Asset: Healthcare 2015 and U.S. Health Plans New Roles, New Competencies
By: IBM Line of Business View more from IBM Line of Business >>
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Three Crucial Metrics Determine Health Plans' Member Satisfaction
By: XtelligentMedia Healthcare
Type: eGuide
Cost, convenience, and credence were three metrics that set apart high-performing and low-performing commercial health plans in a JD Power member satisfaction survey.
The JD Power 2024 U.S. Commercial Member Health Plan Study surveyed 147 health plans’ membership, adding up to 29,188 survey participants. The survey examined health plan performance and member satisfaction based on eight factors. JD Power conducted the survey, which is JD Power’s eighteenth U.S. Commercial Member Health Plan Study, from January through April 2024.
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Elevate health plan, provider collaboration with AI
By: XSOLIS
Type: Webcast
U.S. healthcare spending has hit $4.5 trillion yearly, over 17% of GDP, with a quarter of that being wasted on non-clinical administration tasks. And still, inefficiencies and a lack of transparency in authorization processes are driving inflated costs and causing payer-provider friction.
Healthcare entities are thus turning to tech innovators for solutions. In this webinar, a panel of industry experts will showcase AI tools that assess member data in real-time, offering clear insights to refine the authorization process. This fosters better cooperation between providers and health plans, reducing administrative load and expenses.
Tune in now to discover how AI is revolutionizing healthcare authorizations.
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How do Medicare Advantage providers create health plans tailored to a particular population?
By: XtelligentMedia Healthcare
Type: eGuide
As the healthcare industry strives to be more equitable, stakeholders should prioritize population health management. Population health initiatives focus on improving the health status and outcomes within a group rather than considering one person at a time.
While providers can advance population health through direct care initiatives and care coordination, health insurance companies can also play a crucial role by establishing population-specific health plans. Private payers often take this route for their Medicare Advantage plan offerings.
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Medical Transportation in Focus: A Growing, Key Role in Improving Care Access and Health Outcomes
By: SafeRide
Type: Research Content
This industry survey reveals that transportation is a top concern for health plans, seen as a significant barrier to care and the most impactful way to improve health outcomes. Learn more in the full Research Content.
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Artificial Intelligence Can Enhance Health Plan Operations When Used Correctly
By: XtelligentMedia Healthcare
Type: eGuide
Health plans must fully understand artificial intelligence tools before using them to assist with coverage determinations or administrative tasks.
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Techniques for advancing value-based care in the face of an impending health crisis
By: XtelligentMedia Healthcare
Type: ESG
Centering provider and member experience will be key to accelerating value-based care in the coming years.
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5G Use Cases in Production in Ambulatory/Outpatient Care
By: T-Mobile for Business
Type: Analyst Report
One out of four healthcare SMBs said that 5G is a top 3 technology and health IT initiative that will impact healthcare over the next five years. Planning and investing in 5G will provide many benefits to the healthcare industry, but 5G comes with challenges that can be carefully navigated with the right partners.
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Which Health Plans Can Be Accessed by Individuals with Disabilities?
By: XtelligentMedia Healthcare
Type: eGuide
Medicare and Medicaid are common health plan options for people with disabilities, though they must meet certain criteria before becoming eligible for coverage.
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Nine best practices for an effective EHR implementation
By: XtelligentMedia Healthcare
Type: eGuide
Successful EHR implementation requires meticulous planning, strong communication and effective training to navigate complexities and ensure a smooth transition.
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How Pharmacy Benefit Managers and Payers Collaborate to Reduce Costs
By: XtelligentMedia Healthcare
Type: Editorial Resource Guide
Pharmacy benefit managers negotiate prescription drug prices with drug manufacturers and pharmacies on behalf of payers.
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4 Tips for Modernizing Healthcare Payments
By: Zelis
Type: eBook
To unlock 4 tips for modernizing healthcare payments, check out this 9-page eBook by Zelis.
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Sharpening Your Competitive Edge: Driving Payer Success Through Provider Network Data Analysis And Innovation
By: Zelis
Type: White Paper
Understand how payers can leverage data analytics to enhance provider network accessibility, improve competitive positioning, and drive long-term success. Learn more in this white paper.
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How to leverage available data for care quality improvement
By: Inovalon, Inc.
