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3 Steps for BPCI Advanced SuccessCMS’ most popular episode-based payment initiative requires careful internal analysis of costs and competencies, and recognition of improvement levers.
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How Pharmacies Can Help Drive Health EquityPharmacists can administer vaccines and other types of acute care, such as prescribing antibiotics for strep throat, but they can do more. They can advocate for patients by asking targeted questions to direct them to appropriate resources and supply reliable information about Medicare and Medicaid plans and other coverage options.
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Three Things to Know About HIPAA ComplianceMost organizations aren’t HIPAA compliant and don’t understand rules and don’t understand protected health information requirements. Here are three ways to change that.
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Accounting for the Social Determinants of Health During the COVID-19 PandemicCOVID-19 has revealed the importance of the social determinants of health.
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How Blockchain Can Transform Preventative CareThe technology can offer a secure, automated, and transparent system to streamline processes and promote activities that aid in preventative diagnostics.
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Five Ways to Win at HEDIS ComplianceAs the shift to value-based payment accelerates, successful health organizations can take steps to build an effective quality management program that will improve HEDIS scores and deliver care quality and cost savings.
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4 Ways to Overcome Compliance BarriersHealthcare treatment compliance can be difficult for patients facing other issues like unaddressed SDOH problems or mental health diseases. Here are four ways to engage those members.
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Why Consumer Engagement Must Be a Whole-Person SolutionOffering multiple, segmented approaches to health can confuse consumers-and reduce engagement. Instead, focus efforts on comprehensive solutions.
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Analytics Help Payers Take a More Surgical Approach to ReimbursementSurgery shouldn’t be the first step when considering treatment. Analytics can help the determine the best path that leaves patients healthier and payers with fewer costs.
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Show Me The Data: Why Payers Need to See RWE Used in New Indication ApprovalsIs real-world evidence up to the task of gaining new indications?
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Medicare Advantage Enrollment: Growth Expectations for Start-UpsEnrollment impacts an MAO’s revenue and profitability and is a key driver to becoming successful. Here are ways to better understand enrollment potential for new organizations.
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Medicare Advantage Enrollment: Growth Expectations for Start-UpsEnrollment impacts an MAO’s revenue and profitability and is a key driver to becoming successful. Here are ways to better understand enrollment potential for new organizations.
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Stand Firm: Lean Into Bias TrainingBattling racial bias in the workplace. How implementing an inclusion, diversity, equity and accessibility training initiative can lead to better results in racial disparities within healthcare and beyond.
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How Social, Behavioral Determinants of Health Can Enable Next-Gen Risk StratificationWhile generally used at a population level, addressing SBDoH factors can and should be personalized to individuals.
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How Social, Behavioral Determinants of Health Can Enable Next-Gen Risk StratificationWhile generally used at a population level, addressing SBDoH factors can and should be personalized to individuals.
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How Technology Infrastructure Will Help Social Care Providers Transition to Value-Based PaymentThe technologies bridging the gap between social care providers and medical care providers.
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Value-Based Care Tackles Oncology CostsOncologists are under intense pressure to come up with cost savings-and many are turning to value-based care structures.
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Value-Based Care Tackles Oncology CostsOncologists are under intense pressure to come up with cost savings-and many are turning to value-based care structures.
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New York Not-For-Profit Nursing Home Sales are Subject to Increased Scrutiny by the Attorney GeneralDue, at least in part, to the substantial increase in the number of sales of New York not-for-profit skilled nursing facilities to for-profit operators since 2015, the Charities Bureau of the New York State Attorney General is subjecting such transactions to increased scrutiny, including objecting to certain of such sales, increasing the time and cost associated with such transactions.
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New York Not-For-Profit Nursing Home Sales are Subject to Increased Scrutiny by the Attorney GeneralDue, at least in part, to the substantial increase in the number of sales of New York not-for-profit skilled nursing facilities to for-profit operators since 2015, the Charities Bureau of the New York State Attorney General is subjecting such transactions to increased scrutiny, including objecting to certain of such sales, increasing the time and cost associated with such transactions.
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New York Not-For-Profit Nursing Home Sales are Subject to Increased Scrutiny by the Attorney GeneralDue, at least in part, to the substantial increase in the number of sales of New York not-for-profit skilled nursing facilities to for-profit operators since 2015, the Charities Bureau of the New York State Attorney General is subjecting such transactions to increased scrutiny, including objecting to certain of such sales, increasing the time and cost associated with such transactions.
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We Need a Better Clinical Trial Recruitment ProcessClinical trials hold great promise for advancing healthcare-but only if the right patients are found.
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Delivering Value with Medicaid Managed CareHow MCOs are delivering value to Medicaid populations.
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Healthcare Price Transparency: Reality or Mirage?What are some of the implications of executive order on transparency in healthcare?
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Healthcare Price Transparency: Reality or Mirage?What are some of the implications of executive order on transparency in healthcare?
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Opinion: Applying Lessons of Great Coaches to Motivate Members in HealthcareHow health professionals who use a coach’s mentality and ability to care for a patient can better impact their lives in the long-run.
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Opinion: Lower Patient Costs Don’t Have to Mean Lower ProfitsHow oncology practices can help reduce spending on cancer drugs-without compromising on patient care.
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Nine Ways Regional Health Plans Can Reduce CostsRegional health plans can quickly reduce their costs by 4% to 5% while increasing member satisfaction.
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Electronic Health Record Adoption is Essential for Outpatient SurgeryTo remain relevant in managed care, adoption of EHRs are crucial for outpatient surgery. Included are four reasons it's essential for surgery centers to adopt.
