Payer Archives

‘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…

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.

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…

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…

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…

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…

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…

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…

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…

ACOs have long been at the front lines of value-based care efforts. In a recent LinkedIn Fireside Chat, Andy Dé sat down with David Bartley and Brian Norris to discuss how critical ACOs are to the success of value-based care, and what role the current healthcare environment is playing in that relationship. 1: How are…

Request a Demo

Posts Tagged ‘Payer’

Introduction to social risk: What healthcare leaders need to understand

AI is your new crystal ball: How predictive analytics can reduce denials

3 ways to reduce friction in payer-provider relationships

Adapting nursing education and practice in a post-pandemic, technology-dependent world

Championing transparent technology: Why we’ll always show you behind the scenes

Optimize your revenue cycle for today’s challenges and tomorrow’s goals

Enhancing healthcare delivery with explainable AI: A methodological leap forward

Another year, another great HIMSS!

Three ways to improve patient retention in recovery programs

ACOs and value-based care in 2024: Four key questions and answers