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3 Interoperability Must-Haves for Modern Care Management Systems
Historically, health plans were forced to choose between care management systems that offered best-of-breed functionality but required heavy involvement from I…
The True Meaning of Interoperability for Care Management
Interoperability may be one of the most over-used words in healthcare. Everyone has their own definition of the term, and everyone says they do it. But when it…
The one with the best data typically wins, right? We’ve seen it happen time and time again in our personal lives and in other industries.
If you are a pare…
Health plans are constantly looking for new ways to reduce operational costs and improve efficiencies, but many of the issues that have plagued health plans fo…
6 Distinct Advantages of Real-Time for Health Plans
Background
Many health plan customers have historical workflows that rely on batch processes – file a claim on Day 1 and the results are available on Day 2 …
Over the last 3 years, I’ve helped new HealthEdge clients implement our software. During that time, I’ve learned countless tips and tricks to improve the imple…
To remain competitive in today’s rapidly changing healthcare market, health plans need a modern solution that can easily integrate across their enterprise to i…
New CAQH Reports Offers Pandemic Perspective On Adoption Of Electronic Processes
The non-profit organization CAQH® has been issuing a steady drumbeat of reports over the years about how much money and time could be saved across the healthca…
We all know at this point we are experiencing a never-before-seen shift in what employees expect from their employers. These changing expectations are especial…
Top 5 Tips for Presenting New Software to your Board
In my prior role as a health plan CIO, one of my responsibilities was to evaluate, select, and justify software solutions – and often to prepare materials to s…
The Role of Good Data in Addressing Health Inequities
Health equity is under discussion throughout the industry, as more and more research demonstrates that the prevalence of bias – even structured into healthcare…
Payers and States Prepare for End of the Public Health Emergency
With the Omicron variant starting to recede and political pressure starting to build to end the Public Health Emergency (PHE), various sectors of healthcare ar…
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