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 means that payers must put in extra effort to ensure…
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Posts Tagged :
compliance
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 holding them back from the miracles of analytics. The lack of…
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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 just evade penalties but also to attain the end goal…
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The Genesis of FHIR
The need for interoperability was first highlighted back in the 1980s when payer organizations had to expand to working with data from more than one system. They needed a foolproof method of…
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Lost in Provider Management? Here Are a Few Ways Out
In the previous blogs, we’ve covered payment models and the processes involved in provider network management. However, in practical world scenarios, managing a provider network can be tedious and repetitive. In this blog, we shall…
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Here’s What You Need to Know About Provider Network Management
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 work. Identifying the providers and hospitals according to the parameters mentioned in…
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Electronic Prior Authorization For Medicare Part D – The Essentials
The new CMS mandate for Electronic Prior Authorization (ePA) requests focuses on the NCPDP SCRIPT version 2017071 standard for four electronic Prior Authorization (ePA) transactions. The PA initiation request/response, PA…
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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 Rule. The rule aimed to improve healthcare quality provided by…
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Increased Transparency to Encourage Cost-effective Care Decisions
With the onset of consumerism in healthcare, health plans must be prepared to make adjustments or modifications to IT systems and business processes to include the oncoming set of rules…
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The CXO Toolkit: Areas of Focus in Healthcare Technology Development in 2021
Since the Meaningful Use initiatives of 2009, Healthcare Information Technology (HIT) development has been driven by continually evolving healthcare regulations. The Interoperability and Patient Access Final Rule & the 21st Century…
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Patient Safety Reporting & Healthcare Payouts
March 8 – 14 was the patient safety awareness week, and as we at Nalashaa look deeper into our goal – accountable healthcare; we will be understanding Patient Safety Reporting…
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QOPI – Aiming to assess and improve cancer care
Quality Oncology Practice Initiative (QOPI) is a program by the American Society of Clinical Oncology (ASCO) exclusively for outpatient chemotherapy clinics and practices, to work as a tool to measure…
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