Member management is crucial to healthcare payer organizations. Member engagement KPIs are what decide a payer’s Net Promoter Score. This…
technology
Here’s How You Can Implement Transparency in Coverage
In the previous blogs, we have defined the Transparency of Coverage rule’s compliance requirements and their corresponding solutions. Now that the expectations from the solution is set, here we are looking at the implementation. Let’s cut straight to…
Exploring the Opportunities to Reduce Cost In Healthcare Operations
Cost is one of the key elements that profoundly influences the efficiency of care delivery operations. Care providers don’t just…
Uncovering The Drawbacks Hampering Transparency In Coverage
Access to healthcare is undoubtedly one of the most important factors in leading a well-rounded, healthy life. Although access alone…
Start Your Journey Towards Analytics Excellence
The healthcare revenue ecosystem is always on the move to achieve operational excellence, to offer personalized policies, proactive care programs,…
The 2021 Physician Schedule – RPM Updates
The 2019 Physician Fee Schedule introduced three new CPT codes (#99453, #99454, and #99457) to enable hospitals and home health…
Optimizing Utilization Management with Technology
The technological capabilities have changed the shift from volume to value-based care. The combination of value-based delivery with actionable intelligence…
How Technology can enable PHM?
Healthcare organizations need to have technological capabilities within their care delivery processes to effectively use data to manage the cost…
Blockchain use cases in Healthcare Industry
Blockchain holds the potential to transform healthcare industry by assimilating the disparate processes in the pharmaceutical industry and healthcare ecosystem.…