Type: Blog
Effectively benchmarking healthcare quality metrics is crucial for health plans to improve performance and deliver better patient outcomes. This blog post explores how monthly benchmarking data from Inovalon's Converged Analytics Benchmarking can empower health plans. Read the blog to discover the value of timely quality reporting.
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Not if, But When: 4.5 Ways to Prepare for Future Industry Disruptions
By: Zelis
Type: White Paper
No one forgets the February 2024 data breach that brought the healthcare industry to a standstill. Are you prepared for the next disruption? Facing mounting compliance challenges and increasing cyberattacks, payers must fortify their systems. Download the Guide for 4 (and ½) ways National Health Plan leaders can prepare for what’s next.
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Do Your Members Know About Your Price Transparency Tool?
By: HealthSparq
Type: White Paper
Did you know that most health plan members have no idea that they have cost estimation tools available from their health insurance plan? In fact, only 1 in 3 people recall ever being told about these resources, but a whopping 67% list this as one of the top five most important health plan resources.
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Using ethical data usage to protect patient data ownership and sharing
By: XtelligentMedia Healthcare
Type: eGuide
Patient data sharing is on the rise, creating a need to protect patient privacy and patient data ownership.
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Opportunities & Challenges of Ensuring Digital Health Equity in Connected Care
By:
Type: Talk
Connected healthcare has become a critical part of the overarching healthcare delivery system in the United States. However, the benefits of connected care efforts can be hindered by digital health inequities, such as lack of access to the internet or technology. In this fireside chat, Natasha Khouri, assistant vice president of Digital Health Strategy & Solutions at UPMC Health Plan, will discuss the importance of tracking digital engagement among health plan members, the barriers to digital health equity, and innovative strategies to achieving equity goals.
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How nurse triage can drive proactive, impactful care
By: Conduit
Type: Webcast
In this webinar, join Conduit Health Partners President Cheryl Dalton-Norman and Editor-in-Chief, Mark Hagland, from Healthcare Innovation as they discuss key social determinants of health access and steps healthcare providers can take to better address disparity gaps and deliver high-quality care, including the role of nurse triage.
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What does implicit bias mean, and how does it impact medical care?
By: XtelligentMedia Healthcare
Type: eGuide
Healthcare leaders working toward health equity will need to recognize their own implicit biases to truly enhance patient care.
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Top Health IT Analytics Forecasts and Goals for the Coming Year
By: XtelligentMedia Healthcare
Type: eGuide
Health IT analytics and artificial intelligence experts say that healthcare organizations should focus on AI governance, transparency, and collaboration in 2024.
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Transforming prior authorization: Reducing provider friction
By: ZS
Type: Blog
The prior authorization process in healthcare is frustrating providers and disrupting operations. Explore the challenges, impact on patient care, and strategies to ease the burden and improve efficiency. Read the full article to learn how data-driven metrics can help health plans identify and address provider abrasion.
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Transforming health plans with data-driven CCOs
By: ZS
Type: Blog
As healthcare shifts to value-based care, health plan chief commercial officers must evolve from sales leaders to architects of transformation. Learn how they can harness data, personalize experiences, and empower stakeholders to drive sustainable growth. Read the full article.
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Integrating Quality and Risk Operations In Health Plans
By: Inovalon, Inc.
Type: White Paper
Integrating quality and risk operations in health plans can improve member satisfaction, provider efficiency, and financial performance. Learn how to consolidate data, align departments, and implement best practices for a unified approach. Read the full white paper to discover the benefits of this integration.
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How doctors can create patient trust through the use of generative AI
By: XtelligentMedia Healthcare
Type: eGuide
Providers and community health partners might be instrumental in building patient trust in generative AI and encouraging use.
