Care Coordination is a team effort. As the industry continues to rapidly evolve, health plans are placing additional emphasis on connecting care teams and communities to guide patients across their healthcare journeys and support value-based care goals. Take this short survey to help us understand how health plan leaders are thinking about care collaboration and using real-time data across the continuum to drive better outcomes.

Efficient revenue cycle management (RCM) is the linchpin for financial success. Amid these challenges, there’s opportunity. Your practice can streamline revenue cycle management to enable faster payment and reduce claim denials. Check out these eight tips. Download Now.

Strong collaboration between hospitals and EMS is challenging but results in improved patient safety & provider safety. Learn about challenges and strategies to create successful partnerships with your pre-hospital providers, to improve the patient journey through your healthcare system. Register Now.

Learn about industry challenges and trends affecting the patient journey and care delivery as well as how organizations are already successfully using innovative solutions to improve areas such as patient journey management, home health automation, and care coordination. Download your free video here. 

Risk adjustment plays a significant role in Medicare Advantage (MA) contracts and commercial exchange plans, as well as The Centers for Medicare and Medicaid Services’ (CMS) alternative payment models. For plans participating in these federal programs, capturing accurate risk scores is essential to predicting the cost of care for beneficiaries. In order to do this, health plans must conduct thorough patient chart reviews in order to properly assess the patient’s health; however, a recent report issued by the Office of the Inspector General (OIG) stated that certain MA companies may be inappropriately using chart reviews and health risk assessments (HRA) to maximize risk-adjusted payments. As a result, many MA plans are preparing for increased scrutiny on risk adjustment coding, policies, and procedures. Read the whitepaper to learn three strategies plans can take to ensure compliance while also optimizing financial success. Download now.

Healthcare delivery will continue to evolve over the next year, incorporating new technologies that patients and providers were forced to lean on during the pandemic to blend in-person visits and virtual care. In this executive summary, we examine key challenges, considerations and technology trends for emerging ‘hybrid care’ models. Industry experts from Google Cloud and Amwell discuss the areas of opportunities for evolving the care delivery model. Download Now. 

Interoperability efforts will allow for complete access, exchange, and use of all electronically accessible health information for authorized use under applicable State or Federal law, and is a primary focus of health systems, health payers, and health members leading up to the implementation of these requirements over the next three years. In this short 15-question survey, we hope to understand how today’s health plan leaders are thinking about interoperability and what potential leaders like you see in a world of accessible, shareable, and secure health data. Take this survey to win a $5 Amazon gift card.

Formulary and Benefit (F&B) data has been used to inform prescribing decisions for decades. But F&B has remained largely unchanged for most of that time - often adding unnecessary burden to provider workflows because of antiquated data retrieval processes. Enter Real-Time Prescription Benefit (RTPB) -- technology that enables comprehensive, patient-specific cost and coverage information to be displayed within the EHR in real-time. In this whitepaper, we'll discuss the history of electronic prescribing, how RTPB can deliver superior data to provider workflows, and where the future of prescribing is headed. Download Now.

Diabetes is a serious and costly chronic condition that concerns both employers and health plans alike. This webinar will discuss why both employers and health plans must prioritize a personalized, inclusive approach to diabetes prevention and management. Gretchen Zimmermann, Vida Director of Clinical Dietetics, and Elisa Orellana, Localization Manager, will provide employers and health plans with actionable ideas to make their diabetes programs more inclusive for social and cultural differences. Register Now.

Read this Amazon Web Services Infographic for the insights from our healthcare interoperability survey and best practices from organizations leveraging third-party solutions available in AWS Marketplace. Download Now!

Do you struggle to deliver efficient, effective care management services?  If you answered yes, you're not alone. But don't let outdated processes, insufficient technology tools and tedious manual processes hamper your efforts. Grab your copy of this report to discover the best practices that the most successful care management programs are already leveraging, the importance of high-quality data, and how to effectively use it, and how you can deploy technology tools and automation that eliminates inefficient and manual processes. Download Now.

The consumer products, retail and financial industries have relied upon consumer insights and personalized experiences to compete and succeed in a consumer-centric and digitized world. While patients expect their experience to be similar in healthcare, the industry is years behind other businesses in delivering truly consumer-centric experiences. While healthcare providers may not have the marketing budgets enjoyed by the P&Gs, Walmarts and Amazons of the world, many of their approaches can be used to maximize revenue with limited resources. Register Now.

During the height of the COVID-19 pandemic, virtual visits soared as telehealth offered a bridge to care. Moving forward, it’s clear that virtual care will play a large role in how healthcare is delivered, presenting healthcare organizations with an opportunity to reinvent virtual and hybrid virtual/in-person care models, with a goal of improved healthcare access, outcomes and affordability. What will be the next chapter of telehealth? Download Now.

With the benefit of hindsight from the pandemic, glean fresh insights on effective uses of telehealth and remote patient monitoring in delivering care and leading today’s healthcare organizations. Register now.

