For the better part of a decade, the shift toward value-based care in the U.S. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI). Working to develop, test and evaluate new payment and delivery models in Medicare, Medicaid and the Children’s Health Insurance Program, CMMI has taken aim at improving the provider experience, generating better patient outcomes and reducing the overall cost of care. Recently, CMMI stated that by 2030 every Medicare
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Healthcare Interoperability Has Arrived: 3 Ways to Harness the Potential
This year’s HIMSS Conference offered some exciting insights and a renewed focus on data-sharing and interoperability. While the healthcare industry has been extolling the virtues of data interoperability for years until recently it has remained one of the biggest obstacles to providing quality healthcare today. Yet, the tides are turning. New government regulations, like the Centers for Medicare & Medicaid Services’ interoperability rules and the Fast Healthcare Interoperability Resources
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Philips, Cognizant Partner to Develop Digital Health Solutions to Providers, Researchers and Patients
What You Should Know: - Cognizant and Phillips announced a strategic collaboration to develop digital health solutions intended to improve patient care and accelerate the clinical trials process by increasing connectivity across patients, providers and clinical researchers. - The strategic alliance brings together Philips HealthSuite, a cloud-based platform and Cognizant’s digital engineering expertise
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RCM Myth: Healthcare Billing Is Just A Back-Office Job
Historically, there was a belief in healthcare that revenue cycle management (RCM) was only a job for the back office. But today, medical practices are well-aware all staff members are critical to the revenue cycle. This responsibility extends through every aspect of a practice, from the front office to back office with the clinical staff in between. The front office, for example, plays a role in generating revenue, because they can optimize scheduling and collect patient and insurance
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COVID-19 Crisis Makes Complying with Data Interoperability a Priority
With healthcare organizations focused on battling COVID-19, the recent federal healthcare regulation requiring data interoperability may have become an afterthought. However, compliance with this rule will create a powerful tool for fighting COVID-19 recurrences and future pandemics. If interoperability had gone into effect earlier this year as originally scheduled, many insurance companies and the federal government would now be able to securely share the data they have for most of the
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Improving Social and Cultural Determinants of Health Through Technology
In a perfect world, every individual would have equal access to adequate healthcare services regardless of socioeconomic status or cultural background. In the real world, both play a significant role in the level and quality of care a person might receive. It is critical that the healthcare industry as a whole remains cognizant of social and cultural determinants as it continues to innovate and transition towards value-based care models.
We have long been aware of the care challenges faced by
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HHS Should Be Careful Not To Go Too Far Too Fast on New EHR Rules
Senate health committee Chairman Lamar Alexander (R-Tenn.) on Wednesday said, “The administration should not move too far, too fast on implementing new rules on electronic health information.”Improving the access, use, and exchange of electronic health information is important to this committee,” Alexander said. “In March, the Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid Services (CMS) issued two proposed rules to implement
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Cognizant to Acquire Health Care Service Corporation’s Unit TMG Health
Cognizant has entered an agreement to acquire Health Care Service Corporation (HCSC) subsidiary TMG Health, a leading national provider of expert solutions for Medicare Advantage, Medicare Part D and Managed Medicaid plans. As part of the acquisition, TMG Health will continue to provide information technology, business process and other services to HCSC’s operating units and subsidiaries. The combination of capabilities from TMG Health and both Cognizant’s Digital Operations and Digital Systems
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Cognizant Unveils TriZetto Healthcare Administration Platform for Healthcare Payers
Cognizant announced the launch of the TriZetto Healthcare Cloud Solution, a secure, compliant, managed services platform for healthcare payers of any size, powered by Microsoft Azure. Based on Cognizant’s TriZetto Facets and QNXT end-to-end core administration software, the new solution is available on Azure, Microsoft’s HITRUST CSF-certified cloud platform.Wisconsin Physicians Service Insurance Company (WPS Health Solutions) is migrating its administration infrastructure to the TriZetto
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Cognizant Unveils Digital Health Platform for Increased Consumer Engagement
As the healthcare industry shifts from fee-for-service to value-based care models, healthcare organizations are looking for new ways to deliver consumer-centric care leveraging digital communication and access. To solve this, Cognizant has announced the development of Cognizant Health TranZform. The solution, developed with technology from Orion Healthcare, will aggregate data from multiple systems, including Cognizant’s TriZetto payer core administration platforms, physician practice management
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