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Insurers need to win over health exchange shoppers. People enrolling in public health insurance exchanges are more willing to switch plans, placing pressure on insurers to continually win over shoppers based on price, product and service, according to a new report by Deloitte. Covered California would raise insurance rates by 4 percent in 2016. Anthem to buy Cigna for $54 billion. The fall, rise and uncertain future of Aetna. CEO pay ratio rule, inequality debate could pressure healthcare. A few reasons ...

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Insurers need to win over health exchange shoppers. People enrolling in public health insurance exchanges are more willing to switch plans, placing pressure on insurers to continually win over shoppers based on price, product and service, according to a new report by Deloitte. Covered California would raise insurance rates by 4 percent in 2016. Anthem to buy Cigna for $54 billion. The fall, rise and uncertain future of Aetna. CEO pay ratio rule, inequality debate could pressure healthcare. A few reasons ...
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Healthcare Payer News | healthcarepayernews.com Reviews

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Insurers need to win over health exchange shoppers. People enrolling in public health insurance exchanges are more willing to switch plans, placing pressure on insurers to continually win over shoppers based on price, product and service, according to a new report by Deloitte. Covered California would raise insurance rates by 4 percent in 2016. Anthem to buy Cigna for $54 billion. The fall, rise and uncertain future of Aetna. CEO pay ratio rule, inequality debate could pressure healthcare. A few reasons ...

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Healthcare Payer News

Florida to audit 31 hospitals over managed Medicaid. Florida will audit 31 hospitals which failed to meet a deadline to certifying that their contracts with Medicaid managed-care plans comply with state law, according to Gov. Rick Scotts office. MORE. Bundled payment partners drop off. Questions surround out-of-pocket maximums. How the Aetna, Humana merger played out. CMS delays risk corridor credits over bad data. The Centers for Medicare and Medicaid Services said it will delay releasing data on its ri...

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Managing healthcare costs doesn’t have to be a scary movie - Action For Better Healthcare

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8212; Main Menu —. Managing healthcare costs doesn’t have to be a scary movie. Ah, Halloweenthe cherished time of the year when being scary is expected. For a month or more it’s everywhere, and by November 1st it’s gone. That’s not at all the case in healthcare today. There’s plenty of scary to go around, and it doesn’t just go away…. Look behind the door before you walk in the room (cue the spooky music). So, look behind the door. Find the unjustified variation. Given escalating costs of delivering care...

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outdated manual supply chain systems Archives - Action For Better Healthcare

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8212; Main Menu —. Cleaning Up the Mess, Connecting the Pieces: The Value of an Integrated ERP System. Healthcare supply chain decision-makers often have to cobble data together from multiple people, locations and systems just to answer basic questions. How much am I spending in thi [.]. Healthcare supply chain data. Outdated manual supply chain systems. Subscribe to our blog. Here are a few of our favorite healthcare blogs you might find useful! A Country Doctor Writes. Bits: The Business of Technology.

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Population health - Action For Better Healthcare

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8212; Main Menu —. Newest Olympic Event: Fighting Zika? Michael Phelps will be participating in his fifth Olympics this week in Rio with hopes of bringing home the gold one last time before retirement. However this year, Phelps and his [.]. Human errors happen. But in the healthcare world, one easy mistake could mean the loss of a life. The answer? Gotta catch ‘em all (or prevent ‘em all) before they happen. While Pok [.]. Start Your Engines…. Five Essential Survival Skills. Your Devices Could Be at Risk.

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Bio – JohnBeaudoin.com

http://johnbeaudoin.com/bio

John Beaudoin began his writing career in 1987 at the American Journal. A weekly newspaper covering the western suburbs of Portland, Maine. He subsequently covered local, regional and Maine politics for two dailies, the Journal Tribune. And the Portland Press Herald. A year later, Beaudoin co-founded MedTech Publishing Co. with longtime friend and colleague Neil Rouda, launching Healthcare IT News. In 2006, and a number of digital publications including mHealth News. And Healthcare Payer News. Today, Bea...

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Contributors | HIMSS Future Care

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Skip to main content. Martha Sunkenberg is Senior Director of Health Center Operations for Bassett Healthcare Network. Laura Langmade is clinical informatics analyst for IBM Watson Health. Joan Ming is senior clinical informatics analyst for IBM Watson Health. Sarah Mihalik is vice president of solutions and marketing for Explorys. Jacqueline Matthews RN, MS, is Senior Director of Quality Reporting and Reform in the Quality and Patient Safety Institute at Cleveland Clinic. John Crawford is the EMEA Healt...

