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Managing Operational Volatility During Medicaid Redeterminations

Medicaid redeterminations place intense operational pressure on health plans. Eligibility teams, enrollment operations, member services, billing, and provider support often experience spikes in workload as members renew coverage or transition out of programs. The challenge is not only volume. It is volatility. Workload levels can shift quickly based on state timelines, member communication cycles, documentation […]
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5 Ways Health IT Executives Can Transform the Data Center

Scalability needs push IT leaders out of physical spaces and into the cloud. “Healthcare executives increasingly realize how critical IT […]

Healthcare 2020: 8 healthcare questions you need to be prepared to answer

HealthcareDive – A recap of the National Business Group on Health’s 2017 Business Health Agenda conference “If you didn’t attend […]

Digital Therapeutics: The Future of Health Care Will Be App-Based

Forbes – Tech News “The key difference is that digital therapeutics implement treatment programs tailored to specific ailments, especially major […]

Clampdown on network directories fueling online solutions

HealthcareDive Feature “Providers are struggling to keep up with requests to verify network directory data as health plans comply with […]

Who’s responsible for protecting patient data in the cloud?

Cybersecurity experts lay out the facts, and misperceptions, about securing data in the cloud. The answer is not so simple. […]

Healthcare executives on overcoming the barriers to payer-provider data exchange

FierceHealthcare Exclusive “The holy grail of data-sharing is integrated clinical and claims data. But there are plenty of barriers, from […]

Internet unleashes .health domain names

Healthcare Industry News “The health care industry now has its own domain name on the internet, just like universities have […]

CMS releases proposed rules on Outpatient and Physician Fee Schedule

HIMSS News “Last month, the Center for Medicare and Medicaid Services (CMS) released two new Notice for Proposed Rulemaking (NPRM).”  Read […]

Partnership-Driven Cost Savings in Healthcare

Core Admin Processing Systems: Our Hidden Engine A frequently overlooked driver of cost savings is streamlined back-office operations. At HealthAxis, […]

Member Engagement for Payers Should Focus on Simplicity

Claims Management News from HealthPayer Intelligence “Effective member engagement strategies for payers should focus on locating member pain points and […]

OIG plans to investigate $15 billion in meaningful use payments

Healthcare IT News on Meaningful Use Payments “The Department of Health and Human Services Office of Inspector General will review […]

Guides Help Employers Decide on Accountable Care Organization Use

Value-Based Care News “ACOs have the potential to deliver lower-cost, higher-quality and more consumer-focused health care. However, with over 900 […]