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Reinventing Claims Management for the Value-Based Era

Aug 21, 2017 | Change Healthcare

Reinventing Claims Management for the Value-Based Era

Here's what you need to know about taking claims management to a higher level.

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Social determinants of health and data are key to enabling better health

Jun 18, 2017 | LexisNexis

Social determinants of health and data are key to enabling better health

If there's one point a recent session at America's Health Insurance Plans ...

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Jun 06, 2017 | Geneia

Improving Payer-Provider Collaboration

Advanced analytics drives payer - provider collaboration and value-based care success.

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Payer Reporting Key to Value-Based Care Success

May 30, 2017 | Geneia

Payer Reporting Key to Value-Based Care Success

Savvy payers want physicians to succeed in value-based contracts and provide them with a comprehensive reporting and ...

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May 19, 2017 | Geneia

So Long Chart Audits

Advanced analytics with clinical integration is the solution to chart audits for payers and their provider networks.

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Healthcare Analytics in the Cloud: Delivering Answers 'as a Service'

Aug 09, 2016 |

Healthcare Analytics in the Cloud: Delivering Answers 'as a Service'

Cloud-service platforms and software applications can help healthcare organizations of ...

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Care Process Redesign: Borrowing from a performance art group

Jul 13, 2016 | InterSystems

Care Process Redesign: Borrowing from a performance art group

The performance by Blue Man Group offers myriad best practices in care process redesign. Learn how ...

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Advanced Analytics Improve Physician Satisfaction and Engagement

Jun 15, 2016 | Geneia

Advanced Analytics Improve Physician Satisfaction and Engagement

Payers are using advanced analytics to improve physician engagement and performance in accountable ...

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Jun 08, 2016 | InterSystems

Oscar and Healthix

Clinical event notifications promote well coordinated, patient-centric care for New York Health Plan members.

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Featured Resources

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

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Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

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Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

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