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AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

HIT Consultant

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Code is written by humans who have unconscious biases, and those biases can creep into the algorithms of AI when Quality Assurance functions are not properly sensitized to detect them.

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Inovalon Launches Race & Ethnicity Data Enrichment Offering for Health Plans

HIT Consultant

These challenges can affect the completeness of population data and hinder efforts to incorporate race and ethnicity data into holistic member-centric care and intervention planning, which can also significantly impact a health plan’s overall quality ratings. While promising, some indirect methods pose challenges as well.

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Racial Bias in Algorithms: How One State is Leading the Charge

NASHP

NCQA recently updated their Health Plan Accreditation Population Health Management (PHM) standard category to require organizations to assess its segmentation or stratification methodology for racial bias. The Center for Applied AI released a playbook that defines the processes and tools that can help measure and address bias.

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Supporting Youth Mental Health through Crisis Stabilization Facilities: Wisconsin Case Study

NASHP

youth diagnosed with anxiety, depression, and other behavioral health challenges increased over a five-year period from 2016 to 2020.[4] 6] In Wisconsin, young people up to age 25 were identified as a specific population group falling through the gaps in the behavioral health system.[7] Across the U.S., 5] Additionally, 18.1

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Why Health Plans Are Vital to Health Equity

HIT Consultant

Disparities in the way medical professionals assess and treat pain in people of color, for example, have been the focus of many studies and reflect an unconscious bias among some medical professionals that prevents members from getting the care they need. Create a social index score.

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State Community Health Worker Models

NASHP

CDC Centers for Disease Control and Prevention. CHW Community Health Worker. CHA/P Community Health Aid/ Practitioner. NCQA National Committee for Quality Assurance. NIH National Institutes of Health. PH-MCO Physical Health Managed Care Organization. PHW Pandemic Health Worker.

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Back to the Future: Welcome to the Patient Centered Medical Home (Guest Post)

Health Dialog

Better Monitoring for Chronic Conditions and Preventive Care. Your health insurance company may have a list of these practices in your area. The National Committee for Quality Assurance has a directory of primary care physicians that have earned their approval as PCMH practices. Population Health Management.