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Dell Technologies and VMware Webinar: Succeeding in the New Era of Virtual Care
By:
Type: Video
This webinar, originally hosted by U.S. News and World Report on Thursday, July 30, 2020 features an introduction by David DeAngelis, Dell Technologies Global Healthcare General Manager and discussion with the following: * Suja Chandrasekaran - Sr. Executive VP, Chief Information and Digital Officer, CommonSpirit Health * Scott C. Rissmiller, M.D. - Executive VP and Chief Physician Executive, Atrium Health * Michael D. Robinson - Vice President, North America Healthcare, VMware * James Roxburgh - Chief Executive Officer, Telehealth, Banner Health
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Dell Technologies and VMware Webinar: Succeeding in the New Era of Virtual Care
By:
Type: Video
This webinar, originally hosted by U.S. News and World Report on Thursday, July 30, 2020 features an introduction by David DeAngelis, Dell Technologies Global Healthcare General Manager and discussion with the following: * Suja Chandrasekaran - Sr. Executive VP, Chief Information and Digital Officer, CommonSpirit Health * Scott C. Rissmiller, M.D. - Executive VP and Chief Physician Executive, Atrium Health * Michael D. Robinson - Vice President, North America Healthcare, VMware * James Roxburgh - Chief Executive Officer, Telehealth, Banner Health
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The journey to digital healthcare
By: TechTarget ComputerWeekly.com
Type: eGuide
In this e-guide we look at how the NHS shared care records projects are progressing, and the European Commission's plans to share health data across borders. We also look at how one NHS trust has created a social media platform to help mental health service users, and examine Scotland's digital health and care strategy.
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How Massachusetts hospitals proceed with the goal of achieving health equity
By: XtelligentMedia Healthcare
Type: eGuide
Hospitals in Mass. are moving forward with health equity through an 1115 waiver, but the state's Hospital Association is looking long-term.
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Big data analytics & innovation in Australian healthcare
By: TechTarget ComputerWeekly.com
Type: eGuide
In this e-guide, find out how healthcare providers in Australia and the rest of APAC have successfully tapped the power of data analytics and other related technologies to advance digital health and better position themselves to cope with the growing demand for healthcare.
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Innovating with cloud-based electronic health records
By: Amazon Web Services
Type: White Paper
Migrate your electronic health record to the cloud to transform care through faster innovation at scale.
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Has the cost of healthcare been impacted by hospital price transparency?
By: XtelligentMedia Healthcare
Type: eGuide
Data indicates that hospital price transparency laws have caused healthcare costs to level off.
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Health Economics (UK) - Making best use of finite resources
By:
Type: Talk
The Webinar introduces you to health economics and how to apply the concepts to organisational decision-making, help shape the delivery of better health care and improve health outcomes in the NHS. Health economics provides insights into how to improve healthcare and decide on the relative merits of alternative treatments and ways of providing healthcare within finite resources. Although you may not be directly involved in health economics-based decision-making, it is helpful to understand how the concepts relate to the planning of health services. We examine the problems and pitfalls which arise as you develop business cases to improve health outcomes and increase public value. By the end of the interactive session, you will be more aware of the complex issues you encounter as you start to widen your perspective and think a little more like a health economist.
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Priorities of Hospital and Health Systems (on-demand webinar)
By: The Advisory Board
Type: Webcast
It is essential to understand stakeholder priorities in today's ever-changing healthcare landscape. Learn what health systems are prioritizing in 2024, how they are building partnerships to address challenges, and how to interact with four key health system customer archetypes.
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AWS Paper: Promoting Population Health With Data
By: AWS Marketplace
Type: White Paper
There are many challenges facing healthcare providers who are aiming to promote population health for their communities. In this AWS white paper, learn how to harness complex data on multiple determinants of health to inform clinical and community intervention – and much more.
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10 major trends impacting health systems
By: The Advisory Board
Type: Research Content
In the wake of the worst financial year in recent memory, 2023 was a story of resilience for health systems. On top of that, the entrance of generative AI tools (some valuable, others not), along with value-based care, has encouraged caution when investing in hyped healthcare technology. Learn about these trends, and 7 others, in this report.
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Secure texting: The next great healthcare communications frontier
By: AVST
Type: eGuide
In this expert e-guide, learn why the first step to secure communications technology (like texting) is convincing leaders and clinicians to recognize the risks to health data.
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14 million patients impacted by breaches in healthcare data in 2024
By: XtelligentMedia Healthcare
Type: eGuide
Healthcare organizations remain top targets for cyberthreat actors, according to a SonicWall threat brief that explored trends in healthcare data breaches.
