Please join Blue Cross Blue Shield North Carolina (Blue Cross NC) and Edifecs for a webinar and Q&A session as we share important insights into the state of the ACA Marketplace and its current enrollment challenges, how Blue Cross NC approaches modernized ACA enrollment management, what the future holds for ACA plans and how should they prepare. Register now.
The purpose of the webinar is to highlight the importance of having complete eligibility, formulary and benefit data and showcase how this can enhance downstream transactions like real-time benefit check, electronic prior authorization, and specialty enrollment. The webinar will also cover the implementation of the new NCPDP version 5 Formulary & Benefit standard. Register Now!
The goal of healthcare interoperability is well-known: healthcare data should be easily transferable between all organizations and individuals to enhance patient care, lower costs, and improve outcomes throughout the continuum of care. That said, are healthcare organizations currently prepared to advance interoperability, and are their challenges being effectively addressed? Register now.
Join us for this webinar to hear how leaders from Hospice Savannah and GMED Global led and implemented digital transformative initiatives to give thousands of patients custom care with limited resources, increased efficiency to provide more meaningful face-to-face time with patients, and ultimately, delivered meaningful patient-provider communication to improve experiences for patients, families, clinicians, and staff. Register now.
Join us for this webinar to understand what data you need at your fingertips to design and manage networks that drive better outcomes and lower healthcare cost. The webinar will be hosted by Dr. David Shulkin, former Ninth Secretary, U.S. Department of Veterans Affairs and current advisor at CareJourney along with senior healthcare leaders from leading organizations that have embraced data-driven decision-making to achieve success in value-based care. Register Now.
No longer a commodity, identity data management and EMPIs (Enterprise Master Person Index's) have been reinvigorated. EMPIs are not what they used to be — and that’s a good thing. In this guide, learn how next-generation identity management technology has made leaps over legacy software in recent years to support healthcare organizations' goals of a clear, 360-degree view of patients and populations. Download Now!
There’s a new healthcare software player in North America and they’re bringing the largest Research & Development team from around the world. Listen in to hear what that means for healthcare organizations. Listen here.
This webinar demonstrates how appropriateness of care measurement results in reduced waste and unnecessary care, less risk of patient harm and more efficient care aligned with evidence. Real-world experiences enable payers, providers and consumers to understand how appropriateness measures are a powerful instrument for aligning interests. Register now.
Virtual visits through telehealth have gotten a lot of attention as providers shifted their practices online, but some of the biggest areas of growth during the COVID pandemic has come in the form of remote monitoring and other home health solutions. Register now.
In 2021, CMS has expanded the role of remote patient monitoring, including building on CPT codes, adding a wider variety of the types of clinicians who can perform Remote Patient Monitoring tasks, and more. Now that CMS has made the program more robust, it’s important to understand how to bill for these services. Download this whitepaper to learn more.
Disparities in care delivery among U.S. HCPs are as alarming as they are insidious. Join this webinar to learn perspectives on care delivery from physicians from a wide variety of racial backgrounds, views regarding patient diagnosis and treatment based on images, and more. Register now.
Nearly 1.2 million Medicare Advantage members have undiagnosed chronic kidney disease (CKD), a major cost driver for payers. Read this whitepaper to gain insights on the current gaps in ACR testing for people at risk for CKD, understand the importance of ACR in the early detection of CKD and risk stratification of members, and discover how smartphone-powered, home kidney testing can drive substantial clinical outcomes for patients and significant savings for health plans. Download Now.
Healthcare leaders are often looking for ways to improve care workflows, reduce administrative burden, and drive better patient outcomes. Join leaders from UCHealth and RxRevu as they discuss how real-time price transparency tools are enabling informed conversations and behavior change at the point-of-care, while reducing patient costs and downstream administrative work. Register Now.
This whitepaper focuses on how UHS ACOs are leveraging CareJourney to achieve four major objectives: build high-performing ACO networks with the right mix of providers by understanding past performance, future opportunities for savings, and continued improvement in utilization, empower Clinicians with data and insights into their own performance relative to their peers and get a broader view of the entire market with self-service, custom reports, and dashboards that guide evidence-based decisions, enable hospital leadership to identify trends, view referral patterns and volumes and take corrective actions to improve care, and expand into value-based contracts beyond MSSP for additional populations. Download Now.
As the healthcare industry pivots to value-based care, the challenge for payers, providers, research organizations, and individuals becomes finding new ways to reliably deliver on the promise of better care quality at a lower cost. We have followed the journey of eight such organizations and captured their case studies in this whitepaper that showcases how they deliver optimal care by identifying performance gaps with clinically relevant analytics and patient insights. Download this whitepaper to learn more.
This webinar will focus on key recommendations for optimizing revenue during this unpredictable, post-COVID era including proven workflows for facilitating patient outreach to fill both care and revenue gaps, necessary automations to make sure schedules stay full and are used efficiently, and more. Register now.
