×

Blog

The Future of Health Plan Administration: How AI and Automation Are Paving the Way for Sustainable Growth

In today’s rapidly transforming healthcare landscape, health plans face mounting pressures to balance operational demands, cost efficiency, and member satisfaction. While artificial intelligence (AI) and automation offer promising solutions, many payers remain hesitant and uncertain about their practical applications and benefits. However, specific technologies like conversational AI and robotic process automation (RPA) are proving their […]
Read More →
The Future of Health Plan Administration: How AI and Automation Are Paving the Way for Sustainable Growth
How Do HIPAA Regulations Apply to Wearable Devices?

How Do HIPAA Regulations Apply to Wearable Devices?

HIPAA regulations are something that every healthcare organization should be prepared for, but what does HIPAA have to do with […]

Should Accountable Care Organizations Include Social Services?

Should Accountable Care Organizations Include Social Services?

In order to reduce medical spending and boost patient outcomes, accountable care organizations may need to integrate social services. “While […]

Big Data Analytics Link Economic Wellness to Population Health

Big Data Analytics Link Economic Wellness to Population Health

Counties experiencing economic prosperity are more likely to score highly on population health metrics, according to Blue Cross Blue Shield. […]

APMs, Health Data Exchange among Top Payer Reform Goals

APMs, Health Data Exchange among Top Payer Reform Goals

A new report identifies APMs, health data exchange, patient engagement, and community resources as the top four healthcare reform areas. […]

Payers of the future will need to play nice with providers for the patient's sake

Payers of the future will need to play nice with providers for the patient’s sake

Market dynamics and business goals will change how health insurers structure themselves, PwC says. “The healthcare industry is in a […]

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

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

When Republicans pulled their Affordable Care Act replacement bill last Friday, Lauren Lake’s primary reaction was relief. “For many people […]

64% of Healthcare Providers Not Ready for MACRA Implementation

64% of Healthcare Providers Not Ready for MACRA Implementation

A recent survey found that adapting quality reporting systems and developing a team-based effort are top MACRA implementation challenges. “Provider […]

Securing data integrity at the ‘front door’ of care delivery

Securing data integrity at the “front door” of care delivery

Although most of the health industry has moved records and administrative processes from paper to digital, human error remains a […]

Expanding Beyond HIPAA Audit Prep for Information Governance

Expanding Beyond HIPAA Audit Prep for Information Governance

The recent AHIMA toolkit focusing on HIPAA audit preparation is a key tool for organizations, but it is just the […]

HIPAA audits unlikely to change under new administration

HIPAA audits unlikely to change under new administration

Providers are unlikely to see any major changes to Health Insurance Portability and Accountability Act audits under the Department of […]

America's employers play a vital role in the 'repeal and replace' debate

America’s employers play a vital role in the ‘repeal and replace’ debate

Our nation’s great health reform debate risks missing the forest for the trees. While shoring up the individual market and […]

Obamacare on the ropes, progressives push single payer in California

Obamacare on the ropes, progressives push single payer in California

Progressive grassroots groups are turning their eyes west, where California Democrats are pushing a new bill that would create a […]