As population health initiatives for Medicare and Medicaid members pick up steam, one of the biggest obstacles to care transformation remains a lack of trust among healthcare’s key stakeholders.
It’s an issue leaders must address—starting at the user level—if they are to strengthen health outcomes for the country’s most vulnerable patients.
Unlocking value from population health management depends on stakeholders’ trust in the data that drive population health insights and the
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Healthcare Cybersecurity: Combating Complexity with Advanced Analytics
Almost weekly, we see headlines about cyber incidents disrupting patient care, compromising patient privacy, or both. The growing interconnectedness of the healthcare ecosystem, combined with heavy reliance on third-party providers, is amplifying the impact of these incidents. This interconnectedness is not only expanding the attack surface but also increasing vulnerabilities across the entire sector, as seen in recent high-profile attacks on UnitedHealth Group's Change Healthcare and Ascension.
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The Future of Medicaid: 4 Considerations for MES Modernization
More than 75 million people access comprehensive and cost-effective care through Medicaid, including low-income families, older adults, and individuals with disabilities or chronic conditions.
Given the program’s importance in addressing the health needs of vulnerable populations, optimizing the experiences of Medicaid members and providers is critical. How they interact with the program can impact many outcomes, from member access and care utilization to provider participation and
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Transforming Insurance Verification and Authorizations with AI
Across many healthcare organizations, front-office staff face a significant dilemma: patients seeking help only to be told that their health insurance verification and authorization process could take several days or even months. According to a study by the AMA, more than nine in ten physicians recently surveyed said that prior authorization negatively impacts patient clinical outcomes and, often, leads to treatment abandonment.
This issue mainly arises because current, manual insurance
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Advancing Drug Discovery with Quantum Computing and Supercomputer Tech
McKinsey & Company estimates it takes up to 12 years to introduce a new drug to the market – a lengthy timeline comprised of many factors including technology limitations, regulatory requirements, and patient recruitment and retention. Scientific innovation and clinical trials are increasingly complex, generating more data than ever. Researchers are facing difficulties managing the volume and variety of data, turning to artificial intelligence, machine learning and advanced data architecture
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Pharmacogenomic Testing in Mental Health: The Need for a Broader Approach
What if we advised people to wear seatbelts only on certain days or when driving on specific highways? Clearly, this would result in real and avoidable harm. Unfortunately, something similar has happened to millions of patients who underwent pharmacogenomics (PGx) testing to aid in selecting drugs and doses for treating depression or anxiety, tailored to their unique genetics, without considering the broader implications. In mental health treatment, patients often endure multiple therapies
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Bioinformatics: Why Life Sciences Must Adopt Open Science
Today's biomedical research can be complex and time-consuming, as researchers grapple with the challenging task of managing and analyzing ever-growing volumes of complex scientific data. Leveraging advanced bioinformatics tools and techniques is crucial for transforming this data into meaningful insights. Standardization and collaboration within the bioinformatics space is the solution enabling researchers to meet the demands of today. Sharing such analyses and findings across the
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The Impact of Private Equity Consolidation in Healthcare
On a brisk 2023 October morning at St. Elizabeth’s Medical Center in Boston, Sungida Rashid and her husband Nabil held their newborn daughter for the first time. Rashid soon began to experience severe complications, including bleeding of the liver. This normally would be treated with embolization coils; however, the manufacturer had retrieved all coils at the hospital weeks before because Steward hadn't paid its bills. According to a lawsuit filed that same month by the manufacturer,
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The Vital Role of Hybrid Unified Communications in Healthcare Organizations
Hospitals and healthcare clinics are among the most complex technological ecosystems to manage. Staff and patients demand timely, secure, and dependable communication, while administrators often face shrinking budgets and increased regulatory oversight.
Today’s hybrid unified communications (UC) platforms are uniquely positioned to address these challenges. They allow healthcare organizations to optimize their infrastructure and investments while maintaining data security. Modern
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From TikTok to the Frontline: The Unsung Heroes of Healthcare Strike Management
Last summer, Mireya Bustamante, BSN, RN, had more than 51,000 TikTok followers and 4.4 million likes across her videos when she posted a TikTok about her time as a travel nurse. The 35-second clip showed Ms. Bustamante flying into an unspecified city where staff nurses were striking. In the clip, Ms. Bustamante said, "Strike contracts are a pretty quick turnaround, so you must be ready to go. You also have to be extremely adaptable and flexible."
A quick, seemingly innocuous video that you
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