Food insecurity has increased during the pandemic all across the country. Learn how Kaiser Permanente partnered with HealthCrowd to successfully bridge the gap between members and supplemental food benefits through digital outreach, ultimately supporting 70,000 members to apply for benefits. Register now.
Although many health plans do preventive care outreach, few do preventive food insecurity outreach. Discover how launching the country's first large scale digital food insecurity outreach resulted in $4.4M in health plan savings. Download now.
While there is no shortage of data generated in the healthcare industry, being able to easily leverage the valuable insights captured in that data is a challenge for most. Read our latest whitepaper to learn about how clinically tuned NLP technology can provide the augmented intelligence to optimize daily workflows, key use-cases where cNLP can quickly make an impact, which stakeholders benefit most from leveraging clinical NLP and more. Download to Learn More.
Large or small, cyberattacks are making headlines and elevating executive attention toward cyber resiliency. During this session, we will explore security considerations for developing cyber resilience covering security fundamentals and readiness planning to protect your IT and OT environments. Register now.
As medicine and technology continue to evolve, considering areas of potential exposure is essential to mitigate risk. In the latest Coverys report, get insight into the use of telehealth and telemedicine and tips to help you develop and implement successful telemedicine programs. Download our latest report.
Two external forces are buffeting hospitals and health systems across the country and accelerating their adoption of digital health technologies and virtual care delivery models. The first are nontraditional health care players who are offering digital health tools and independent virtual care options directly to consumers, bypassing the traditional continuum of care offered by hospitals and health systems. The second is the COVID-19 pandemic that has forced hospitals and health systems to quickly pivot to digital health tools like remote monitoring and virtual care models like telemedicine to provide care to patients who don’t need — or don’t want — in-person care. Learn more.
Join IQVIA experts, alongside our featured guest speaker, Wally Curran Jr, MD FACR, FASCO, Global Chief Medical Officer of GenesisCare, to understand the pandemic’s repercussions and how we can reduce its impact, together. Watch now.
More than 1.2 million data confirmation calls, continued inaccuracies, and significant provider abrasion were a few reasons why a national health plan explored sustainable approaches to improve the data accuracy of their provider directory. Learn how DirectAssure®, the CAQH Solution to improve provider directory quality, simplified the health plan’s outreach process. Learn now.
Download Frost & Sullivan’s enabling technologies best practices report to learn more about the four core functionalities required in successful informatics programs. Download now.
Surveys show anywhere between 30-40% of Americans chose to avoid urgent care and forgo appointments. In a positive economic outcome, hospitals and health systems are on track to lose $53 billion in revenue while in a downturn, total revenue losses are projected to total $122 billion. Download the playbook.
Traditionally, formulary information available in electronic health records (EHRs)—such as coverage, formulary status, restrictions, and co-payment amounts—have been plagued with inaccuracies, inconsistencies and timeliness. This has resulted in a lack of trust in the data. Over the years, a focus on improving the reliability of this data has taken place in small steps, giving way to improved patient safety and lower cost while ensuring quality care. In this white paper, we will discuss the benefit of F&B and eligibility data on downstream processes and how data quality improvement efforts is benefiting providers and patients alike. Download Now.
Learn how to increase medical cost savings and reduce the administrative burden of coordination of benefits on your organization with a proactive process that leverages high-quality COB data and automation. Register now.
This whitepaper provides an overview of RPA and AI capabilities in healthcare. Download now to learn how to prioritize which workflows to automate and how to measure their ROI, how to assess automation partners and platforms based on your organization’s needs, and how to build and scale an agile approach to launching and iterating on automated workflows.
In this webinar, attendees learn trends driving patient and provider preferences of the delivery of medical care, how to leverage existing technology investments to enhance the patient/agent experience, and best practices for driving efficiencies that not only enhance the caller experience but improve performance and profitability. Register now.
Join this webinar featuring SSM Health, a Catholic, not-for-profit health system comprised of 23 hospitals, as they share their strategy for finance and supply chain modernization initiative. Register now.
Although a simple urine test can provide an early warning for the disease during its early asymptomatic stages, the albumin-to-creatinine ratio (ACR) test rates for at-risk people are as low as 20%. As a result, many Americans go undiagnosed and miss the opportunity for earlier, life-saving interventions. Download now.
The pandemic has accelerated the shift towards medical devices and applications. Having an advanced billing solution plays an integral role in enabling patient access, supporting physician referrals and boosting profit. Register now.
Join this webinar and learn how Eskenazi Health leveraged intelligent technology to manage fixed and variable care under one analytic enterprise-wide pane of glass that unifies experience, cost, and clinical data to drive value real-time. Register now.
Health systems put their flex plans to the ultimate test as they scrambled to prepare for sudden surges in their ICU volumes due to COVID-19. As they seek to better prepare for future surges, we’ll examine the best ways they can improve their ability to adapt quickly in the face of unexpected conditions. Register now.
