hospital readmission
The Hospital Readmissions Blame Game
Written by: Joe Finazzo, Director of Sales, Provider Markets

Much has been written in the news and healthcare industry recently about reducing hospital readmissions. However, the jury is still out on the source of the readmissions revolving door.  What we do know is that readmissions are one of the …

Does Blockchain Solve Provider Data Quality for...
Written by: Guest Writer

Blockchain was the buzz at last year’s HIMSS, and it appears its potential was overhyped at the time. This year, there was a full pre-conference day for blockchain at HIMSS19, and multiple vendors addressed the topic in their presentations. The …

When It Comes to Provider Data Management:...
Written by: Jim Peyton, Senior Director, Relationship Management

Remember the old adage Shampoo, Rinse, Repeat? While perhaps redundant to repeat twice on the same day, I think we can all agree that repeating multiple times a week is a pretty good idea. The same can be said of …

HEDIS scores graph image
A Booster Shot for HEDIS Scores
Written by: Rich Morino, Senior Director, Health Care Solutions

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 (with an obvious exception of CMS’ STAR ratings for Medicare). Health plans use HEDIS scores to: …

Does This Provider Have Prescriptive Authority?
Written by: Andrew Markloff, Vertical Solutions Consultant, Provider Data

Pharmacists and pharmacy benefit managers (PBMs) have increasing responsibilities as prescriptive rules and regulations keep changing. Before they can focus on filling a prescription accurately, in order to be compliant, they must first resolve prescriptive authority by answering difficult questions …

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