Posts Tagged ‘Payer’
Helping Accountable Care Organizations Navigate the Perfect Storm
In the ever-evolving landscape of healthcare, Accountable Care Organizations (ACOs) find themselves at the epicenter of a transformative era. Recently, we facilitated an insightful dialogue with healthcare experts Lynn Carroll, COO of HSBlox, and Brian Norris, MBA, RN, FHIMSS, Vice President & Managing Director of Strategic Consulting at MedeAnalytics, to shed light on the future…
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Navigating the Medicare Landscape: Implications of the Latest Rule Changes for Healthcare Organizations
The Centers for Medicare & Medicaid Services (CMS) has recently unveiled significant proposed changes to Medicare Advantage (MA), Medicare Prescription Drug (Part D), and Medicaid programs. Announced on November 26, 2024, these updates aim to enhance affordability, transparency, and equity in healthcare delivery. The implications of the latest CMS rule changes are vast, presenting both…
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Introduction to social risk: What healthcare leaders need to understand
‘Social determinants of health’ has been a common phrase for decades now, but the term social risk is much less popularized. So, what does it mean and is it all that different from SDOH? Most importantly, what should healthcare leaders understand about social risk? Read on to find out. What is social risk? Social risk describes…
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AI is your new crystal ball: How predictive analytics can reduce denials
The idea of having a crystal ball to better understand what claims will be denied is an awesome concept. But one we can’t rely on. Thankfully, we have predictive analytics to take the place of a crystal ball.
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3 ways to reduce friction in payer-provider relationships
The dynamic between healthcare providers and payers has historically been quite strained. Though both parties are interested in improving the health of their populations, their approaches to accomplishing that goal are often at odds. In this blog post, we discuss how value-based care arrangements are setting the stage for smoother payer-provider relationships—and three ways payers…
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Adapting nursing education and practice in a post-pandemic, technology-dependent world
Can AI help reduce nurse burnout? What role should nurses play in regulatory conversations? How do clinical training programs incorporate tech literacy into curriculum? Join a panel of three incredible nursing leaders and technology champions to get answers to these questions and more about the future of nursing! We are honored to welcome new voices…
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Championing transparent technology: Why we’ll always show you behind the scenes
Modern, tech-enabled innovations are demonstrating immense potential to transform the way healthcare is planned, delivered and paid for in the United States—but how much do you know about how these innovations really work? It can be hard to trust data-driven insights when you don’t have a clear view into how source information is being used…
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Optimize your revenue cycle for today’s challenges and tomorrow’s goals
In this dynamic LinkedIn Live discussion, Christine Stetler, BSN, RN and AVP of Solution Engineering at MedeAnalytics, unearthed strategies for tackling current fee-for-service challenges in the revenue cycle while making steady progress toward value-based care payment models. Check out the interview recap below—and make sure you don’t miss Christine’s lightning round! Q&A Q: How have…
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Enhancing healthcare delivery with explainable AI: A methodological leap forward
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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Another year, another great HIMSS!
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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