Nalashaa Healthcare Blogs
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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The outbreak of the COVID-19 pandemic presented a unique challenge for care providers. They were handed the daunting task of identifying patients who needed medical attention the most. The burdensome…
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The healthcare industry is currently undergoing a tectonic shift towards a patient-centric care model to pursue Value-Based Care (VBC). To unearth the ‘value’ in care delivery, care providers must tap into incoming…
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Cost is one of the key elements that profoundly influences the efficiency of care delivery operations. Care providers don’t just incur costs when acquiring resources for care delivery. Expenditure is…
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Patient engagement was initially only a methodology to ramp up the extent of patient satisfaction. With the improvement of healthcare technology, many benefits of patient engagement such as patient safety, transaction efficiency…
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Access to healthcare is undoubtedly one of the most important factors in leading a well-rounded, healthy life. Although access alone is not enough, healthcare must also be easy to comprehend…
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It has been reiterated time and again by the CMS that member engagement is crucial to both the health plans and members. To the health plans, engaging with members contributes to their shared…
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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 with innovative and effective member engagement strategies. As the term suggests, Member engagement is about…
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Member engagement is the new trend, taking the healthcare ecosystem by storm. Health Plans are now compelled to make themselves more approachable with enhanced member experience. By definition, member engagement is the interaction health…
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Data is the octane that powers the revenue-generating engines of all businesses on Earth. The CMS and ONC understand the possibilities of digitizing and storing high-quality data well, and this explains the…
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On December 13, 2016, the 114th United State Congress passed the 21st Century Cures Act with an intention to make it big in the face of U.S Healthcare. While it is designed to accelerate preventive care, health…
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From member enrollment, eligibility checks, and provider network management to billing and collection, healthcare payers are involved in handling and reporting sensitive healthcare data. The healthcare payer process is drawn out and cumbersome, with human errors resulting in penalties and loss of revenue, and must be automated…
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