Nalashaa Healthcare Blogs
The Patient Protection and Affordable Care Act, also known as Obamacare, signed into law on March 23, 2010 has had a series of rules and regulations published under its wing.…
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Member engagement solutions play a crucial role in the smooth functioning of a health plan. Keeping members happy, satisfied, and healthy works in the favor of both the health plan…
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Payers and members make up two-thirds of the healthcare ecosystem and bear the brunt of the care delivered. Undesired care outcomes mean growing inconvenience for the member who has to…
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A good provider network is essential for payers. Finding new providers and enrolling them into networks is relatively easier than maintaining one. Providers can choose to drop out from health plans for…
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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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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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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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With the latest Interoperability and Patient Access rule, the proposals to reduce provider and patient burden, FHIR-based APIs have become the talk of the town. The latest proposed rule works towards enhancing health information…
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Affordable healthcare is the need of the hour and interoperability is the means to that end. The healthcare ecosystem is looking into ways they can enable this affordability as soon as possible, and…
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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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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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Do you comply well with the frequent updates of the Transparency in Coverage Rules and Consolidated Appropriations Acts? Having a hard time managing everything on your own? Don’t fret! First,…
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