Healthcare Payers News and Resources for Healthcare

Healthcare Payers Are Keen on Analytics, But Feel Unprepared

December 10, 2018 - Big data analytics is a top priority for the majority of healthcare payers in 2019, but relatively few feel adequately prepared to succeed with becoming data-driven organizations, according to a new poll from North Highland. Eighty-three percent of payers participating in the survey believe analytics is an important strategic priority for the upcoming year, but only 17 percent are...

Blockchain Offers Promising Path to Better Provider Directory Data

December 04, 2018 by Jennifer Bresnick

As the volume of big data continues to increase exponentially and the pressure to reduce wasteful spending intensifies, healthcare organizations are broadening their search for secure and seamless data management strategies. More and more...

Cigna Targets Data Analytics Innovation with $250M Venture Fund

September 12, 2018 by Jennifer Bresnick

Cigna is planning to invest $250 million dollars in a new venture fund that will foster innovations around big data analytics, digital health strategies, and care management improvements. The new Cigna Ventures initiative will allow the...

Humana Creates New Data Analytics, Digital Health Division

August 27, 2018 by Jennifer Bresnick

Humana has announced the launch of a new data analytics and digital health division, called Humana Studio H, which will focus on developing data-driven products and services for use across the entire organizations. The center will be...

Lack of Data Analytics Tools Deflates Faith in Value-Based Care

July 17, 2018 by Jennifer Bresnick

The road to value-based care has never been a smooth one, but healthcare providers and payers may be in the midst of a particularly bumpy part of the journey, reveals a new survey from Quest Diagnostics. Confidence in the transition...

BCBSA Tackles Opioids with Big Data, Accreditations, Member Hotline

July 12, 2018 by Jennifer Bresnick

The Blue Cross Blue Shield Association (BCBSA) is taking additional steps to combat opioid abuse by leveraging big data analytics and offering more resources to patients and providers seeking to prevent or treat opioid dependence. In...

Can Big Data Solve the Health Insurance Transparency Problem?

July 10, 2018 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...

Patient-Centered Medical Home Has Saved Payer $1.2B Since 2011

July 02, 2018 by Jennifer Bresnick

CareFirst BlueCross BlueShield has saved nearly $1.2 billion – yes, billion – since 2011 by implementing a patient-centered medical home (PCMH) model across ninety percent of its contracted healthcare providers in its...

Atul Gawande to Lead Amazon, Berkshire, JPMorgan Healthcare Company

June 20, 2018 by Jennifer Bresnick

Brigham and Women’s surgeon Dr. Atul Gawande will be leading Amazon’s most significant leap into the healthcare industry yet by becoming CEO of the partnership between the e-commerce giant, JPMorgan Chase, and Berkshire...

Provider Data Management Offers Payers a Blockchain Use Case

June 11, 2018 by Jennifer Bresnick

Moving provider directories onto a blockchain could offer payers a high-value use case for exploring the role of distributed ledgers in healthcare data management, assert Humana and Ernst & Young (EY) in a new white...

AI, Big Data, IoT Bring Growth to Multiple Healthcare Markets

May 18, 2018 by Jennifer Bresnick

Big data analytics tools and services are poised to bring unprecedented growth to almost every segment of the healthcare IT marketplace, according to the latest series of market reports. From the Internet of Things (IoT) and...

Da Vinci Project Brings HL7 FHIR to Payers for Big Data Analytics

March 15, 2018 by Jennifer Bresnick

In just a few short years, HL7 FHIR has exploded in popularity to enable unprecedented connectivity across the healthcare ecosystem. The internet-based data standard has started to hit its stride at a pivotal moment for...

Clinical Analytics Aid Payers, Providers with Value-Based Care

February 13, 2018 by Jennifer Bresnick

Clinical analytics and data integration are helping health payers and providers boost quality and meet the challenges of value-based care, says the 8th Annual Industry Pulse Report from Change Healthcare and the HealthCare Executive...

How the CVS, Aetna Deal Will Overhaul Healthcare Big Data Analytics

December 05, 2017 by Jennifer Bresnick

The CVS Health takeover of Aetna has technophiles and analytics pundits abuzz for a number of reasons, many of which have to do with the fundamental reshaping of the consumer landscape in Jeff Bezos’ image. The looming specter...

Humana Pins Social Determinants of Health to Better Quality of Life

November 16, 2017 by Jennifer Bresnick

Taking a proactive approach to addressing the social determinants of health within a patient’s community can translate into measurably higher quality-of-life scores, Humana says in a new peer-reviewed article. By working within the...

Humana: Can Artificial Intelligence, NLP, Voice Tools Revamp EHRs?

November 08, 2017 by Jennifer Bresnick

Electronic health record (EHR) developers and consumer tech companies aren’t the only ones who believe that healthcare’s big data could use a massive makeover with the help of artificial intelligence, machine learning, and...

IBM: Blockchain, Artificial Intelligence Combo to Alter Healthcare

November 02, 2017 by Jennifer Bresnick

The combination of blockchain and artificial intelligence could bring significant improvements to a healthcare sector plagued by interoperability problems and big data analytics shortfalls, says IBM Watson Health Chief Science Officer...

Blockchain Aims to Foster Payer, Provider Trust for Value-Based Care

October 30, 2017 by Jennifer Bresnick

As the healthcare industry slowly becomes more connected and more interoperable, organizations are attempting to implement data management strategies that balance privacy and security with collective access and accessibility. Value-based...

Five Blockchain Use Cases for Healthcare Payers, Providers

October 10, 2017 by Jennifer Bresnick

The distributed ledger methodology known as blockchain is piquing interest in the healthcare industry as organizations search for more secure and trusted strategies for managing big data. By decentralizing ownership of key data...

Blockchain Activity Grows Sharply for Healthcare Payers, Providers

October 03, 2017 by Jennifer Bresnick

Blockchain has come to healthcare in a big way during 2017, generating significant interest among providers and payers as an innovative way to bolster data exchange while keeping sensitive information secure. The distributed ledger...

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