The momentum of value-based care (VBC) is poised to accelerate. The Centers for Medicare and Medicaid Services (CMS) has outlined an ambitious objective: to transition all traditional Medicare beneficiaries into a VBC arrangement by 2030, a notable increase from the mere 7% recorded in 2021 by Bain Research. As more plans, providers and members enter VBC arrangements, substantial volumes of clinical data will need to be managed effectively to oversee patient risk and care quality.
The
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Rise of Retail Healthcare: Challenges and Opportunities for Payers
Healthcare delivery continues to evolve to meet ever-changing patient demands. Over the years, rural doctors who historically performed house calls have been replaced with regional physician groups and community hospitals that are owned and managed by large health systems with multiple locations. Nearly 70% of physicians now work for a corporate entity instead of private practices. Telehealth visits increased 26x during the COVID-19 pandemic and have since leveled off, but are still a preferred
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Strengthening Healthcare IT Infrastructure: A Wake-Up Call for Cybersecurity Resilience
The recent cyberattack on Change Healthcare highlights the healthcare industry’s vulnerability when threatened with criminal attempts to disrupt technology and operations. The ransomware strike caused a chain reaction among healthcare providers, where payment systems were disrupted, cash flow halted, and—worst of all—patient safety was put in jeopardy.
For many healthcare providers, the incident reinforced the reality that cyberattacks targeted outside their organizations
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Federated Learning’s Potential to Transform Healthcare and Patient Outcomes
The healthcare landscape stands poised for a groundbreaking transformation, driven by a powerful, privacy-preserving machine learning technique: federated learning.
In the past, leveraging vast volumes of medical data for artificial intelligence (AI) development often faced insurmountable hurdles – patient privacy concerns, data silos, and ethical issues. Federated learning emerges as a beacon of hope, offering a paradigm shift in how we utilize
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The Metaverse Experiences Benefiting the Aging Population
Have you ever envisioned a world where age doesn't restrict exploration? Where do the boundaries of reality dissolve and everybody, young and old, have access to boundless opportunities? The metaverse is this transformative realm. And it's not just for the tech-savvy youth, either. It's also become a territory brimming with promise for the elderly.
Beyond the pixelated landscapes and virtual gatherings lies a space teeming with potential, poised to revolutionize the lives of older adults. In
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3 Ways to Get Started With AR and VR Technology in Healthcare
Augmented reality and virtual reality are innovative technologies that can provide tremendous benefits to the healthcare industry, bringing a deeper understanding of complex medical concepts to healthcare professionals and patients alike. Already, the integration of data analytics, artificial intelligence, machine learning, telemedicine, and interoperability have begun to shift how healthcare is delivered; away from care that's centered around disease management and toward care that’s more
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Empowering Healthcare Heroes: The Vital Role of Crisis-Ready Workforce Management Platforms
In the ever-changing landscape of healthcare, where tomorrow's challenges are unpredictable, the need for strategically staffed and crisis-ready hospitals has never been more crucial. While the worst of the pandemic may be largely behind us, the lessons learned underscore the ongoing need for vigilance and preparedness. The pandemic not only provided valuable insights but also emphasized the importance of a proactive approach to tackling any future crises that may arise. Hospitals serve as the
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Integrating AI Co-Pilots: A New Era of Intelligent Healthcare Management
The integration of AI into healthcare workflows presents a tremendous opportunity for transformation –– and for new levels of productivity in a time when administrative functions surrounding claims adjudication, provider reimbursement, and related functions are complicating operations and affecting efficiency. AI Co-Pilots offer an innovative approach to addressing these issues by driving efficiency, accuracy, and value in payment integrity.
The payment Integrity sector, crucial for ensuring
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How to Use NBA in Pharma Sales: Best Practices
Next Best Action has been one of the most important approaches for sales in recent years, including for pharmaceuticals. But because selling pharma is significantly different than selling other products, pharma-oriented NBA approaches need to be significantly more sophisticated than NBA for other industries. Pharma sales teams looking to implement NBA need to embrace an updated, data-driven version of this approach, known as NBA 2.0,
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Developing a Robust Data Strategy for Healthcare Organizations
Having a comprehensive data strategy is paramount in the healthcare sector. Data can be both a blessing and a curse for healthcare organizations, depending on how well they manage their data. On one hand, data is the key to unlocking personalized medicine, research breakthroughs, and effective population health management. On the other hand, data can be a major source of risk. Poor data security can compromise sensitive patient information, erode confidence in healthcare institutions, and lead
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