Nearly 30% of US adults are caregivers for loved ones. Their challenges create medical risk and lost productivity. Join Carallel to discuss meaningful caregiver support, outcomes, and benefit design for health plans and providers. Register now.
Your members’ lives are not linear. Unpredictable circumstances, such as major illness or job loss, impact how coordination of benefits (COB) rules are applied and often create gaps in information between members, providers, employers, and payers. This can create uncertainty about what is covered and who is responsible for payment. In this panel webinar, Cotiviti payment leaders will explain how to optimize your COB process to account for variable member life events to help ensure proper COB determinations. Register Now.
As payers scramble to meet new CMS Prior Auth requirements, one payer has a solution that lays the groundwork to meet the CMS requirements AND saves millions in the process. Register now.
Clinicians shouldn’t have to be coders, but a healthcare system with robust regulatory and billing requirements often forces them to be. That’s why clinical interface terminology (CIT) is essential. CIT allows clinicians to document care using familiar language – not codes – and then seamlessly links their words to corresponding standardized terms. Learn more about the role CIT plays across the healthcare ecosystem. Register now.
Payer and provider organizations must look to advanced technology such as clinically tuned, NLP to help empower your risk adjustment strategies. Join us on to uncover potential areas where cNLP could be leveraged within your own organization. Register now.
Now is the time to evaluate your analytics through a fresh lens. In this panel, payer and provider thought leaders will share how they are maximizing the returns of their analytics to make more data-informed decisions. Register now.
US healthcare providers and tech companies are uniquely positioned to partner on three key trends: the shift to value-based care, a more educated patient population, and the entrance of new consumer-centric players in the healthcare space. Download Now!
Only 24% of healthcare providers had virtual care plans in place at the start of 2020. By the end of the year, it’s estimated that more than one billion patients in the United States will make use of those services. This is just one of many changes to the healthcare landscape brought about by COVID-19, but it’s not the only challenge facing providers today. Download this whitepaper to learn more.
ICHRAs (Individual Coverage Health Reimbursement Arrangements) are the hottest topic in employer group benefits. The question is: Will ICHRAs reinvent employee health insurance as a 401(k)-style, defined-contribution benefit? Join this webcast with two industry insiders where we explore why ICHRAs are gaining traction and how health insurers can navigate “The ICHRA Revolution”. Register Now.
Get the latest information on how patient communication preferences have changed, and how you can ensure patients schedule and show up, as you recover from the past year, in this data-driven webinar. Register now!
The Global COVID-19 pandemic has placed unprecedented demands on modern healthcare systems. Join our panel of industry thought leaders as we explore home-based care as a safer alternative to a facility setting and discuss the future of healthcare delivery. Register now.
Join the cybersecurity experts at Sophos as they illustrate the tools and techniques used by hackers to penetrate healthcare networks. Understand how your organization can boost their security profile and defend against the ever-evolving threat landscape in the year ahead. Register now.
Gone are the days when a patient would wait weeks for care. COVID-19 has ushered in a new healthcare model. As we reimagine the future of healthcare, join us for a virtual summit to explore how access to care, scalability, and personalization of care are accelerating disruptions in care delivery. Register Now.
We value your insights and would love to learn more about your healthcare interoperability challenges. Do you have a few minutes to take a survey? You do? Great! Let's get started!
Join BAYADA Home Health Care, Amazon Web Services and Wipro Limited in exploring the dynamic, innovative and affordable IT solutions helping Home Health Care systems pivot towards a future-ready scalable operating model. Register Now!
CMS interoperability rule enforcement and price transparency rule implementation deadlines are quickly approaching. Join our webinar to learn about innovative solutions to help payers quickly comply. Register now.
This year, vaccine rollout brings a whole new set of challenges for care providers on the front lines. As our health care workers’ roles continue to evolve and expand, we can help clinicians perform the work they were trained to do by reducing administrative tasks. In this panel, experts will explore how clinicians can leverage technology to automate administrative tasks and satisfy patient needs. Regiser now to learn more.
Forward-thinking payers are looking to remote monitoring to strengthen member relationships and enable proactive care coordination. Hear from payer, WEA Trust, and the impact they saw after implementing remote monitoring for members with chronic and behavioral health conditions. Register now.
Now, more than ever, healthcare needs to speed up data-driven response time. Download this Playbook to learn more.
Every year we ask our physicians their views on the future of the healthcare industry. With so much disruption from COVID-19, this year’s global insights will provide a unique window into the minds of those professionals perhaps most tested by 2020 and their hopes and perspectives for 2021. Register Now!
Discover research results and resources from the “Anatomy of Innovation” study, conducted in partnership with HIMSS. Explore the innovation research center to better understand what it takes to onboard and maximize the impact of digital health innovation.