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Medecision: A New Day for Liberating Healthcare at AHIP Institute 2012

Company Demonstrates New Solutions for Sustainable, Value-Based Healthcare Management, Delivery and Consumer Engagement (June 18, 2012)

SALT LAKE CITY, UT -- (Marketwire) -- 06/18/12 -- Booth 1138 -- Medecision, Inc., the leading provider of healthcare management solutions, will showcase stories of healthcare liberation at the America's Health Insurance Plans (AHIP) Institute 2012, June 20-22. The company will demonstrate solutions that enable the transformation of care delivery and management, enabling healthcare organizations and consumers to improve care coordination and management, while containing costs.

"At no time in recent history have we have experienced greater momentum and alignment for system-wide transformational changes in patient care and cost containment. As a result, more effective risk and care management are required core competencies for all healthcare organizations," said Deborah M. Gage, president and CEO, Medecision. "Medecision pioneered in care management over the past 20 years and we are introducing significant expansions of our market leading care management solutions to enable delivery systems, physicians, health plans and consumers develop and expand these critical competencies. We are looking forward to showcasing these transformation-enabling solutions -- on the leading edge of technology, clinical practice and engagement -- at AHIP Institute."

At AHIP, Medecision will unveil a new suite of solutions, based on state-of-the-art open architecture -- including new Saas and cloud-based delivery models -- to enable greater care collaboration, consumer engagement, and the management of new risk models by providers, plans, and newly emerging accountable care organizations. With deep evidence-based medical protocols connected to powerful workflow and connectivity solutions, the new solutions have a proven track record of rapid, yet highly-configurable implementation with cost-effective support.

"As new forms of risk contracting emerge and care delivery transforms, Medecision has been partnering with leading healthcare organizations -- payers and providers alike -- to integrate new models of care management," said John McGahey, executive vice president and Chief Revenue Officer for Medecision. "The solutions we will unveil at AHIP Institute enable a connected, data-driven approach, with an emphasis on identifying and addressing opportunities for proactive intervention."

Medecision will feature in-booth demonstrations, presentations and success stories focused on helping healthcare organizations meet these challenges at AHIP Institute.

Demonstrations will be geared to attendees looking for ways to contain risk and manage overhead, manual processes and costs and support tighter communication with care provider partners. For example, attendees searching for a way to proactively maximize HEDIS® and Star ratings and better engage consumers will see how the company's solutions ease the creation of a clinically-validated unique plan of care for each member. And, those looking for ways to automate and streamline administrative transactions with care provider partners (referrals, inpatient and outpatient authorizations, for example) can see firsthand how the company's provider portal delivers automated authorization capabilities that can boost auto-approval rates to nearly 70% and result in an ROI 30% greater than a standard 278 transaction -- saving time and helping to keep and attract the best providers in their network.

Leaders at the forefront of health reform implementation will also share their thinking and powerful approaches to building sustainable, value-based healthcare models in Medecision's booth (#1138) at AHIP Institute:

  • 'The Recipe for Improving Quality Measures and Care Management' - Industry veteran Opella Ernest, MD will outline her recipe for improving quality measures and care management on Thursday, June 21, 9:45-10:00 am MT in Booth 1138. Dr. Ernest will draw on her experience as Senior Medical Director, Government Programs, for one of the largest Blue Cross Blue Shield Organizations in the nation in addition to her previous medical management leadership roles at HealthSpring, Inc., First Health, MedMark Services and Advocate Health Centers to share her thoughts regarding the "ingredients." That is -- integration, evidence-based intelligence and programs, and health organization collaboration -- to understand members and establish programs that can deliver the quality care beneficiaries deserve.

  • Nationally known for her work in the field of accountable health and patient engagement, Medecision's new Chief Medical Officer, Dr. Katherine Schneider, will present, 'Liberate Healthcare: Strengthen the C in Accountable Care' on June 21 from 1:15-1:30pm MT in booth 1138. Dr. Schneider will call on her experiences as the former Chairman of the Board of the Accountable Care Organization and Senior Vice President of Health Engagement at AtlantiCare in New Jersey, her work to integrate chronic disease management into primary care at Middlesex Health System in Connecticut, and her current appointment as a member of the National Advisory Council to the Agency for Healthcare Research and Quality (AHRQ) to outline the top three initiatives every health organization should consider now in order to significantly strengthen the 'C' in accountable care. Attendees will gain perspective on the holistic approach and alignment of integrated solutions to support care teams of the future -- providers, payers, purchasers and people -- needed to significantly impact the triple aim: better outcomes, improved care experiences and reduced costs.

  • Larry Schor, senior vice president and general manager, Value-based Health Solutions for Medecision, will share, 'A Maturity Model for Value-based Health,' on June 21 from 4:00-4:15pm MT in booth 1138. Pace your investments in value-based health to the providers' readiness to assume accountability for performance. Schor's insight -- honed through nearly 30 years of experience in the healthcare and technology sectors -- including leadership roles at Verisk Health, Ansley Capital Group, Hēlus, Inc., CoreSource, Inc., and Corporate Health Strategies -- will be invaluable to those looking for a strategic framework and tactical maturity model for value-based health solutions.

For more information on Medecision at AHIP Institute, or to learn about the company's full range of health management solutions, please visit or follow @medecision.

About Medecision
Medecision is the leading provider of healthcare management solutions serving national, regional and local health plans, insurers and provider-based care organizations, more than 74,000 physicians and 44 million consumers. Working within the framework that patients, care providers and health plans are all driving towards better health outcomes, Medecision and its Aerial™ solutions help connect all stakeholders to liberate the highest quality and most cost-efficient care.

As more organizations transition to value-based care, Medecision continually applies its 23 years of experience, its comprehensive technology platforms, significant investments in research and development, and the strongest clinical expertise to ensure consumers receive the best possible care. With Medecision as a business partner, health plans and care providers confidently manage through market changes, regulatory updates and new populations, while improving quality and reducing costs.

Medecision is a trademark of Medecision, Inc. The Medecision logo and product names are also trademarks or registered trademarks of Medecision, Inc. Other product and brand names are trademarks of their respective owners.

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Media Contact:
Sherri Stuart
Medecision, Inc.
(484) 323.2692

Kerry Stanfield
Carabiner Communications
(770) 614-3920

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