Editor's Note: Thomas Grove is a Principal of Consulting and Compliance Services at Phoenix Health Systems, a division of Medsphere Systems. As a healthcare management executive with 20+ years of experience, Thomas has extensive expertise in strategic assessments and planning, revenue cycle management, and process improvement.Early in July, CMS released a new set of proposed rules to modify Meaningful Use. If all goes well through the comment period and final updates, by fall we will see many
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Data Governance: Creating a Lifeline for Healthcare Organizations Drowning in Data
Editor's Note: Chris Cooper is the healthcare strategy leader for Collibra, a provider of data governance helping healthcare organizations maximize the value of their data across the enterprise. Healthcare organizations have invested significant resources to make information available to employees at all levels, with the goal to enable better, more efficient decision-making for both patients and the organization. But these investments -- electronic medical records, data warehouses, self-service
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3 Ways Private Exchanges Can Help Provider-Sponsored Plans Thrive
Editor's Note: Jonathan Rickert is the CEO and Co-founder of Array Health, a provider of private insurance exchange technology that simplifies the process of buying health insurance with e-commerce platform. Provider-sponsored plans (PSPs) are a disruptive force in today’s evolving healthcare market. By combining healthcare financing and care delivery with strong, familiar brands in the local community, PSPs are able to break the traditional constraints of the fee-for-service model and deliver
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Mid-Year: 5 Trends Shaping Telemedicine in 2016
Editor's Note: Steve McGraw is the CEO of REACH Health, an enterprise telemedicine software company. Steve has more than 25 years of experience in leading software companies and has significant experience with Cloud-based healthcare software. The telemedicine industry is an exciting, dynamic place to be right now. As with many maturing industries, not only is telemedicine itself evolving, but also the trends that drive its evolution. Let me explain what I mean by this. The earliest telemedicine
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Fixing Healthcare’s Broken Pre-Authorization Screening & Verification Model
Editor's Note: David Dyke is the Vice President of Product Management & Business Development at RelayHealth where he is responsible for delivering innovation and value to the healthcare providers across revenue cycle management. Among the processes that influence the healthcare revenue cycle, pre-authorization stands out—but not in a good way. It lacks the foundation of a widely-adopted electronic data exchange, resulting in repeated manual, ad hoc methods of securing and confirming payer
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8 Digital Health Jobs of the Future to Watch
Editor’s Note: Richard van Hooijdonk is a futurist and international keynote speaker on future technologies and disruption and how these technologies change our everyday lives. Van Hooijdonk and his international team research ‘mega trends’ on digital health, robotic surgery,drones, the internet-of-things, 3D/4D printing, Big Data and other how new technologies affects many industries. With people living increasingly longer lives, medical care from surgeons, physicians, pharmacists and dentists
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How True Price Transparency Is Only 3 Lines of Code Away
Editor's Note: Lori Mehen is the Founder & CEO of Medlio, healthcare’s only social CRM – a new technology designed to help providers better engage with their digitally-empowered customer base. I have an allergic reaction to all the haughty industry wonks who run around talking about healthcare price transparency like it’s some kind of mythical grail. In fact, their core belief is that it’s impossible to know how much a doctor’s visit is going to cost before it happens.In an age of big data
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Healthcare Data Breaches: The Gap Between Awareness & Readiness
Editor’s Note: D’Arcy Guerin Gue is a co-founder of Phoenix, with over 25 years of experience in executive leadership, strategic planning, IT services, knowledge leadership, and industry relations — with a special focus on patient engagement and federal compliance issues. She currently serves as the Director of Industry Relations at Phoenix Health Systems, a division of Medsphere SystemsYou may be suffering from IT security fatigue at this point, for which I offer a half-hearted apology.Yes,
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6 Implications for 2017 Medicare Advantage & Medicare Part D Programs
Editor's Note: Kyle Stapp is the Program Director at Eligibility.com where he oversees the educational center inside Eligibility.com and works daily with program applicants to answer their questions. His programs include Medicare, Unemployment and more. Follow him on Twitter at @kyle_stapp or connect with him on LinkedIn.According to the Center for Medicare and Medicaid Services (CMS), 32% of Medicare beneficiaries are enrolled in a Medicare Advantage plan, amounting to 17.1 million people. This
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How Doctors Can Find Joy in Practice, Again
Editor's Note: Charles DeShazer, M.D. is a board-certified Internal Medicine physician executive with over 20 years of clinical, population health management, quality improvement, process improvement, analytics, informatics, managerial and consulting experience. Follow him on Twitter at @drdeshazerPursuing the practice of medicine is a pursuit of passion. The desire to help at the most fundamental level, saving and protecting lives, and to apply knowledge and compassion to make lives better is
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