Author: Sarah Simon

The behavioral health crisis in America continues to escalate. With mental health conditions affecting one in five adults and contributing to over $200 billion in annual healthcare spending, traditional fee-for-service models are inadequate to address this growing challenge.

One in four people in the United States struggle with mental health, and leaders agree that today's system lacks the resources to support them. Issues such as prolonged wait times, inadequate insurance coverage, and a scarcity of providers across the…

Untreated mental health conditions often prevent people from seeking medical care, leading to more expensive emergency treatments. Personalized, targeted outreach based on AI-enabled insights can help address this problem.

Weight loss management is a common component of many corporate wellness programs. Health plans often offer such programs as a way to encourage plan members to lead healthier lives, while simultaneously helping reduce outlays for costly health services.

Recent advancements in healthcare—such as telemedicine and automation—have propelled progress, but Medicaid populations continue to be left behind.

Health plans must do a better job of educating members about their benefits and costs while shifting from focusing on compliance around price transparency to member engagement. While digital tools are increasingly important, providers must continue to offer traditional engagement…

Claims adjudication is a complex process with rising costs. Solutions involve a combination of automation, selective outsourcing and process optimization to lower costs and improve efficiency.

Engaging individuals who suffer from behavioral health issues, so that they can be guided to the best care and providers, is a challenging task for health plans. Success often depends on luck in having them pick up the phone and…

Chronic kidney disease and end-stage renal disease increase morbidity, decrease quality of life, and can be extremely costly for the healthcare system. By using artificial intelligence (AI), healthcare providers can identify high-risk patients at earlier stages, which allows them to…

Chronic kidney disease (CKD) and end-stage renal disease (ESRD) are notoriously costly and complicated conditions to manage.