The landscape of healthcare in the United States has undergone a transformative shift, moving towards a patient-centric approach. This fundamental…
data management
AI in Healthcare: Its Scope and Benefits Over the Ethical Dilemmas.
Artificial intelligence (AI) has made significant strides in revolutionizing the healthcare industry, particularly in diagnosing diseases, predicting patient outcomes, and…
Revolutionizing Healthcare Claims Adjudication with Custom Solutions
The adjudication of medical claims occurs when an insurance provider reviews them and decides whether to accept or reject them.…
The Major Applications of Big Data in Healthcare
Doctors and healthcare administrators are able to make better judgments about treatments and services thanks to the collection and analysis…
Patient Protection and Affordable Care Act – Benefits and Payment Parameters for 2023
The Patient Protection and Affordable Care Act, also known as Obamacare, signed into law on March 23, 2010 has had…
Here’s How You Can Drive Contextual Member Engagement
Member engagement solutions play a crucial role in the smooth functioning of a health plan. Keeping members happy, satisfied, and…
Reduce Claims with New and Improved Member Engagement Strategies
Payers and members make up two-thirds of the healthcare ecosystem and bear the brunt of the care delivered. Undesired care…
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.…
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 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…