Does Blockchain Solve Provider Data Quality for Payers? Not Really
The traditional thinking is that there will be noteworthy blockchain-related developments in the healthcare insurance industry in the areas of provider data and claims. With provider data-quality initiatives, however, it will not be soon.
Playing Russian Roulette with ACOs
With new payment and care delivery models, ACOs have challenged the status quo in healthcare, specifically around population health models. But where are the stakes highest?
Understanding Patient Barriers for Effective Care Management
Medical care determines only 20% of overall health—while social, economic and environmental factors determine 50% of overall health. Those numbers are staggering.
The Big Three: What Health IT Leaders Really Care about in 2019
LexisNexis® Risk Solutions recently assembled a group of about 20 hospital CIOs to find out what topics they expect to demand their attention in 2019. Here’s what we learned.
CHIME Guest Blog: Cybersecurity Awareness Protects Against Data Breaches
With 91% of all cyberattacks coming from phishing emails, providers’ vulnerability to email-borne malware is still high. Employee negligence is the main cause of data breaches, according to a report.
Twenty-Two Million Dollars: Enough Incentive for Cybersecurity?
The word cybersecurity is everywhere. One reason relates to cost—according to HHS, the average cost of a data breach per healthcare organization is more than $22 million.
When It Comes to Provider Data Management: Cleanse, Augment, Repeat
The implications of poor provider data management can be more far-reaching than you know. Your physician contact information is the lifeblood of a hospital system.
Is Healthcare Really Ready to Innovate? JP Morgan Thinks So
Healthcare is trying to bring the best technology to transform our healthcare system and foster a feeling of innovation in a system that’s historically been slow to innovate.
Provider Directory Inaccuracies Are Only a Symptom
Most provider directory deficiencies are related to basic location, plan acceptance, and phone number. I don’t think the industry imagined that something so basic would be so difficult to confirm and report out.
2019 is Here and Change is the One Constant in Healthcare Technology
If there’s one thing that 2018 taught us, it’s that nothing in healthcare or healthcare technology is predictable. No one knows this more than hospitals, health systems and provider organizations.
Dear Providers: Work Smarter, Not Harder
There’s no doubt healthcare is in a constant state of flux. But are mergers and acquisitions the best way to address these issues? I’d argue no, and here’s why.
Population Health Data You Need Right Now
Social determinants of health data is mentioned in a different news article almost every day because the industry recognizes the value of these factors in care management.
2019 Healthcare Technology Predictions: Five Thoughts on the Year Ahead
Consolidation, consumerism and value-based care continue to greatly influence daily operations and strategic decisions being made by health plans, hospitals, life sciences organizations and pharmacies.
The Elusive Gem of Healthcare Data
Do you know where your physicians are? Sounds like a ridiculous question, right? Even if you know where your physicians are, where are the physicians outside of your organization that are critical to the care of your patients?
Four Words Providers Never Want to Hear: Right Procedure, Wrong Patient
Medical record mix-ups occur more frequently than you might think. If a patient’s health records are accidentally swapped with someone else’s, the results can be catastrophic.
Top 5 Ways to Apply Insights from Remittance Claims Data
I’ve spent my life helping life sciences organizations integrate data and build strategies on data insights. Not all data is created equal, so make sure you knows what to do with it.
Breast Cancer Awareness Month: Time to Put the Pink Ribbons Away
Everyone knows someone who has been touched in some way by breast cancer. When you look at the statistics for the disease in the U.S., it’s not hard to see why.
A Booster Shot for HEDIS Scores
With over 90% of US health plans and 42 of 50 States using it, the NCQA’s HEDIS scores dominate our discussion around measuring quality.
Does This Provider Have Prescriptive Authority?
Pharmacists and pharmacy benefit managers have increasing responsibilities as prescriptive rules and regulations keep changing.
A Matter of Life or Death: Solving the Identity Crisis for Pharmacies is about More than Deploying a Universal Patient Identifier
What you might not realize is that pharmacies are a hub for information including patient data, prescription transactions, marketplace data and more.
Healthcare Provider Data – Why is it so Hard to Get Accurate Information?
A pharmaceutical sales rep spends most days in the field, attempting to meet with physicians by visiting their offices. But getting in front of those doctors isn’t as easy as it sounds.
Who’s There? Five Ways to Improve Patient Identity Security in Healthcare
Safeguarding the security of patient identities is a very important issue in healthcare. It is imperative that security is made a priority by anyone in the healthcare continuum who has access to identifiable patient information.
Take the Guesswork Out of Marketing and Sales
Sales and marketing may be a bit of an art and a science. Getting the right message to the right people at the right time isn’t easy. Data and analytics are helping to take guesswork out of the process.