In 2010, the Affordable Care Act ushered in a new era for Medicaid Modularity, an approach anchored by breaking down large, monolith systems into smaller, more nimble and self-contained modules that can de-risk healthcare delivery and unlock innovation. More broadly, Medicaid Modularity is about improving states’ Medicaid Management Information Systems (MMIS).
In 2016, the Centers for Medicare and Medicaid Services (CMS) followed by issuing guidance on how states should move forward with
Read More
Is the Smartphone Key to Unlocking Frictionless Patient Registration?
Since the beginning of healthcare’s digital revolution, organizations have been striving to achieve the Triple Aim of healthcare: better outcomes, lower costs, and improved patient experiences.
While reimbursement reforms and regulatory actions have helped realize measurable gains in population health and overall spending, progress on the patient experience piece hasn’t always been as clear-cut.
Firstly, patient satisfaction is a hard concept to quantify. And the
Read More
How Hospitals Can Help Patients Meet Financial Obligation While Driving Revenue Excellence
Medical debt in the US has reached crisis proportions. According to a recent study published by JAMA Network, unpaid healthcare bills are one of the largest sources of debt for Americans, reaching $140 billion last year. The impact is not limited to patients. Healthcare providers are feeling the pinch as well. On average, uncompensated care accounts for approximately 8% of a hospital’s expenses.
The inability to pay medical bills is strongly correlated with a lack of
Read More
How Healthcare NLP has Evolved from 2020 to 2021
Few industries have embraced natural language processing (NLP) as openly as healthcare. With the ability to identify new variants of COVID-19 and help speed up clinical trials for the vaccine, the pandemic is just one example of what NLP is capable of achieving. And while new research points to NLP budgets growing significantly across vertical industries, locations, company sizes, and maturity levels, healthcare is leading the pack.
Big strides have been made in AI and NLP over the last year,
Read More
Social Determinant of The Healthcare Professional: Why We Cannot Wait
The following list provides examples of the social determinants of health, which influence health equity in positive and negative ways: Income and social protection, Education, Unemployment, and job insecurity, Working life conditions, Food insecurity, Housing, basic amenities and the environment, Early childhood development, social inclusion, and non-discrimination, Structural conflict, Access to affordable health services of decent quality.
Working life conditions refers to the working
Read More
The Role Blockchain Could Play in Strengthening Patient-Provider Relationships
With conversations about NFTs and blockchain prominent in the news today, the future of such technology is a hot topic. The integration of blockchain technology into a variety of industries has proved to be beneficial in productivity, efficiency, and security. Because of this success, it is imperative that the healthcare industry continue to effectively adopt and utilize blockchain technology to improve data security, expand collaborative opportunities, verify the authenticity and safety of
Read More
SDOH In Action: Achieving Financial Sustainability: A Connected Community of Care’s #1 Goal
“Show me the money!” No one old enough to have seen the 1996 movie, Jerry Maguire, will ever forget that memorable phrase. That simple but powerful phrase could apply to every person who punches a clock for a living and just about every business, including community-based organizations (CBOs) and Connected Communities of Care (CCC). For CCCs and other non-profits, a parallel but no less powerful phrase, “No margin, no mission,” also rings true― just ask Sister Irene Kraus of the
Read More
It’s Time More Healthcare Companies Break Through Data Silos
Unifying health records remains a challenge, but the benefits of integrating disparate data could transform the industry
Healthcare payers, providers and agencies have traditionally struggled with unifying health records, but no longer is that a viable reason to put off what can be achieved today. It’s time more healthcare organizations seize the opportunity to create a strong data foundation that's consolidated, transparent, secure and easily accessible.
Many healthcare organizations face
Read More
2 Overlooked Cost-Effective Healthcare Cybersecurity Strategies to Minimize Risk
The Office of the White House recently issued a Proclamation marking October as Cyber Security Awareness Month and shared this year’s theme: “Do Your Part. Be Cyber Smart.” Threats are indeed on the rise, posing a significant risk to private businesses, public infrastructure, and national security, especially as the nation has increasingly adapted to a remote environment in the continuing battle against COVID. As businesses look to “do their part” to combat cybersecurity threats, they will need
Read More
4 Best Practices to Foster Virtual Care Transformation for Providers
Telehealth’s meteoric rise began just as the pandemic took off, and all indications suggest it’s here to stay. States that were once unwilling to reimburse for virtual visits are now onboard. Some have even passed parity legislation requiring insurers to reimburse equally for in-person visits and virtual visits.
So why, with all that momentum behind telehealth, are some providers still reluctant to use it?
Common reasons cited by providers reluctant to jump into telehealth include
Read More
