Having provider networks is a necessity. This is true for health plans and providers or hospitals, and especially, for the enrolled members. Managing provider networks can be a lot of…
Author: Shireen Noushad
Currently, trying to navigate through the ocean of Healthcare IT systems, processes, and workflows. Passionate about writing, and stringing together words in the simplest of ways for a better reading experience and easier comprehension.
Concerned About Setting up a Provider Network? Here’s What You Need to Know.
The healthcare ecosystem consists of three participants: payer, provider, and members. Payers and providers are constantly rolling out effective, value-based, good quality care for members. There are several ways to achieve this goal, and here we…
Watch Out for these Anchors Holding you Back from Compliance
The proposed rule is currently titled ‘Reducing provider and patient burden’. However, the proposed rules do not promise any reduction…
Proposals from the CMS to Reduce Burden
Since the past couple of years, the CMS began its journey to instill interoperability into the healthcare ecosystem and trying…
Expanding on Previous Rules to Improve Interoperability and Reduce Burden
Back in May 1, 2020, The Centers for Medicare & Medicaid Services (CMS) introduced the Interoperability and Patient Access Final…
Meandering Through Member Engagement: Save Yourselves a Setback
It has been reiterated time and again by the CMS that member engagement is crucial to both the health plans and members. To…
Driving Member Engagement: A Closer look at Member Journey
Health Plans are in pursuit of ensuring that members get to choose the best healthcare service which results in better care quality and outcomes. To do so, they are expected to come up…
Engage Your Members. It’s Now or Never.
Member engagement is the new trend, taking the healthcare ecosystem by storm. Health Plans are now compelled to make themselves more…
Start Your Journey Towards Analytics Excellence
The healthcare revenue ecosystem is always on the move to achieve operational excellence, to offer personalized policies, proactive care programs,…
Grow your Payer Business with Prescriptive Analytics
The healthcare industry is going through a makeover where organizations are pushed towards patient-centricity. With the rapidly surging volume of…
Optimize Payer Business Growth with Predictive Analytics
Descriptive analytics ensures payer organizations are aware of trends in their workflows and key performance indicators (KPIs). Once a deviation within these trends is identified and addressed, stakeholders may need to…
Improve your Business Performance with Descriptive Analytics
Payer organizations deal with data, day in and day out. It is not enough that payers fulfill their roles in…