What You Should Know: In recent years, the complex payer claims and administration market has seen several changes. Historically, payers have used multiple technology vendors and homegrown tools to meet their broad functionality needs. Now, payers are looking to consolidate platforms to improve efficiency and their ability to manage multiple business lines.As finding a platform that meets payers’ complex needs can be challenging, a new report by KLAS provides a comprehensive look at
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Cognizant
Cognizant to Integrate TriZetto with Microsoft Cloud for Healthcare
What You Should Know: - Cognizant expands partnership with Microsoft to give healthcare payers and providers easy access to cutting-edge technology solutions, streamlined claims management, and improved interoperability to optimize business operations and deliver better patient and member experiences. - As part of the expansion, Cognizant and Microsoft will work together to build an integration roadmap between Cognizant's TriZetto healthcare products with Microsoft Cloud for
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Exploring The Value of Metaverse Use Cases in Life Sciences
What once seemed like science fiction, interacting with people across the world has become the new normal. While we have become increasingly accustomed to video calls and instant communication in recent years, forays into virtual worlds and extended realities are still relatively novel. In a post-Covid world, it seems strange to think that video conferences and calls were not the norm only three years ago. But the value created by virtual interactions during the last several years has
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Inflation, Recession Fears Increase Tension Between Healthcare Patients and Providers
What You Should Know: - Weave (NYSE: WEAV), the all-in-one customer communication and engagement platform for small- and medium-sized businesses, today announced new research, the 2023 Healthcare Business Insights Report, which examines how inflation and recession fears are impacting small healthcare offices, the patient experience and the strength of patient-provider relationships. - The healthcare industry has become increasingly more competitive in the last five years. The sheer
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6 Success Strategies as CMS Drives More Accountable Care by 2030
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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