Healthmine

🚦 Navigating NCQA’s transition to ECDS measures 🚦    The shift from traditional HEDIS to Electronic Clinical Data Systems (ECDS) reporting is underway, with NCQA phasing in changes from 2024 to 2029. We can support health plans through this digital transition, offering tools for data integration, interoperability, and quality improvement. 💡 Learn more about adapting to the new digital quality measurement landscape: https://lnkd.in/gfHxXTb2 🎯

📣 Both quality and risk teams benefit from getting members to proactively schedule provider visits and close care gaps, but these teams are usually working independently of each other. The downstream impact of this lack of connectivity is member abrasion caused by confusing, duplicative and overwhelming outreach. 🫤

💙 Happy National Employee Appreciation Day! 💫 Today, we want to take a moment to recognize the hard work, dedication and passion of our Healthmine team. Your commitment to collaboration, innovation and integrity makes Healthmine a great place to work and an even better partner to our clients. We are so grateful for everything you do to support our mission of transforming healthcare and improving member outcomes. Thank you for bringing your best every day!

Even though health plans can’t conduct their own surveys with CAHPS questions during the blackout period, these months can still be put to strategic use. Find out how you can use this time to: ⭐ Consolidate member data   ⭐ Close member experience blind spots  ⭐ Segment CAHPS influencers   ⭐ Tactically engage members and resolve issues     Get started and hit the ground running as soon as the blackout period ends: https://lnkd.in/dcHiR2nC

As health plans anticipate changes to program requirements under the new administration, most notably to the Health Equity Index, we’re hearing an instinctual reaction to pause on community-based work. Ana Berridge, Executive Advisor, is recommending plans keep moving forward with initiatives that eliminate barriers to care. "Whether there is a health equity program or not, engaging with all members and addressing social determinants is the best way to improve performance on quality measures that remain." Read more on Ana’s advice to plans right now: https://lnkd.in/gXN2MuFj

At Healthmine, we take pride in attentive, respectful, and transparent hiring practices. We ensure a safe, secure candidate experience from start to finish. Our recruiters will never request personal data through a general corporate email. If you receive suspicious outreach, please message us—we are happy to verify authenticity. ✅ Healthmine is actively hiring now. Check out our open roles at https://lnkd.in/dcAhPXjp

The new administration has yet to release definitive language on the future of Medicare and Medicaid. Everything from reimbursements to drug negotiations and health equity could be impacted, depending on the new administration’s vision for healthcare policy, and health plans may be asked to shift priorities mid-year.

☑️ 📣 Resource alert 📣 Every year, health plans are asked to do more with less. That’s compounded by unpredictability in government programs under the new administration, requiring plans to streamline operations and resource utilization in case of a mid-year program shake up.  Download an operational efficiency checklist to identify opportunities in member engagement, data processes and compliance that reduce workload burdens and lower costs: https://lnkd.in/guqEnWYf

🎉 Healthmine is growing, and we’re thrilled to welcome three talented new team members. 👥 Tangie Haines joins us with 20+ years of client services and healthcare account management experience, ready to drive impactful solutions and strengthen client relationships. 📊 Sanaz Nosrat, PhD, CSCS brings 15+ years in healthcare analytics and research, enhancing data-driven strategies and improving member engagement. 📝 Laura Cahill adds 20+ years of expertise in marketing and communications, bringing a strong healthcare marketing background to amplify Healthmine’s strategic messaging. We’re excited to have you on board! Welcome to the Healthmine family. 💙 🎊

📢 Compliance isn’t just a box to check—it’s a key pillar of effective member outreach. Health plans must ensure compliance with TCPA regulations and alignment with risk when engaging members via text, email, and outbound calls. 🔍 Evidence of consent is critical to avoid regulatory risks and maintain member trust. Aligning with compliance teams early streamlines initiatives, ensuring secure communication and adherence to HIPAA. 🎥 Watch as our head of compliance Tracy E Tracy shares insights on the importance of aligned and compliant engagement strategies: 🔗 https://lnkd.in/gGtuSyMZ