The uncertainty and risk created by pandemic-related disruptions in care have health plans in uncharted water when it comes to relying on claims data and utilization patterns to inform their risk models. But while these disruptions weakened the reliability of traditional risk models, they also created opportunities to deepen and enrich member data by leveraging consumer and other data related to social determinants of health (SDoH) that can deliver significant performance and accuracy
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Real-World Data Flow – The Only Way to Change Value-Based Care?
Healthcare interoperability issues have always been confusing, changing, and difficult to address. The reason why is not straightforward: we have a fragmented health system with a myriad of specialized applications that are not universally used. Instead, we have a system where each organization elects which technology tools to use and in what configuration.
Compounding this fragmented system is the push to value-based care (VBC). As more organizations shift their focus to VBC models, the need
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Clinical Trials: 4 Strategies to Maximize Patients Referrals
Clinical trials were front and center in 2020, as pharma companies raced to develop and prove the safety and efficacy of their COVID-19 vaccines. Despite this increased awareness, many potential participants and referring clinicians remain unaware of available trials and how to become involved. This negatively impacts enrollment efficiency and overall study timelines.
Enter patient referral platforms. The growth of these third-party services has helped bridge the knowledge gap for both
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Is Zero Trust the Remedy to Healthcare’s Ransomware Epidemic?
There’s no sugarcoating it: healthcare has a serious ransomware problem. And it’s not a new problem for this sector. In fact, the first-ever such attack targeted the industry in 1989 when 20,000 floppy disks infected with ransomware were given to those who attended the World Health Organization’s AIDS Conference.
So, the problem isn’t new, but it is getting worse. Ransomware has exploded in the past several years across almost every sector, but healthcare has definitely been one of the
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How AI Helped Companies Survive COVID-19: 5 Tips for Resilience
As the coronavirus pandemic transformed workplaces and workflows, it cast a spotlight on service management and resilient systems. Here are key lessons in how AI can improve your company’s operations moving forward.
The coronavirus pandemic inaugurated a revolution in the workplace as millions of employees shifted to working remotely to stop the spread of the virus. It also expedited digital acceleration across industries, testing the resilience and scalability of service management
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How Pharma Startups Can Remain Competitive in Today’s Market
Challenging the status quo is never easy. Neither is being the underdog. Startups face both of these challenges when trying to break into existing industries dominated by well-established players.
Differences in the size, speed, processes, and culture of a company make it challenging for all startups to compete, regardless of the industry. For newcomers or smaller startups in their respective industries, this competition may seem daunting and the road to funding difficult, but this
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Why We Need a Personalized Approach to COVID-19 Immunity Testing
To date, the battle against COVID-19 has been waged largely in the field of public health, using a series of binary, black-and-white thresholds to measure progress. The number of positive cases per 100,000 people, yes/no results on PCR tests, absence or presence of antibodies – these have set the benchmarks used to determine when we can open our schools and restaurants, remove our masks and resume something resembling our old routines.
While these numbers do tell us something about the
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Why Healthcare Orgs Need to Take a Practice-Centered Approach to IT
Over the past year, we’ve all witnessed the dramatic impact that healthcare IT had on both the selfless clinicians who power our health systems and their patients. The Covid-19 crisis accelerated innovation and led to increased adoption of the cloud and telehealth technologies that helped organizations continue to provide care no matter where they or their patients were.
However, several shortfalls were just as apparent. The 2020 HIMSS Healthcare Cybersecurity Survey found that 70 percent of
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Engagement, Interoperability, and the Future of the Healthcare Tech Stack
For all of the advanced clinical technology hospitals across the country leverage to stay on the bleeding edge of innovative patient care, healthcare, as an industry, has been extremely slow to adapt when it comes to implementing modern technology to improve everyday processes—both inside and outside clinical settings. In many hospitals, manual phone calls and fax machines are still some of the most relied upon methods for exchanging information.
Healthcare IT, meanwhile, has traditionally
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How Built-In Financial Services Can Help Healthcare Providers Rebound Post-Pandemic
While their staff grappled with the medical toll of the COVID-19 pandemic, healthcare provider’s financial struggles went largely uncovered. But a 2021 KaufmanHall report revealed that hospital operating margins lag well behind pre-outbreak levels—a gap even the CARES Act assistance couldn’t help bridge. To make matters worse, cash flow has been bogged down in bureaucracy, further highlighting the need for providers to ensure fiscal stability.
Yet this recent financial blow is only part of a
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