Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Payers

6 Steps for Continued Accountable Care Organization Success

by Jacqueline DiChiara

Accountable Care Organizations (ACOs) – collaborative clusters of physicians, hospitals, and other healthcare providers voluntarily uniting to offer better coordinated care – are spreading like wildfire within the healthcare realm....

Patient Engagement High Priority for Millennial Patients

by Sara Heath

Patient engagement proves to be of high priority in the ever-evolving healthcare landscape, and providers and payers are seeing shifts in how patients purchase healthcare and health insurance because of patient engagement. This shift is due to...

3 ICD-10 Implementation Concentrations for Healthcare Payers

by Jacqueline DiChiara

As healthcare payers adjust their business models to more cleanly align with the continuously evolving ICD-10 landscape, immediate concern is being placed upon where payers should be focusing next as the healthcare industry...

Insurance Coverage Grows as Consumers Explore Payer Options

by Sara Heath

Attitudes toward healthcare coverage and healthcare reform have been reshaped in recent years. New avenues of healthcare coverage have come to light, and they are opening more options for how consumers may receive their coverage. Between the...

Bundled Payments Benefit Payers, Increase Quality of Care

by Sara Heath

Bundled payment systems are creating a lot of buzz in the healthcare industry as payers move away from fee-for-service payments and toward value-based payments. But what are bundled payments, and what effects do they have on the healthcare industry?...

Florida Hospitals Audited for Medicaid Payment Rate Limits

by Jacqueline DiChiara

The Florida Agency for Health Care Administration (AHCA) will audit 31 hospitals sprawled throughout Florida to assess whether or not their Medicaid managed-care plan contracts are indeed compliant with state law. Liz Dudek, AHCA Secretary, urged...

Does ACO Payment Influence Primary Care Physicians’ Quality?

by Jacqueline DiChiara

Accountable care organizations (ACOs) involve the collaborative execution of patient management across the care spectrum. ACOs – created by the Patient and Protection and Affordable Care Act (PPAC) – are developed partnerships...

Healthcare Payers’ Top 5 Areas of Advancement, Opportunity

by Jacqueline DiChiara

Healthcare payers are an imperative facet of the healthcare industry. As the ones paying for the care patients receive – often acting as insurance providers, insurance carriers, or health plan sponsors – payers sell health insurance...

Healthcare Insurance Mergers to Reduce Market Competition

by Sara Heath

As top companies in private health insurance — from Anthem and Cigna to Aetna and Humana — begin to merge, competition between companies and the variety of consumer choices begins to dwindle, leaving the health insurance market susceptible...


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