While working as a graduate student intern for a clinical documentation company, Jeff discovered his passion for the healthcare industry. He stayed there for 1…
Interoperability: What’s Coming and What You Need to Do
Now, more than ever, the need for data-sharing activity among payers, providers, and patients is necessary to enhance care and improve outcomes. Interoperabili…
The alignment of business and technology, especially in this industry, is becoming increasingly important. To be successful, technology leaders must understand…
Keeping Information Secure Remains Top Of Mind For Health Plans
Security incidents that involve customer or member data are completely debilitating for a health plan’s business. On average, a data breach costs hea…
Challenge The Inefficient Status Quo In Claims Administration
Today, many health plans use homegrown or legacy systems that assume manual work as part of the process. With limited automation and integration, organizations…
Systems That Easily Integrate Necessary For Improving Claims Accuracy Rates
Once a health plan finalizes a claim, they do not want to go back and fix it retroactively. Claims accuracy rates improve productivity, reduce errors, and are …
So many regulations are intertwined; health plans cannot ignore the ones that may seem insignificant. Every year these smaller regulation changes get bigger.
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