Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

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ACA, Member Engagement Challenges Led Top 10 Stories of 2018

December 26, 2018 - It’s fair to say that the health payer community had a lot to process in 2018.  Mergers, partnerships, and new entries into the field rocked the traditional industry setup, while federal efforts to chip away at the Affordable Care Act continued to create an environment of uncertainty and financial risk. Meanwhile, the ongoing transition to value-based care – and its...


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Top 5 Largest Health Insurance Payers in the United States

by Jesse Migneault

The Affordable Care Act has been a divisive policy for the public and politicians, but since 2010 it has been a financial boon for the top five giants of the health insurance payer industry.  The expanding customer base created by...

Top 3 Reasons to Partner with Accountable Care Organizations

by Vera Gruessner

With value-based care reimbursement becoming the standard across health insurance companies and medical facilities around the country, stakeholders are investing more time and resources in accountable care organizations (ACOs). Why should...

Top 3 Difficulties Facing State Health Insurance Exchanges

by Vera Gruessner

Once the Patient Protection and Affordable Care Act was passed into law, a tide of legal challenges came crashing against the legislation. In particular, the state and federal health insurance exchanges faced several differing...

3 Policy Challenges Health Insurance Exchanges Face

by Vera Gruessner

Health insurance exchanges have faced a number of legal challenges in recent months, as some key provisions of the Patient Protection and Affordable Care Act have found opposition. Last June, the Supreme Court ruled on the King v. Burwell...

Top 3 Recent Outcomes of the Affordable Care Act in 2015

by Vera Gruessner

The Obama administration’s Patient Protection and Affordable Care Act has dealt with a multitude of opposition since its passage and this past year has been no different. There are still partisan politics at play when it comes to the...

Top 3 Ways to Meet HEDIS Quality Measures, Improve Performance

by Vera Gruessner

The entire healthcare industry benefits greatly from the quality measurement programs including the Healthcare Effectiveness Data and Information Set (HEDIS) tools developed by the National Committee for Quality Assurance (NCQA). The HEDIS...

Top 3 Ways to Reduce Healthcare Spending Across Industry

by Vera Gruessner

What new innovations and healthcare reforms are making a real benefit to cutting unnecessary healthcare spending associated with duplicative tests, hospital-acquired infections, and medical errors? While there are a wide number of...

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