Payers and members make up two-thirds of the healthcare ecosystem and bear the brunt of the care delivered. Undesired care…
Healthcare Automation: A Look At The Essential RPA Use Cases in 2022
Make no mistake, Robotic Process Automation (RPA) isn’t anything like the robots you generally see in science documentaries or Sci-fi…
Top 5 Reasons Why Healthcare EDI Implementation is Needed for Providers
In 1991, the Healthcare EDI systems came to existence. Since then, it has been embracing many changes, owing to various…
Keep Your Providers Happy With Assistance from Analytic Solutions
A good provider network is essential for payers. Finding new providers and enrolling them into networks is relatively easier than maintaining one.…
Top 3 Software Solutions for Healthcare Insurance Companies
Health Plans are one of the most crucial aspects of care for patients. Since health plans have to interact with…
All the EDI Standards for Healthcare and their Respective Use-Cases
Electronic Data Interchange(EDI) creates a secure and common format for exchanging sensitive healthcare information between different organizations. This is used…
The No Surprises Act: What Health Plans Need to Know
According to the first-ever survey conducted in 2020 by debt.com on medical debts, 46% of Americans are in medical debt.…
Utilize Data Analytics to Reduce Member Dropout
Member management is crucial to healthcare payer organizations. Member engagement KPIs are what decide a payer’s Net Promoter Score. This…
How Do Analytics Help Reduce Payer’s Burden?
Before we step into how data analytics can transform a payer’s organization for the better, one must address the chains…
The TEFCA Updates 2022
The Trusted Exchange Framework and Common Agreement (TEFCA), is the primary constituent in the ONC’s roadmap for nationwide HIT interoperability.…
The Various Facets of FHIR
FHIR has taken the healthcare industry by storm. Health plans are rushing to incorporate FHIR into their systems to not…
Reducing Burden with FHIR APIs – Part 2
With the latest Interoperability and Patient Access rule, the proposals to reduce provider and patient burden, FHIR-based APIs have become the talk of…