Medicare/Medicaid
Whole-person care requires whole-system interoperability
While health and wellness are critical objectives for every person and population, achieving them is most urgent for Medicaid patients and plan members. To ensure the wellbeing and longevity of all communities, health care organizations, technologies and systems must be able to communicate, share information and work together effectively. This blog post will explain why…
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Providers: Are you ready to be audited?
By Donna Kennedy In 2020, regular audits conducted by CMS and other payers were paused or significantly reduced as the COVID-19 pandemic took priority. Though we are not entirely ‘out of the woods’ of this health crisis yet, regulatory compliance teams have begun experiencing the resurgence and ramping up of provider reviews. Importantly, these audits…
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Why managed Medicaid/Medicare health plans need analytics to improve outcomes
Managed care organizations that provide healthcare services to Medicare/Medicaid members are dedicated to improving the health and wellness of these underserved populations, especially those living in rural areas.
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Seven Steps to Price Transparency for Hospitals
While healthcare consumers have been calling for more price transparency around medical costs, healthcare providers have been more reserved when making this change. The barriers for providers in responding
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Healthcare’s return to “normal” after COVID-19: Is it possible?
As providers determine how to get patients to return to facilities for routine disease management and preventive screenings, opportunities are ripe for the application of analytics to triage at the right time to the right setting. Data related to COVID-19 will continue to flow rapidly, but there are possibly more questions than answers now about a return to “normal.”
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CMS updates payment for certain COVID-19 lab tests
The COVID-19 landscape as it relates to testing is frequently changing as CMS made wholesale changes and smaller adjustments to payment schedules.
Read MoreMississippi Division of Medicaid Remains the First to Establish Clinical Data Exchange
Each year, state Medicaid leaders from all over the country gather at the Medicaid Enterprise Systems Conference (MESC) to talk about the role of technology in meeting Medicaid and industry initiatives, like value-based care. Our client, Mississippi Division of Medicaid (DOM), spoke on their use of the consolidated clinical document architecture (C-CDA) standard to coordinate […]
Read MoreMississippi Division of Medicaid to Become First Medicaid Agency to Exchange Clinical Data
In March, MedeAnalytics announced that the Mississippi Division of Medicaid (DOM) had become the nation’s first Medicaid agency to send and receive clinical data in real-time. The agency worked with MedeAnalytics and Epic to share Medicaid data with the state’s largest provider of care to Medicaid patients, the University of Mississippi Medical Center (UMMC). Following […]
Read MoreWe’re presenting at MESC 2015 to share our success with the Mississippi Division of Medicaid
Tomorrow at MESC Conference 2015, we will be presenting the success of Mississippi DOM’s Medicaid Clinical Provider Portal with the Mississippi Division of Medicaid. If you’re attending come see us at 9:30 a.m. ET in Room 319. The session will cover how the Mississippi Division of Medicaid (DOM) deployed Provider Access, a clinical portal that […]
Read MoreData Analytics to Improve Medicaid Care and Costs
As the healthcare industry shifts to value-based care and fine-tunes their efforts to lower unnecessary costs, Medicaid state agencies have looked to major players in the healthcare data analytics space. This leap is of course not easy for many of these state entities but the Mississippi Division of Medicaid (Mississippi DOM) offers a shining example […]
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