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 increasing mandates. […]
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 cost to […]
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 the full […]
65% of healthcare partnerships lead to cost savings, study shows
Reducing Healthcare Costs “More healthcare organizations are partnering in hopes of reducing healthcare costs, improving quality of care and achieving better outcomes. […]
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 simplicity of […]
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 the accuracy […]
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 ACOs in […]
Building the Healthcare System of the Future
Multiple solutions are being put into play to help determine the future of healthcare. Healthcare in the United States is changing rapidly. […]
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. “The National […]
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 perpetual state […]