Resources

Search or filter the Resources library to gain access to a rich set of content designed to provide insight into key topics impacting your business.
Blog Post June 14, 2022
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Providers Struggle with Realities of Transparency
Providers Grapple with Regulatory Realities Providers appear to be grappling with the regulatory realities of value-based care, especially when it comes to …
Blog Post June 09, 2022
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"Stacking" Editing Solutions vs Prospective Payment Integrity
With complementary access to Gartner research, Adopt Prospective Payment Integrity to Thwart Healthcare Fraud and Improper Claims Payment. Improper claims p…
Blog Post June 07, 2022
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6 Leadership Skills for Building a Resilient Workforce
How health plan leaders can maximize productivity without burnout. Why Resilience Matters  Think about the last time your health plan faced a large …
Blog Post June 02, 2022
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5 Requirements for Health Plan Vendors to Achieve Payment Integrity
Standard Manual Processes and Disjointed Tech Stacks Combat Payment Integrity Traditionally, payer’s internal IT and business operations have implemented g…
Blog Post May 31, 2022
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Why Automation Technology Will Disrupt Claims Processing
Summary Automated claims technologies are uniquely positioned to increase accuracy of claims because: Most claims paid by health insurers are based on…
Blog Post May 26, 2022
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‘500 Shoppable Services’ Could Be the Next Healthcare Buzzwords
  The healthcare ecosystem is rolling slowly toward greater transparency, but there are many challenges. Among them is predicting consumer behavior in …
eBook May 26, 2022
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GuidingCare for D-SNPs: Simply Effective Care Management for a Complex Market
Info Sheet May 26, 2022
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The Impact of Effective Care Management on the D-SNP Population: A Conversation with Commonwealth Care Association
Info Sheet May 26, 2022
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Modernizing Claims Processing and Realizing Big Savings: A Conversation with SummaCare
Infographic May 26, 2022
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The Growing D-SNP Market and Impact of Effective Care Management
Blog Post May 24, 2022
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Why Isn't the Payment Error Rate Closer to 0% for Health Plans?
Claims Payment Accuracy Hasn’t Significantly Improved in Recent Years Today the overall claims error rate is at 6.26%. In the past decade this error rate ha…
Infographic May 20, 2022
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SummaCare Case Study Infographic