Billions of healthcare dollars are on the line as a significant change in the way out-of-network providers can bill and be reimbursed has come into effect. Fierce healthcare and MultiPlan have collaborated on a short survey to learn about your attitudes on how this change is impacting the relationship between healthcare insurers and providers. Can you take 5 minutes to complete this quick survey? The first 50 qualified respondents will receive a $5 Amazon gift card. Take the survey.

More than ever before, health systems and health plans are looking for ways to recoup losses incurred from deferred care and cancelled elective procedures due to the COVID-19 pandemic. Many are looking to prospective risk adjustment as a way to help assuage these losses. Join us for an exciting webinar presentation to learn more about what prospective risk adjustment is, and how it can help your programs, how to quickly discover clinical indicators that may lead to uncovering missed health conditions, how to enhance the tedious patient data review process in order to help providers identify the clinical insights needed to capture their high-quality care and more. Register Now.

Everyone involved in maintaining provider information probably knows how challenging it can be. When you think about the magnitude of the problem, 25% of provider data changes annually, the real complexity can be daunting. Yet poor data can lead to operational inefficiency, problems with revenue collection, and more importantly patient dissatisfaction. Learn more about how a Provider Directory, can automate provider updates and create a golden record for all your provider information. Register Now.

Staffing challenges in healthcare are not a new phenomenon. For years, medical practices and health systems have had trouble finding employees. In this timely and informative webinar, Elizabeth Woodcock, MBA, FACMPE, CPC, a nationally recognized consultant, speaker and practice management expert, will share actionable strategies to help weather the current labor shortage. She will also argue that this challenging time presents a silver lining: an opportunity for healthcare organizations to embrace innovative workflows, technology and automation that will position them for future success. View Now.

Supplemental benefits are programs that go above and beyond standard health insurance to deliver additional value directly to employees and health plan members. These kinds of benefits turn healthcare into a “win” for everyone involved — from the health plan to the employer to the consumer or employee themselves, equipping consumers to take better control of their wellness and make healthier choices by providing them with on-hand access to the tools of sickness prevention they otherwise might not have. Download Now.

Humana had a goal in mind, to transform, not eliminate, utilization management, and in the process, reduce administrative burden and inefficiencies and find new ways to improve the quality of care and health outcomes. Humana partnered with Cohere Health, which shares this vision to transform prior authorization and improve patient care. Read the case study to learn more about the successful adoption and subsequent expansion of Cohere’s solution to all 5.5 million Humana members across all 50 states. Download now.

This webinar will discuss the history of the operating room, examine current strategies for OR & inpatient communication with patient families, and present the evolution and experience of the Ease platform. You'll walk away with an understanding of current communication tools and what steps can be taken to improve your patient and family experience. Register now.

Join the session to learn how AI, workflow automation, and real-time data augments your existing tech stack to provide perioperative leaders with trustworthy, actionable, and sustainable recommendations that improve block releases , increase access to the OR, and provide real-time performance data. Register Now.

In this whitepaper, we’ll cover the role that the BMC Helix portfolio can play in helping healthcare organizations to modernize their infrastructure and drive digital transformation. Let’s begin by examining some of the unique industry challenges facing healthcare organizations on their journey towards innovation and digital transformation. Download now!

New interoperability technology along with Hospital at Home strategies allows older adults with acute illness to remain in their own home and receive hospital level care, avoiding the complications associated with traditional acute care stays. In this webinar, we’ll discuss specific strategies for leveraging data and interoperability to help you develop a Hospital at Home program to meet your patient’s needs without program technology gaps. Register Now.

Attendees will learn projected shortages and shortcomings in nursing, how the pandemic is impacting mental health, and simple strategies to support caregiver well-being. Register Now.

This paper details the key steps to consider when creating a secure, scalable connectivity ecosystem based around medical equipment in the hospital environment. It offers practical advice on defining clear business goals to guide the successful use of data, securing and incentivizing connectivity projects for internal and external stakeholders, and securely transmitting data from hospital settings to a device vendor’s digital premises. Download Now. 

CAQH knows Credentialing Departments are grappling with; doing more, with less. As a result, we expedite primary source verification (PSV) services to make credentialing more predictable. Download the webinar to learn how we assist health plans in overcoming PSV challenges, during the pandemic.

Learn how Humana took the bold step of replacing their prior auth process with a new approach – to minimize manual effort, enable real-time influence on care choices, and eliminate more unnecessary medical costs than other solutions, while setting the stage to transform prior auth into collaborative care management. Watch 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.

This webinar will help you gaiin insight into long-term financial performance and risk management beyond standard reporting options, streamline revenue cycle management to improve claims accuracy, reduce denials, and get reimbursed faster, understand the financial impact of participating in value-based care amid increasing payment model variety and complexity, and more. Register Now.

In a webinar led by Huron, performance improvement leaders will discuss how to reduce avoidable losses, accelerate cash flow, decrease expenses and increase top-line revenue. Register now.

