A good provider network is essential for payers. Finding new providers and enrolling them into networks is relatively easier than maintaining one.…
interoperability
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…
Reducing Operational Burden with FHIR APIs – Part 1
With the introduction of the Interoperability and Patient Access rule, FHIR APIs created quite the buzz within both the payer and the provider communities. As…
What’s So Great About FHIR? Find Out Here
Affordable healthcare is the need of the hour and interoperability is the means to that end. The healthcare ecosystem is looking…
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…
Post COVID-19 Care Provider Enablement: The HIT fixes for the Post Pandemic World
The COVID-19 pandemic has disrupted healthcare delivery significantly. Care facilities across the United States sustained financial losses that threaten the…
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…
Watch Out for these Anchors Holding you Back from Compliance
The proposed rule is currently titled ‘Reducing provider and patient burden’. However, the proposed rules do not promise any reduction…