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A healthy partnership: Medicaid managed care organizations and federally...
“Triple Aim” has become recognized as the methods designed to put our health care system on the path to long-term sustainability. Stakeholders recognize the triple aim as simultaneously lowering...
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Preventive care: Gauge potential to drive revenue
Say your patient population is the size of Cincinnati and Toledo combined, you might be able to fill up my beloved Buckeyes’ Ohio Stadium with patients who’ve skipped two years of well visits. I’m...
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Modernizing Medicaid: Mega-Reg implications health plans should know
Payers manage a multitude of responsibilities as it relates to their Medicaid membership. From regulatory adherence, and payment integrity optimization to enrollment management, the current, and...
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Analytics provides “one report card” for physicians
In today’s health care, there are a lot of players – and a lot of payers, each with their own standards for evaluating physicians and the care they provide. As Greg Kile, CEO of the analytics firm...
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High-tech guided meditation eases burn pain
Parkland Hospital in Dallas County, Texas, is one of America’s “most wired,” as recognized by Hospitals & Health Networks® Magazine. Its careful integration of user-friendly tech extends from handy...
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IT procurement cycle stuck on spin? Here are 3 ways to get it sorted.
No matter the size of the state nor the type of system being developed, large government technology projects seem to share the same time frame: long, convoluted and often very different from the end...
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The way from here: The collaborative future of MMIS procurement
As states move forward with plans to overhaul aging Medicaid Enterprise Systems (MES), collaboration is only going to increase in importance. That’s why organizations like the National Association of...
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King v. Burwell: How should payers move forward after the ruling?
With the U.S. Supreme Court handing down its decision today in the Affordable Care Act case King v. Burwell, health insurers can turn their full attention to preparing for their continued participation...
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Provider executives share insights on the evolution of population health
How can you adapt to population health? If you’re a health care provider, such a question can’t be answered in a sentence or a paragraph—or even an entire article. But providers who are undergoing a...
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Engaging in risk-based contracts? Get an actuary’s opinion
Health care providers across the country are looking at ways they can increase their clinical and financial risk exposure under value-based contracts. But if they’re not experienced with risk, they may...
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