Posts Tagged ‘Payer’
Optimizing opportunity in value-based care
Our own Dave Schweppe (Chief Analytics Officer) and David Wolf (AVP, Payer Solutions) sat down with Todd Sauers, Manager of Value-Based Care Analytics at Sentara Health, for a fireside chat to discuss current trends and opportunities in value-based care. In this vibrant conversation, the experts talked through various perspectives and thoughts on the impact of…
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Expert Q&A: The HEDIS details all health plans need to know
With HEDIS certification season quickly approaching, we sat down with MedeAnalytics experts Melissa Linder, Director of Product Management, and Lori Jacobsen, Quality Subject Matter Expert, to discuss the ins and outs of HEDIS. Q. To get us started, can you provide a summary of what HEDIS is? A. HEDIS stands for The Healthcare Effectiveness Data…
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Looking back at HIMSS22
Our MedeAnalytics team was thrilled to be back in person for this year’s HIMSS event, after a two-year hiatus due to the COVID-19 pandemic. The conversation was unparalleled, and the energy was invigorating. If you were there – get excited to revisit the experience. If you weren’t – all the more reason to explore our…
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A look ahead at payer analytics innovation
Pioneering payers know that building a strong foundation is the key to enacting sustainable innovation. This foundation typically includes the following handful of elements: This solid base is critical to surviving the constant intensity and pressure of the healthcare industry. We’ve seen this play out on a global stage over the past two years of…
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From Insights to Action – The Digital Transformation of Healthcare in the Post-Pandemic “New Normal”
In November, MedeAnalytics hosted the 2021 Impact Summit, an engaging and educational event held annually and designed exclusively for our clients. We are publishing extensively, re: the insights and actionable takeaways from the Impact Summit, and in today’s post I’m thrilled to highlight our incredible keynote speaker. We were honored to have Robert Wachter, MD,…
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2022 Rx: Your new, post-pandemic prescription for success
By Dave Schweppe, Chief Analytics Officer, MedeAnalytics Despite the common use of the term “post-COVID,” most leaders across the healthcare industry have come to terms with the fact that COVID-19 is not going away. Though we will not be in a pandemic state forever, many of the resulting changes will continue to pervade and impact…
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Harmonizing Clinical and Claims Data to enable value to customers, brokers and patients for ‘payviders’
A 2021 HFMA survey of health system executives found that 60% of providers are planning to move toward a “payvider” model in 2022 and take on a greater role in risk management. The survey also revealed that achieving strong data integrity and reporting tops the list of internal challenges health systems are facing as they…
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Combating the opioid epidemic in North America with Nobel Prize winning research
American Researchers Dr. David Julius and Dr. Ardem Patapoutian from California were awarded the Nobel Prize in medicine for their path breaking work on the development of non-opioid painkillers, showing immense promise for combating the epidemic.
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Inside look: How Blue Cross & Blue Shield of Rhode Island used analytics to reshape client retention and staff productivity
As much as the past 18 months of pandemic disruption have compromised staffing operations, financial stability, patient care, customer service, and many other facets of healthcare, we are also witnessing unique opportunities for transformation emerging in these spaces.
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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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