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Strategies for digital health to enhance behavioral systems
By: The Advisory Board
Type: White Paper
Digital health organizations play a crucial role in improving the U.S. behavioral health system. This playbook outlines tactics to address provider shortages, social determinants of health, build the evidence base, and make care more affordable. Read the full playbook to learn how your organization can drive long-term, equitable change.
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What Part Does Clinical Informatics Play with the EHR?
By: XtelligentMedia Healthcare
Type: eGuide
EHR data can aid clinical informatics research through streamlined clinical trial recruitment, public health surveillance, and health IT analytics.
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Paving The Way For Value-Based Care: The Role Of Nurse Triage In Strengthening Payer- Provider Alliances
By: Conduit
Type: White Paper
The healthcare industry is at a pivotal moment where stronger collaborations between payers and providers can yield significant benefits. In an article with MedCity News, Cheryl Dalton-Norman, president of Conduit Health Partners,
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Top data analytics tools for managing chronic disease
By: XtelligentMedia Healthcare
Type: eGuide
Effective chronic disease management requires healthcare stakeholders to effectively utilize data, population health management systems and predictive analytics tools.
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Improving healthcare access for Illinois Medicaid enrollees
By: SafeRide
Type: White Paper
Many Illinois Medicaid enrollees face unique healthcare challenges, especially in rural areas with provider shortages and transportation barriers. This white paper explores strategies like non-emergency medical transportation to improve access and outcomes. Read the full white paper to learn more.
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Top IT challenges for healthcare organizations in rural areas
By: XtelligentMedia Healthcare
Type: eGuide
Rural healthcare providers have long faced challenges surrounding their geographical isolation and limited financial resources. However, the digital health transformation has ushered in a new set of rural health IT challenges.
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Using Analytic Tools to Improve Wildfire Victim Care Coordination
By: XtelligentMedia Healthcare
Type: eGuide
Analytics-driven population health management strategies may help healthcare organizations tackle the persistent care challenges posed by wildfires.
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Top Healthcare Industry Forecasts For This Year
By: XtelligentMedia Healthcare
Type: eGuide
Affordability, workforce management, and technology are key topics among experts when offering healthcare industry predictions for 2024.
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The majority of small practices claim that primary health IT providers are inadequate
By: XtelligentMedia Healthcare
Type: eGuide
According to a KLAS report, many small practices report that their core health IT vendors lack key functionalities beyond EHR and practice management, including telehealth.
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Customer Success Story: Premise Health | Direct Healthcare Provider
By:
Type: Video
According to Joey Johnson, CISO with Premise Health, there is no dollar figure you can place on the value of a trusted relationship with a security provider. Like many healthcare providers, Premise Health understood the importance of improving and maturing its security against the backdrop of increased attacks on the healthcare industry. As a direct healthcare provider, Premise Health supports numerous, large self-insured organizations. This means Premise Health has a significant level of security scrutiny, requiring implementation of the right solutions and strategies. Watch this video to learn how Premise Health: • Improved the organization’s overall security posture and successfully plans for the future in an ever-changing threat landscape. • Built an impressive and highly successful internal customer security engagement strategy through quarterly business reviews. • Leveraged the relationship with GuidePoint Security to better understand and utilize existing security products and features. • Dramatically improved confidence in Premise Health’s security operations center (SOC) through enhanced visibility and the ability to pivot to changing threats.
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Enabling tech-smart healthcare from the ground up
By: Zebra Technologies
Type: Case Study
To support their now-largest statewide healthcare organization, Banner Health aimed to centralize employee communication and patient response on a single all-in-one enterprise-class mobile device. In this case study, explore how they found their missing operational puzzle piece in Zebra’s TC52-HC mobile computers.
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IoMT: Improving the Vitality of SMB Healthcare Companies with Better Connectivity
By: T-Mobile for Business
Type: Analyst Report
The Internet of Medical Things (IoMT) plays an important role in helping small and midsize businesses (SMBs) in healthcare meet Quadruple Aim objectives to improve patient and clinician experience, while reducing healthcare costs through productivity and efficiency gains and improved patient outcomes.
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The Cycle of Healthcare Data: Creation, Gathering, and Handling
By: XtelligentMedia Healthcare
Type: eGuide
Understanding data generation, collection, and processing can guide stakeholders looking to tackle various data analytics projects in healthcare.