FAQ & A: How Insurance Companies can Overcome Challenges Brought on by Health Care Reform
09:34 am March 01, 2012
This paper examines why health care reform is causing a shift to a consumer-driven business model and the role analytics plays in helping organizations make the transformation successfully. Read this white paper to gain insight on how health insurance plans can come out ahead with advanced customer intelligence and engagement strategies.
The Power of Standardized Unstructured Data Management: Achieving Meaningful Use Interoperability, Complete Patient Narrative
09:18 am February 13, 2012
Driven largely by the Medicare and Medicaid EHR incentive programs, EHR adoption in the U.S. has been growing exponentially and exceeding federal health officials’ expectations. Although the Dept. of Health and Human Services has delayed the qualification date for Stage 2 Meaningful Use until 2014, healthcare providers expect more complex HIE to...
Payment Policy Optimization: Blending Analytics with Rules to Prevent Wasteful, Abusive and Fraudulent Healthcare Spending
10:53 am December 12, 2011
Curtailing the massive drain caused by waste, abuse and fraud in healthcare has never been more impor¬tant. New payment models are on the horizon, including bundled payments, and greater emphasis is being placed on payment for outcomes. Given the magnitude and visibility of the problem, insurers need to avail themselves of advanced and effective...
Care Episodes & Bundled Payment: Building and Automating Your Strategy
04:40 pm June 10, 2011
Hundreds of initiatives for care episodes are already underway in the U.S., relying on myriad combinations of provider types, legacy systems, and techniques. No single system on the market has the perfect solution across all areas. Bundling payments can reduce the cost of care by significantly reducing duplicative services, refocusing practice on...