Healthcare Analytics, Population Health Management, Healthcare Big Data

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How Health Insurance Mergers Could Change the Payer Industry

HealthPayerIntelligence During the summer of 2015, Aetna and Humana, as well as Anthem and Cigna, started a merger process that would reduce four of the nation’s largest insurers down to just two. If the mergers are successful, only three payers would dominate as much as 80 percent of the American marketplace. While these large companies believe there are significant advantages to consolidating their efforts,...


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How Nighttime Telehealth Services Can Improve Overnight Care

mHealthIntelligence In hospitals across the country, the image of the solitary doctor making midnight rounds is changing, thanks to telemedicine. That doctor now sits in front of a tablet, laptop or desktop computer, perhaps at home or even in another country. And...

The Role of Risk Assessments in Healthcare

HealthITSecurity A risk assessment helps covered entities ensure they are compliant with the HIPAA requirements in terms of physical, technical, and administrative safeguards. It also assists in showing potential areas where an organization might be putting PHI...

Key Ways to Boost Collection of Patient Financial Responsibility

RevCycleIntelligence Ever since the Affordable Care Act was passed in 2010, more providers are experiencing a shift in healthcare revenue sources, especially as patient financial responsibility increases. While hospitals and physician practices traditionally communicated...

How Payers Could Succeed in ACA Health Insurance Exchanges

HealthPayerIntelligence State and federal health insurance exchanges stemming from the Patient Protection and Affordable Care Act (ACA) offer medical coverage for families and individuals that would have otherwise had little opportunity to obtain a health plan and healthcare...

How Patient Engagement Supports Chronic Disease Management

PatientEngagementHIT Patient engagement and chronic disease management are both key components in support of the healthcare industry’s shift toward value-based healthcare. Through robust patient support efforts inside and out of the doctor’s office, providers...

How EHR Technology Definitions Influence EHR Use Statistics

EHRIntelligence On a near-annual basics, federal agencies provide updates on EHR adoption that serve as a bellwether of the healthcare's industry technical capabilities, most notably the Office of the National Coordinator for Health Information Technology...

Why Blockchain Technology Matters for Healthcare Security

HealthITSecurity With technological innovations continuing to find a place in the healthcare industry, health data security must remain a top priority for organizations of all sizes. More electronic data is available than ever before, and covered entities are...

Preparing the Healthcare Revenue Cycle for Value-Based Care

RevCycleIntelligence Not only do value-based care models aim to make healthcare providers more accountable for the services they provide to patients, but they are also designed to shift financial accountability away from payers to healthcare organizations. However,...

How Payers Should Prepare for Value-Based Reimbursement

HealthPayerIntelligence Value-based reimbursement is a new payment strategy between insurers and providers meant to foster higher quality care by incentivizing strong performance with shared savings, bonuses, or other financial rewards. This diverges from the more traditional...

How the Affordable Care Act Impacts Patient Engagement

PatientEngagementHIT The 2010 passage of the Affordable Care Act began a thorough overhaul of the healthcare system. Some states expanded Medicaid, consumers began to buy health insurance on federal and state health insurance exchanges, and healthcare professionals...

What Clinical Quality Measures Mean to Healthcare Providers

EHRIntelligence Throughout the healthcare landscape, providers and hospitals must navigate various different incentive programs and quality improvement programs, with which come numerous requirements for clinical quality measures. However, provided the vast...

The Impact of BYOD on Healthcare Providers and Hospitals

mHealthIntelligence While BYOD was thought to have begun around the same time that patients started bringing their smartphones into the hospital, its relevance is driven by doctors who have their own preference for devices. Back in the “good old days,”...

What Hospitals Should Know about Cloud Computing Security

HealthITSecurity With more healthcare organizations implementing mobile devices, and increasing their digital storage options, cloud computing security is quickly becoming a top healthcare industry issue. Healthcare cybersecurity concerns can often make covered...

How to Overcome the Challenges of Bundled Payment Models

HealthPayerIntelligence Bundled payment models are a form of reimbursement between payers and providers that adheres to an episode of care instead of payment for a particular medical service. This reimbursement system was created to transition healthcare providers from...

The 3 Building Blocks Supporting Patient Engagement Strategies

PatientEngagementHIT In the increasingly value-based healthcare industry, patient engagement has become an important buzzword to know. However, the wide-reaching definition of the phrase can often make it difficult to pinpoint. According to the Healthcare Information...

What Is EHR Optimization, How Does It Start?

EHRIntelligence So much of the focus of an EHR implementation is on the go-live and plenty of hustle and bustle precedes a practice's launch of a new EHR technology. However, the digital journey has only just begun at that point and what follows to sustain...

How the Affordable Care Act Changed the Face of Health Insurance

HealthPayerIntelligence The Patient Protection and Affordable Care Act (ACA) has revolutionized the health insurance industry in a number of ways. Its impacts have been vast and wide. One of the most significant impacts of the landmark legislation is the upward trajectory...

BYOD Security in the Healthcare Setting

HealthITSecurity With mobile devices quickly becoming an integral part of daily operations at more healthcare organizations, both covered entities and their business associates need to ensure that they fully comprehend BYOD security and overall healthcare mobile...

What Is Healthcare Revenue Cycle Management?

RevCycleIntelligence While hospitals, small practices, and larger healthcare systems are known for saving lives and treating patients, every healthcare organization needs to develop successful processes and policies for staying financially healthy. That is where...

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