Provider 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 describes…

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…

The transition from CMS-HCC V24 to V28 heralds a significant shift in risk adjustment methodologies and emphasizes improved accuracy and granularity, promising more equitable resource distribution and significant financial implications for Medicare Advantage plans, ACOs, and other healthcare entities. If you have not started moving toward this new model, there is no time to waste.…

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…

Telemedicine is now a permanent fixture in homes across America. A majority of healthcare organizations have established the technology necessary to facilitate virtual health encounters, but the financial components of telemedicine have been slower to stabilize. Billing processes and reimbursement procedures continue to evolve in both public and private insurance, leaving providers scrambling to fulfill…

Request a Demo

Posts Tagged ‘Provider’

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

Position your organization for success under CMS-HCC V28

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!

Optimize your midcycle for telehealth services