Posts Tagged ‘Provider’
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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Position your organization for success under CMS-HCC V28
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.…
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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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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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Optimize your midcycle for telehealth services
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…
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Three ways to improve patient retention in recovery programs
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…
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ACOs and value-based care in 2024: Four key questions and answers
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…
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How to run a successful analytics rollout
Healthcare executives across the industry are citing value-based care and health equity as two of their top priorities in 2024. To execute successfully on these goals, health plans and care providers must be prepared with interconnected data and powerful analytics capabilities. If you’re considering implementing a new or improved analytics platform in the new year,…
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