Posts Tagged ‘Payer’
Unfamiliar Healthcare Players, Interoperability and Social Determinants Round Out 2020 Megatrends
By Scott Hampel, president of MedeAnaltyics We conclude our 2020 Megatrends with an exploration of new players entering healthcare, the necessity and importance of data interoperability as well as social determinants. While each of these topics appear at first glance to be unconnected, there is a single thread that links them all: data. Now on…
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More Megatrends: Price Transparency, Telehealth, Individualized Medicine
By Scott Hampel, president of MedeAnalytics Now that we’ve dealt with Megatrends one through three, we’re approaching the next set. In this group we’re exploring price transparency (and its likely difficult implementation), the increasing use of telehealth thanks to internet-connected devices and precision medicine, made easier thanks to technology. Yet again it is data and…
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2020 Megatrends: Consumerism, Data Privacy and Security, AI
With 2020 two weeks old, it’s becoming clear the data produced in the healthcare industry by providers, consumers and payers will power and propel our 9 megatrends. Healthcare data is the foundation on which we’re building everything from healthcare outreach for the underserved to new Internet of Things-based healthcare programs to treatments designed just for you.
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Why Unconventional Businesses Will Find Success in Healthcare: It’s the Data
It seems everyone is moving into healthcare. It’s a rapidly growing industry, historically dominated by large, well-embedded companies and organizations, and “pure tech” companies have had difficulty breaking in. That, however, is changing.
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Data and Social Determinants of Health
By Scott Hampel – I think a lot–and I’m not the only one–about how we can improve the ways we pull information from data. Data on its own is inert: just waiting to be understood and then used. And that’s a major challenge for many organizations. Data is often trapped in different applications with no easy or convenient way to extract it.
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Why Social Determinants Need Analytics for Success
Many challenges face healthcare’s underserved. There are issues with food, housing, reliable transportation, steady employment and more. Each contributes to and is one element of social determinants of health (SDH). In communities around the world, public and private organizations are taking steps to address SDH-related issues and challenges that negatively impact healthcare.
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Healthcare Organizations Recognize Importance of AI for Reporting
Healthcare providers continue to recognize the value of using AI in reporting operations throughout the organization. AI has many strengths when applied to the healthcare industry:
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Why It’s Time for Healthcare to Move Toward AI Reporting
Business intelligence (BI) was a dramatic and significant step forward in healthcare industry reporting and a natural transition to artificial intelligence (AI) enabled real-time insights.
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Why Healthcare Should “Double-Down” on Exploring AI-powered BI for Reporting
Many areas in healthcare rely not only on the collection of data but, importantly, the ability to decipher and act upon it. In that intersection, reporting was born.
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Why Health Plans and Employers Need Stop Loss Reporting
Due to rising healthcare costs and the Affordable Care Act removing the ban on capitated benefits coverage, numerous employers with self-insured health plans often purchase stop loss coverage. This coverage is not medical insurance; but rather, it’s a financial and risk management tool that protects the employer from excessive claims.
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