Healthcare providers and payers continually seek methods to enhance patient care and operational efficiency. With the advent of complex data sets in healthcare, there is a pressing need for advanced analytics to not only predict outcomes but also clarify the ‘why’ and ‘how’ behind these predictions. Enter explainable artificial intelligence (xAI)—a transformative methodology revolutionizing healthcare…

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HIMSS24 was a fantastic event, as always. One of our favorite additions this year was the Digital Health Technology Theme Park. It featured experts and exhibitors from all areas of the healthcare technology space—so you know MedeAnalytics was there! We had a great time talking with new friends and familiar colleagues from organizations across the…

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Telemedicine is now a permanent fixture in homes across America. A majority of healthcare organizations have established the technology necessary to facilitate virtual health encounters, but the financial components of telemedicine have been slower to stabilize. Billing processes and reimbursement procedures continue to evolve in both public and private insurance, leaving providers scrambling to fulfill…

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Building on its best-in-class, outcomes-based analytics and technology platform, MedeAnalytics offers the first end-to-end analytics and AI-enabled value-based care contract management, payment and billing solution for payers, providers and payviders to improve quality, cost control, health equity, patient/member satisfaction, and more.   Richardson, Texas – (March 10, 2024) – MedeAnalytics, a healthcare analytics software-as-a-service (SaaS) leader enabling…

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Deaths from drug overdoses have increased from ~1 per 100,000 in 1999 to ~4 per 100,000 in 2020.1 The introduction of fentanyl has only exacerbated and accelerated this crisis, driving a 282% overdose death increase between 2016 and 2021.2 Despite expansion of evidence-based treatments (e.g., buprenorphine), only about half of patients stay in treatment, limiting…

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A payer’s guide to administering value-based arrangements Thank you for your interest in our ebook. We hope you find it useful! If you have follow up questions about this topic or would like to discuss your organization’s contract administration and management strategy, let us know. We’d be thrilled to discuss data with you. Download the…

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Drive claims accuracy to minimize denials and optimize reimbursement with CDI Insights Analytics in action Despite the widespread adoption of CDI programs, the revenue cycle is still hemorrhaging money. Over 80% of healthcare leaders recently reported inaccurate or insufficient clinical documentation as a primary contributor to this leakage. MedeAnalytics CDI Insights solution supports providers by…

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STAR scores are a critical component of success for Medicare Advantage Plans, MSSP and REACH ACOs, driving them to maximize the amount of shared savings realized and attract Medicare beneficiaries to enroll in high-quality care plans. In fact, plans with a STAR score of 4.0 or higher accounted for 71% of Medicare Advantage in 2023.…

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A payer’s guide to administering value-based arrangements Strategies for successful value-based contracting and funding The foundation of value-based care is its underlying contractual arrangements. To put it simply, this is what establishes how a provider is reimbursed by a contracting entity (i.e. payer, ACO, employer). Value-based contracts are grounded on clinical performance with mutually agreed…

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