The Patient Protection and Affordable Care Act, also known as Obamacare, signed into law on March 23, 2010 has had…
Population health management
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…
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…
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…
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.…
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…
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…
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…
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…
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…
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…
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…