The Patient Protection and Affordable Care Act, also known as Obamacare, signed into law on March 23, 2010 has had…
Population health management
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The Role of Population Health Management in US Healthcare
According to the Centers for Disease Control and Prevention (CDC), population health management (PHM) is “an interdisciplinary, customizable approach that…
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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…
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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…
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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.…
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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…
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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…
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Provider Network Management Challenges and Solutions
Managing a provider network can be a time-consuming and repetitive task because government regulations are constantly changing. Furthermore, each organization…
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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…
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Concerned About Setting up a Provider Network? Here’s What You Need to Know.
The healthcare ecosystem consists of three participants: payer, provider, and members. Payers and providers are constantly rolling out effective, value-based, good quality care for members. There are several ways to achieve this goal, and here we…
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The Healthcare Interoperability Roadmap for 2021
The COVID-19 pandemic is still at large, operating in waves and through transmutation. It appears that its effects are destined…
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Complying with Public Disclosure Requirements
As the dates set for public disclosure requirements, Jan of 2022, draws close with every passing day, it is best…