Relying on aggressive financial policies and collection tactics will not help your organization adapt to the "patient as payer" model, especially after the pandemic.  As an industry, we need strategies and innovations that will help patients easily navigate the financial responsibilities associated with their care. Join Juli Forde and ZOLL Data Systems for a conversation around the future of the patient financial experience, where we will use case studies and the latest research, to help offer tangible strategies for obtaining fair and optimal reimbursement. Register Now.

During this webinar, you will learn how to evaluate, implement and adopt pathways across multiple sites and specialties to standardize care, engage physicians to adopt and utilize pathways to improve care and drive clinical research, and use analytics from pathways to understand your patient population, measure value and improve care delivery. Register Now.

Explore stories from diverse, Cerner Learning Health Networkᵀᴹ health system members about how they’re fueling real-world data, launching or furthering their research efforts and making research and clinical trials a reality. Discover how you can unlock the power of your health system’s data and bring research to all. Download Now.

Healthcare workers are bogged down by time-consuming tasks like finding referral information, hunting for prior authorization requirements, doing patient verifications, submitting and resubmitting billing information, or tackling procurement tasks. During this webinar, Tony Brancato, EVP/GM, Cybernetics at Olive tackles these inefficiencies and shows how to leverage real-time intelligence to save time, ways to decrease friction and errors, and where to find better answers -- the internet of healthcare. Register Now.

Leaders from health systems and public health share how their organizations have become more empowered to improve care coordination, personalize experiences, and inform business and clinical decision-making by bringing a flexible approach to data management. Register Now.

Following the shakeup of medical care during the COVID-19 pandemic, along with the rise of retail brands entering the provider scene, consumers have a myriad of options and can choose who, when and where they fulfill their healthcare needs. Crossed with the consumer-based expectations built from a retail and service world, today’s patients expect to engage with their doctor or clinical care team in much the same way: quickly and digitally. Now is the time to open the digital front door and help your consumers better engage in their healthcare journey. Download now.

It’s no secret that proactively taking care of yourself can protect your health for the long haul. But what if health insurers applied this same proactive thinking to the way we support our members? The VP of FirstLine Benefits, answers this question, exploring how helping members take better control of their health can help improve both member health and experience as individuals begin to feel more empowered by their health plan. Register Today.

As healthcare workers face pandemic fatigue and signs of fleeing their employment, hospitals are turning to evidence-based strategies proven to empower and strengthen their workforce. These strategies not only aim to improve the healthcare worker experience, but improve the patient experience as well. Read our recent playbook to discover how to future-proof your workforce and improve patient outcomes with these 7 Must-Haves in an Evidence-Based Healthcare Workforce Delivery System. Download now.

Healthcare delivery will continue to evolve over the next year, incorporating new technologies that patients and providers were forced to lean on during the pandemic to blend in-person visits and virtual care. In this webinar, we examine key challenges, considerations and technology trends for emerging ‘hybrid care’ models. Industry experts from Google Cloud and Amwell discuss the areas of opportunities for evolving the care delivery model. Register Now.

With one remote patient monitoring solution across a healthcare system, the complexity of managing multiple RPM point solutions can be avoided to ensure clinical efficiency. By automating noncritical care activities, care teams can expand clinical reach and improve patients’ quality of life. Download 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. 

The Centers for Medicare and Medicaid Services (CMS) project Medicare enrollment to grow to 72M in 2025. Wearables enable a constant connection between healthcare organizations and their members. Join us for this webcast to learn what type of connected experiences Medicare Advantage members want and how wearables can help grow membership, engagement, and retention. Register Now.

Annual consumer experience reporting consistently ranks health insurance behind other industries. With the rapid digital advances sparked by COVID, it is more important than ever that health insurance providers understand current consumer sentiment and effectively align customer service and self-service with what their members find most important. Learn what members’ find most critical to health plan engagement, what CX information payers need to realize organizational cost savings and membership growth, and more. Register now.

As labor costs continue to rise, many hospitals and healthcare systems have announced big layoffs to help bridge budget gaps. But job cuts and voluntary buyouts aren’t the only way to control labor and operational costs. Learn how to identify hidden causes of overspend and how healthcare providers can rein in costs while retaining staff in order to continue providing high-quality care. Register now. 

Join this webinar to hear how Parkland Health and Hospital System's Executive Command Center was able to pivot and adapt to the uncertainties of managing the COVID Pandemic. Learn about how they captured and analyzed real-time experience and operational data for insights on critical care capacity planning, demand management, vaccine administration, and workflow re-engineering simultaneously for managing the Pandemic. Register now.

As healthcare organizations increase reliance on telehealth and m-health apps, online patient portals, and digital appointment finders, they must focus on delivering seamless patient experiences. Examine some of the challenges and opportunities facing healthcare providers as they increase and enhance their digital offerings. Register now.

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. 

Payers face challenges in providing scalable, differentiated care coordination to succeed in increasingly value-based contracts. How can payer leaders deliver enterprise-wide virtual care solutions to high and rising-risk members to improve clinical and financial outcomes? Learn how CCP implemented Deviceless Remote Patient Monitoring as an integral part of their virtual care strategy. 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!