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Audit Preparedness: Best Practices for Health Plans to Stay Compliant

Preparing for audits is a year-round priority for healthcare organizations. The ever-evolving regulatory landscape requires health plans to adopt a proactive approach that integrates compliance monitoring, staff education, risk management, and transparent communication with auditors. Achieving audit readiness is essential to streamline processes, minimize risks, and maintain compliance during audits. In this blog, I’ll outline […]
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Audit Preparedness: Best Practices for Health Plans to Stay Compliant
Commercial/Private Health Plan Solutions

Consumers open to more digital health use, survey finds

Consumers are also using a wider array of digital health tools, according to the survey, which found a three-fold increase […]

CMS offering $30 million in grant funding to improve quality measures

The funding is to develop partnerships with health systems, clinicians and others to improve measures in the quality payment program […]

A Healthy Start to the Plan Year Begins With Quality Medicare Advantage Enrollment Processes

For individuals who have Medicare, they have recently had the opportunity to enroll in a 2018 Medicare Advantage or other […]

The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs

Reducing healthcare costs not one-size-fits-all, report finds

A new Network for Regional Healthcare Improvement (NRHI) report that reviewed healthcare costs for five states found huge differences concerning […]

Three reasons telemedicine will grow in 2017

Biggest Health IT wins for new spending bill

HIMSS Senior Director of Congressional Affairs broke down how the massive spending bill will boost telehealth, Medicaid and other crucial […]

5 trends in Healthcare Analytics for 2018

In a recent white paper, Tableau outlines significant trends in healthcare analytics for 2018. “Leaders of The demand for higher […]

Payers, Providers Pledge to Improve Prior Authorizations

AHIP, BCBSA, AHA, and other organizations have agreed to improve the efficiency of prior authorizations. “Leaders of organizations participating in […]

The rise and risk of IoT in healthcare

AI funding exceeds $1B in 2017

Report confirms what industry watchers have already been noticing: Artificial intelligence in healthcare is hot. “The quality and reliability of […]

How Payers, Providers Could Streamline Medical Claims Management

All-Payer Claims Databases Offer Insights into Healthcare Spending

The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision […]

FDA lays out digital health goals in 2018 strategic roadmap

Leveraging innovation and competition to better healthcare is one of the four cornerstones of the Food and Drug Administration’s 2018 […]

CMS launches voluntary bundled payments model, first since spiking mandatory bundles

The agency’s Innovation Center said the new Bundled Payments for Care Improvement Advanced model is the first APM that would […]

Medical Device Data, UDIs on Claims Impact Costs, Patient Safety

According to recent reports, payers who incorporate medical device data and UDIs into their claims may improve costs and patient […]