Jeff Carroll, Senior Vice President, Health Plans, Lumeris
For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes.
One spot of genuinely consumer-centric innovation and execution is in the Medicare
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Jeff Carroll, Senior Vice President, Health Plans, Lumeris
4 Steps Healthcare Organizations Need to Take to Automate Their Data
Alex Gorelik, CTO & Founder of Waterline Data
According to IDC, all the data that’s being created and captured in healthcare is projected to grow by 36 percent (CAGR)—more than any other industry.
While managing growing volumes of data is a common challenge for many organizations across all sectors, healthcare is uniquely set apart by the sheer number of new data sources that’s being made available—with new sources being added all the time. This is driven in large part by advancements in
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Why the Healthcare CIO Holds the Greatest Potential for Change
Kimberly Arnold, Salesforce Global Lead of Payer Strategy
Consumers expect every brand interaction they have, whether at the doctor’s office or with their health insurer, to mirror the ones they have with companies like Amazon and Google: personalized, connected, and convenient. The healthcare industry, however, isn’t nearly ready to deliver on these connected experiences — not while data remains siloed across departments and organizations.
The need for interoperability — getting
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4 Areas Where Big Data is Transforming Healthcare Right Now
Joel Landau, Founder at The Allure Group
Leveraging technology in the right ways can make or break the future of healthcare. One of the ways that healthcare will become more efficient, more affordable, and save more lives is through the use of big data.
What is Big Data?
Big data refers to a large amount of information being digitized, consolidated, standardized, analyzed and modeled. In healthcare, big data uses specific statistics from a population or an individual to research new
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Why Healthcare Is Finally Moving To The Cloud
Dr. Gautam Sivakumar, CEO and Founder of Medisas
When I started in this industry, the idea that we would put patient information in the cloud was an absurdity. How on earth could anyone justify putting the most sensitive information in our personal lives somewhere other than a locked cupboard, in the safety of a hospital? We would never dream of letting paper patient charts leave the hospital or clinic, so why would we let them leave simply because they are electronic?
Historically, security
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Helping VA to Combat Infectious Disease Across the Full Continuum of Care
VA hospitals and clinicians face challenges not present in commercial hospitals, which is that they provide Veterans with 100 percent of care services throughout their lifetimes. With a focus on the full continuum of care, this includes specialty care at VA clinics for chronic conditions, acute hospital admissions and/or ER visits, all prescriptions filled at VA pharmacies, and end-of-life care in a VA community living centers/nursing homes. In VISN4, there are nine VA Medical Centers serving
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5 Steps to Achieving a Mature Enterprise-Class Quality Program
Jeffrey Springer, Sr. VP of Healthcare Solutions for CitiusTech
The game is changing faster than ever as more payer contracts and regulatory programs adopt risk-based models. To be successful, payer and provider organizations know they must increase quality scores and revenue while reducing avoidable medical costs. Yet, the providers who are critical to that success are burned out. According to a recent survey, nearly one-third of providers say their biggest frustration is constant “busy
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The Drought is Over: It’s Raining Health IT IPOs
Three venture-backed health IT companies completed IPOs in July, ending an almost three-year drought of health IT IPOs. Share prices soared following each IPO, indicative of the enthusiastic response and a desire to see more health IT companies make their way toward public debuts. Composition of revenue, gross margin, and growth are key differentiators between these and all companies and key drivers of valuation. Given the enthusiastic shareholder response to these listings, we
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Top 5 Factors Impacting the US Population Health Management Market
The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years:
1 – A Market Still Maturing
As the market has evolved, providers are
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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
Shannon Wiggins, Manager with Dacarba LLC
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an
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