Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Care Quality Measures

Health Plan Data Governance Assists Value-Based Reimbursement

March 30, 2018 - Health plan data governance plays a key role in overcoming barriers related to industry-wide adoption of value-based reimbursement, according to a two-year study conducted by CAQH CORE.  Health plans are industry leaders who should take an active role in addressing value-based reimbursement issues because health plans have expertise in managing complicated data. Health plans can contribute...

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Patient, Provider Engagement Drives High Health Plan Performance

by Thomas Beaton

Health plan performance, and how to improve it, is always an issue at the forefront of payers’ minds.  While payers have engaged in several strategies in the past aimed at improving clinical quality, reducing costs, and boosting outcomes,...

Top 10 Highest Performing Commercial Health Plans

by Thomas Beaton

The top performing commercial health plans in the US for 2017-18 exceeded expectations for customer satisfaction, preventive care, and outcomes of their beneficiaries, according to the National Committee for Quality Assurance (NCQA). NCQA aggregated...


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