Healthcare Analytics, Population Health Management, Healthcare Big Data

Financial Analytics

Pharma, Life Science Leaders Face Big Data Analytics Challenges

October 8, 2018 - Pharmaceutical and life science companies are staring down major challenges as value-based care alters the healthcare landscape, but those that are further along in their digital transformations are also more likely to embrace innovation and creative thinking about common business problems, according to a new survey by Deloitte and MIT. Organizations that have more mature big data...


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Can Big Data Solve the Health Insurance Transparency Problem?

by Jennifer Bresnick

Along with housing, food, and transportation, healthcare is one of the biggest monthly expenses for American families – and the specter of an unexpectedly high bill for a major illness or surgery haunts the tens of millions of...

Why Healthcare Should Study Up on Lessons Learned in Fintech

by Jennifer Bresnick

The healthcare industry’s slow but steady transition from volume to value is about much more than reshaping the delivery of clinical care.  While improving quality is certainly a daunting challenge in and of itself,...

Financial Big Data Analytics Woes Plague Healthcare Providers, Payers

by Jennifer Bresnick

Healthcare providers and payers must improve their financial big analytics competencies if they wish to succeed in 2018’s rapidly evolving business environment, says a new report by Kaufman Hall, but few organizations have the...

Using Business Intelligence to Fine-Tune Operating Room Utilization

by Jennifer Bresnick

Surgical space is a finite resource for hospitals and health systems, and it is also one of the most important.  Long wait times for an operating room are simply unacceptable for most physicians and their patients, especially when...

Healthcare Financial Analytics, Business Intelligence Market Takes Off

by Jennifer Bresnick

Financial analytics and business intelligence tools are poised to become the next major area of investment for healthcare providers and payers, predicts a new series of market reports. As hospitals and physicians deeper into value-based...

93% of Payers, Providers Say Predictive Analytics are the Future

by Jennifer Bresnick

Healthcare organizations will not be able to navigate the financial and clinical challenges of the future without investing in predictive analytics tools, said more than 90 percent of respondents to a Society of Actuaries (SOA)...

Revenue Cycle Analytics Enable Value-Based Care for Pediatrics Group

by Jennifer Bresnick

Value-based care contracts are becoming increasingly popular for providers and payers looking to slim down spending and increase quality, but few organizations can truly flourish in the pay-for-performance environment if they do not have...

CMS Continues Data Transparency Push with Medicare Drug Info

by Jennifer Bresnick

CMS is continuing to demonstrate its newfound commitment to data transparency by releasing information on 2015 Medicare spending rates for Part B and Part D drugs. The data, which covers medications administered by physicians in an office...

CMS Publishes Medicare Payment Info to Promote Data Transparency

by Jacqueline LaPointe

In an attempt to increase data transparency within its Medicare programs, the Centers for Medicare and Medicaid Services (CMS) has released the 2014 Physician and Other Supplier Utilizations and Payment data and updated its policies on...

Concierge Medicine Takes 3 Years to Show Return on Investment

by Jennifer Bresnick

There is ample industry evidence to show that a comprehensive population health management program can significantly lower healthcare costs, improve outcomes, and reduce unnecessary utilization of expensive service options.  However,...

How to Gather Good Data for Healthcare Claims Accuracy Testing

by Mark Benedict

In the time it takes you to read this sentence, the health care industry will lose about $22,000 to waste, fraud and other issues related to claims accuracy and administration. That’s a $275 billion loss in the United States each...

Healthcare Big Data Analytics Aids Financial IT Benchmarking

by Jennifer Bresnick

Healthcare providers worried about the ongoing costs of implementing, optimizing, and maintaining information technology systems must have an accurate and effective way to gauge the expenses of their initiatives in a standardized,...

Sustainable Growth Rate Fix Passes House but Stalls in Senate

by Jennifer Bresnick

Update: The Senate has declined to conduct a vote on the SGR fix until after it returns from its recess in mid-April.  CMS has announced a contingency plan for providers to address the 21 percent Medicare reimbursement cut that will go...

Healthcare Data Analytics Company Receives Major Investment

by Jennifer Bresnick

Definitive Healthcare, a provider of healthcare data analytics and business intelligence information, has received a significant investment from growth equity firm Spectrum Equity, the company announced this week.  The investment will...

Predictive Analytics, Big Data Underpin Episodes of Care

by Jennifer Bresnick

Healthcare is moving quickly and irreversibly into a new era of risk-based accountable care in which predictive analytics and big data are crucial tools for shouldering a heavy financial burden.  As more and more providers sign up for...

Can Better Financial Data Management Save $375 Billion a Year?

by Jennifer Bresnick

Simplifying the process of billing and financial data management in the healthcare industry could save up to $375 billion per year in unnecessary costs, claims a new study published in BMC Health Services Research, which amounts to...

Making the Financial Argument for Population Health Management

by Jennifer Bresnick

The healthcare industry has had a difficult journey over the past few years as organizations struggle to automate their processes, become increasingly accountable to federal authorities, and attempt to start treating patients like valued...

Data registry flags overlapping payers for revenue management

by Jennifer Bresnick

Patients covered under more than one health insurance payer may no longer cause squabbles in the accounting office thanks to the newly announced nationwide rollout of COB Smart from the Council for Affordable Quality Healthcare (CAQH), a...

Population health best practices: Diet, exercise, and data

by Sponsored Content

As provider organizations of all sizes become more directly and more financially accountable for patient outcomes and clinical quality, they must also increasingly count on each other—and on each other’s data. This is true for...

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