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HIMSS Future Care

http://www.himssfuturecare.com/resources

Skip to main content. Social and Behavioral Determinants of Health. What are social determinants of health, how can they influence individual health, and what can healthcare organizations do about them to improve population health? This white paper answers these questions and provides a look at fundamental drivers of health and disease to help improve population health and reduce costs. Improving individual care: Watson Health success stories. EBOOK: Population Health Management. Major demographic and ec...

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4 steps to implementing an enterprise data warehouse - Action For Better Healthcare

http://www.actionforbetterhealthcare.com/4-steps-implementing-enterprise-data-warehouse

8212; Main Menu —. 4 steps to implementing an enterprise data warehouse. Odds are you have analysts at your organization with expertise in your EHR systems, and others who can do a deep analysis of your financial and insurance claims data. But in the new world of accountable care. This simply isn’t enough. Enterprise data warehousing is a data guru’s dream – all the information about your organization gathered in one place. Here are 4 steps to implementing an enterprise data warehouse. You must understan...

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Quality and safety - Action For Better Healthcare

http://www.actionforbetterhealthcare.com/quality-and-safety

8212; Main Menu —. Human errors happen. But in the healthcare world, one easy mistake could mean the loss of a life. The answer? Gotta catch ‘em all (or prevent ‘em all) before they happen. While Pok [.]. Don’t Get Left Behind: Three Critical Questions for Mastering SEP-1 Core Measure Compliance. Did you know that sepsis is more common than a heart attack, killing one person every two minutes? Or that every year, more than one million Americans fight sepsis? Despite major i [.]. CMS, CDC Adding 5,000 New...

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population health Archives - Action For Better Healthcare

http://www.actionforbetterhealthcare.com/tag/population-health

8212; Main Menu —. Baby Boomers, Tattoos and Celebrity Sufferers: The Struggle with Hepatitis C. Did you know that Hepatitis C (HCV) is the leading cause of liver transplants in the U.S., with an estimated cost of $600,000 per patient? Or how about the fact that HCV is largely [.]. Centers for disease control. The Future of Pharmacy. Did you know that medication non-adherence causes 30 to 50 percent of treatment failures and 125,000 deaths annually? Ten Population Health Trends to Watch for in 2016.

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Medicare for All: Home

Everybody In. Nobody Out. Being cost efficient gets incredible results. To request to be notified when the. Mforall.org Medicare for All campaign starts. Universal health care, Medicare for All, will establish cost efficiency that eliminates major health care bills and medical related bankruptcies. It will simplify our way of paying for health care and lower the total cost for the United States. It will be good for the physical and financial health of Americans and America. Our universal health care can:.

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Healthcare Payer News

Insurers need to win over health exchange shoppers. People enrolling in public health insurance exchanges are more willing to switch plans, placing pressure on insurers to continually win over shoppers based on price, product and service, according to a new report by Deloitte. Covered California would raise insurance rates by 4 percent in 2016. Anthem to buy Cigna for $54 billion. The fall, rise and uncertain future of Aetna. CEO pay ratio rule, inequality debate could pressure healthcare. A few reasons ...

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Medicare Reimbursement Solutions for Hospitals | Healthcare Payment Specialists

Medicare Bad Debt-Medicare Advantage. HPS Market Evaluation Tool. Finally. A Technology Solution for Medicare Payment Issues. The Top 4 Mistakes Hospitals Make. When Capturing Data for Medicare Reimbursement. READ MORE AT OUR BLOG. Use Real-Life Data to Drive Your Decision Making. REQUEST A FREE MARKET EVALUATION FOR YOUR HOSPITAL. MAXIMIZE YOUR HOSPITAL’S MEDICARE REIMBURSEMENT. With superior technology and dedicated experience we have created partnerships with over 500 hospitals across the country and ...

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Healthcare Payment Assurance

What Is Healthcare Payment Assurance? The healthcare industry’s lack of payment assurance results in high operational costs to collect and increased patient bad debt. In 2010, providers wrote off more than $65 billion due to patient bad debt (McKinsey Quarterly). To achieve payment assurance, the industry needs to put in place the required tools, policies and processes listed in the Payment Assurance Levels One and Two requirements. Payment Assurance Level One Requirements. Eg, via phone, mail and online).