Three Key Ways to Improve Provider Education

According to a survey conducted last year, physicians work an average of 51 hours per week. In addition to time spent seeing patients, these doctors spend valuable time handling administrative tasks such as documentation, checking on test results and reading through patient records and other clinical information. Physicians also have a professional commitment to staying […]

Value-Based Care: Benefits and Challenges in the Current Healthcare System

The United States is a world leader in many categories. For instance, America spends more than any country on medical research and development and is at the forefront of developing automation and artificial intelligence technology. However, we also have the most expensive healthcare system in the world. Just last year, the U.S. spent $10,586 on […]

Healthcare Payers and Providers: Combining Resources with Technology Players to Control Costs

Physician selecting which tech tool to improve resource management and patient care.

The Affordable Care Act (ACA) has brought about a lot of changes in the healthcare industry in the United States. One such instance is the requirement of plans sold through the Health Insurance Marketplace to cover treatment for pre-existing medical conditions. Because of this, payers can’t deny coverage to high-risk patients or charge them exorbitant […]

Predictive Analytics in Healthcare: Transitioning Data into Actionable Insight

We can’t predict the future, however, the healthcare industry is working to address cost and utilization issues through predictive analytics. As defined by CIO Magazine, predictive analytics is a category of data analytics aimed at making predictions about future outcomes based on historical data and analytics techniques that can generate future insights with a significant […]

Third-Party Reviewers: Offering Streamlined Solutions for Payment Integrity

Unfortunately, the healthcare industry faces challenges with financial waste. It has been estimated that the healthcare system in the United States wastes approximately $765 billion annually, about 25 percent of what is spent. Part of this number is due to payment integrity issues such as fraud, waste and abuse (FWA). If you’re not familiar with […]

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