Other content in this Stream
Clinical Watch: November 2018
In October 2018, the FDA approved an expanded indication of the HPV vaccine Gardasil 9® to include females and males aged 27–45 years.
Independent Medical Review Checkup
Since 2013, the California’s workers compensation system has resolved utilization review (UR) disputes regarding medical necessity through a process called independent medical review (IMR).
Standardization and Data Governance Matter More than Ever in Healthcare IT
Health systems have demonstrated the value of providing clinicians with insights at the point of care through analytics projects based on the records of the current population.
Using Data and Analytics to Prevent Healthcare-Associated Infections
Every week it seems like there's a report about a new super bug that can put you at risk when you're in a hospital.
How Technology is Driving the Consumerism of Healthcare
As part of the shift from reactive to proactive care and the emergence of omnichannel outreach to improve patient engagement, a new delivery paradigm is crystalizing in the healthcare space.
CMS Proposed Physician Payment Overhaul Creates Opportunities, Challenges
A CMS proposed rule intends to reduce administrative burdens, change payment rates and more. But the changes may not be budget-neutral for Medicaid.
How Digital Interactions Are Expanding the Horizons of Healthcare
In the new landscape of value-based care, reimbursements and drug approvals will demand insights into how therapies impact (and improve) human health.
Digital Technology and the Evolution from Reactive to Proactive Patient Care
The way that providers and patients in the U.S. healthcare system have interacted for far too long could be characterized as the "catch and release" paradigm.
White Paper: Using Digital Technology to Streamline Claims Management
This white paper illustrates how partnering with TPA providers can help payers transform their business. The post White Paper: Using Digital Technology to Streamline Claims Management appeared...
The Role of Omni-channel Outreach in Patient Engagement and Health
Though 2/3 of healthcare providers report having a patient outreach center, a large number of them fall short of creating a true, omnichannel patient experience.
Social Determinants Provide a Deeper Understanding of Medicaid Member Needs
Social determinants disproportionately affect low-income populations like Medicaid members. Programs now have new ways to address them and improve health.
Consumer-Driven Healthcare Trending in Medicaid
A view of consumer-directed Medicaid spending accounts.
Consumer-Directed Accounts for Medicaid Programs
Transforming Member Engagement
Healthcare Payer Services Overview
Fraud, Waste and Abuse Detection Solutions for Healthcare
The Necessary Evolution of BPS/BPO
Business process services (aka business process outsourcing) is at a crossroads. In one direction, the focus is on doing traditional BPS/BPO better –– delivering higher quality and better...
3 Things Healthcare Organizations Can Offload Now for Lower Costs, Better Care
What's the low-hanging fruit when it comes to Healthcare outsourcing? By letting go of some of those administrative tasks, healthcare providers can expect to see the lower cost/better care.
Thinking Outside the Box: How to rein in spiraling administration costs in healthcare
It’s time to move employees’ financial wellbeing up the agenda