.

Published on

April 9, 2025

Articles

Longitudinal Member Management: A Game-Changer for Health Plans

Fragmented care coordination costs Health Plans millions in unnecessary expenses and missed opportunities to improve health outcomes. According to a study by the Agency for Healthcare Research and Quality (AHRQ), nearly 20% of Medicare beneficiaries experience care transitions that are not well-coordinated, resulting in higher rates of readmission and complications. Discover how Longitudinal Member Management can transform your organization's approach to care coordination.

Published on

April 1, 2025

Articles

Transforming SNF to HHA Referrals: Discover How to Achieve Seamless Care Transitions

The healthcare landscape faces significant challenges in seamlessly transitioning from skilled nursing facilities (SNFs) to home health agencies (HHAs). Mr. Johnson, an 85-year-old patient, experienced a preventable hospital readmission due to a disorganized referral process, where incomplete information sharing between the SNF and HHA resulted in delays in receiving necessary medical equipment. Too often, this scenario is a reality. This blog explores the critical issues surrounding the referral process and the steps in resolving them.

Published on

March 25, 2025

Articles

The Cost of Inaction: Why Safe Returns Matter for the Success of Skilled Nursing Facilities

Safe returns are critically important for Skilled Nursing Facilities (SNFs), which face challenges and consequences from unsafe transitions. A comprehensive approach is necessary to ensure patient safety and compliance with regulatory guidelines. By implementing a robust, safe return process, SNFs can protect patients, safeguard their financial stability, and maintain a strong reputation.

Published on

March 18, 2025

News

The Looming Crisis in Skilled Nursing Facilities: Are You Prepared for F627 and F628?

As March 24, 2025, rapidly approaches, a seismic shift will rock the skilled nursing facility (SNF) landscape. Introducing F627 and F628 regulations represents a critical change that demands immediate attention from SNF leaders and stakeholders. These new guidelines will transform how facilities handle transfers and discharges, and the consequences of being unprepared could be severe.

Published on

March 11, 2025

Webinars

Revolutionizing Care Coordination: Insights from Oak Street Health and Olio

In an enlightening webinar, leaders from Oak Street Health and Olio shared their innovative approach to post-acute care management, highlighting the transformative impact of their partnership on patient outcomes and healthcare delivery.

Published on

April 12, 2024

Case Studies

How Banner Plans & Networks Discovered Patient Co-Management with Olio

Banner Health, an integrated healthcare system based in Phoenix, turned to Olio to help them better manage patients with their network providers. The end result is simple-to-use patient co-management that offers real-time information and comprehensive data, allowing Banner to scale quickly and efficiently.

Published on

April 5, 2024