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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According to the Centers for Disease Control and Prevention (CDC), population health management (PHM) is “an interdisciplinary, customizable approach that allows health departments to connect practice to policy for change…
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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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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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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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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 work. Identifying the providers and hospitals according to the parameters mentioned in…
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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 shall delve into one of them – provider networks. A health…
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The COVID-19 pandemic is still at large, operating in waves and through transmutation. It appears that its effects are destined to linger for many years to come. While most of…
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As the dates set for public disclosure requirements, Jan of 2022, draws close with every passing day, it is best for everyone involved if health plans got themselves aligned with…
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