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healthcare payer

Results 1 - 21 of 21Sort Results By: Published Date | Title | Company Name
By: athenahealth     Published Date: Jul 23, 2013
PayerView, an annual healthcare payer rankings report by athenahealth, uses objective, data-driven methodologies to analyze the payer-provider relationship. The 2013 healthcare payer rankings report, which covers industry trends in 2012, does not show dramatic industry changes over the year, but highlights areas where there could be trouble as industry changes emerge.
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payerview, healthcare, data-driven, payer-provider, athenahealth
    
athenahealth
By: athenahealth     Published Date: Sep 05, 2013
Healthcare mergers and acquisitions and medical group growth have been strong industry trends for years. One reason is the desire for critical mass to gain leverage with payers as reimbursement declines and costs increase. Healthcare mergers and acquisitions may offer benefits for many medical groups; it is not without its challenges. Read this whitepaper to learn how to successfully manage growth of your medical group.
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group practice growth, strategies for success, healthcare mergers, medical group growth, medical group
    
athenahealth
By: Delphix     Published Date: Jun 27, 2014
ICD-10 migration projects can make even the Y2K projects of the 90s look small. As the October 2015 deadline looms, the stakes are high as IT teams fight delays and cost overruns. See why 40% of the top healthcare payers in the US use Delphix to improve their time-to-market and implement ICD-10.
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icd-10, migration, projects, healthcare payers, time-to-market, it management, data management
    
Delphix
By: Delphix     Published Date: Jun 27, 2014
Healthcare reform is transforming the US health insurance sector, creating a dynamic and competitive new market with compelling opportunities for growth. Does your IT organization have what it takes to capitalize on these opportunities? Here are 5 ways technology investment delivers the agility you need – and how.
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agile data, healthcare payer, cios, growth, technology, health insurance, it management, knowledge management, data management
    
Delphix
By: Evariant     Published Date: Nov 14, 2016
Changing healthcare market forces, such as value-based care models, consolidation, and payer mix erosion, have propagated declining margins and fueled hyper-competition among healthcare organizations vying for market share. In this new world, determining effective patient engagement strategies has become paramount for hospitals and health systems as they strive to acquire, retain, and re-activate patients, and, ultimately, drive revenue. Now, more than ever, it is critical that healthcare organizations create and maintain positive, lasting relationships with their patients, both current and prospective, working to attract them into their network and keep them there.
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healthcare crm, ehr, healthcare technology, marketing, patient acquisition, patient engagement
    
Evariant
By: IBM     Published Date: Feb 08, 2008
Throughout the industrialized world, healthcare systems are in crisis. Aging populations and skyrocketing costs are putting unprecedented financial and organizational pressure on healthcare providers and payers. The result is often a decreasing level of care. In response, fundamental changes are taking place. Patient-centric systems are evolving in which the patient's well-being and the responsibility for good health are defining treatment and operational policies.
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health, healthcare, medical, medical records, patient, patient records, hipaa, customer-centric, medicine, hospital, hospitals, ibm, best practices, customer service, hipaa compliance, web services, records management
    
IBM
By: IBM     Published Date: Nov 05, 2013
We live in an era in which customers expect perfection from their service providers. With competitors only a click (or tap) away, companies have a strong incentive to deliver flawless operations. Online retailers have “set a high bar” in the way they engage customers throughout the entire sales process—not just during the commercial transaction, but before, during and after the transaction. Your operations must be seamless, because individuals enjoy an interconnected and ubiquitous experience. And your operations must be insightful, because every personal and professional interaction is targeted and relevant. A Smarter Process approach helps you to reinvent business operations in the era of the customer.
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business operations, business process management, bpm, process automation, healthcare, smarter process, life sciences, health plan, payer claims management, compliance management, business activity monitoring, business analytics, business integration, business intelligence, business management, document management, information management, records management, search and retrieval
    
IBM
By: IBM     Published Date: Nov 12, 2013
A Smarter Process vision for healthcare. We live in an era in which customers expect perfection from their service providers. With competitors only a click (or tap) away, companies have a strong incentive to deliver flawless operations. Online retailers have set a high bar - in the way they engage customers throughout the entire sales process -not just during the commercial transaction, but before, during and after the transaction. Can healthcare and life sciences meet the challenge?
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business operations, business process management, bpm, process automation, healthcare, smarter process, life sciences, health plan, payer claims management, compliance management, business analytics, business intelligence, content management system, document management, information management, search and retrieval
    
IBM
By: IBM     Published Date: Mar 04, 2014
A Smarter Process vision for healthcare. We live in an era in which customers expect perfection from their service providers. With competitors only a click (or tap) away, companies have a strong incentive to deliver flawless operations. Online retailers have set a high bar - in the way they engage customers throughout the entire sales process -not just during the commercial transaction, but before, during and after the transaction. Can healthcare and life sciences meet the challenge?
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business operations, business process management, bpm, process automation, healthcare, smarter process, life sciences, health plan, payer claims management, compliance management, business analytics, business intelligence, content management system, document management, information management, search and retrieval
    
IBM
By: IBM     Published Date: Jun 08, 2017
The healthcare payer ecosystem in the United States has changed dramatically over the last decade and is expected to evolve at an even faster pace over the next few years. Many world-class companies involved in healthcare payment processing are finding themselves constrained by their existing information technology infrastructure. The silos that they built around business-to-business (B2B) processing are constraining them, making it difficult to achieve governmental mandates and (more importantly) increase processing efficiency and competitive advantage. Gone are the days of a small set of data following static and simple standards traded between a limited set of organizations. Gone are the days where the rules for when data is valid versus invalid can expressed in a paragraph or two. Gone are the days when information about a healthcare payment was almost entirely about the "who," "when," and "how much."
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hipaa, healthcare, b2b, organizational strategy, affordable care
    
IBM
By: MuleSoft     Published Date: Apr 15, 2019
The healthcare industry has been affected by disruption and the need for healthcare innovation. Legislative, market, and technology pressures make it imperative for healthcare organizations — including hospitals and health systems, payers, and life sciences companies — to become more agile. IT teams in the industry are considering a microservices-based architecture as a means of accelerating healthcare innovation and increasing project delivery speed. MuleSoft research suggests that application development productivity increases of up to 10x are possible. Healthcare specifically stands to benefit from this architectural paradigm. This whitepaper will address: Why microservices matter for healthcare IT teams and for healthcare innovation Design principles for a microservices architecture How Anypoint Platform can help you implement microservices best practices
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MuleSoft
By: Oracle     Published Date: Jul 31, 2017
"Healthcare payers and providers are under increasing pressure to: - Provide and report on quality of care across their population - Embrace new innovations faster - Reduce costs across the organization - Use consumer-friendly digital technology Explore this actigraphic to see if your organization is on the right track for tackling these challenges."
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Oracle
By: Oracle     Published Date: Feb 21, 2018
Digital healthcare is not an unattainable mirage, but is alive and well in the United States and throughout the world. The goal of digital healthcare is to use technology to efficiently manage and deliver better healthcare—providing greater value and more positive outcomes to patients at a lower cost. The cloud provides the fastest, most efficient, and most economical way to reach that goal. Ideally, cloud technology makes the delivery of healthcare fast, flexible, and easier for everyone to use—no matter whether you’re ordering supplies, hiring an employee, or reviewing your budget. However, actual results depend on how you implement the technology and on the vendor you choose as your provider. Every healthcare organization—payers and providers—will have a different path that leads them to digital healthcare. The question is, are you there yet?
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Oracle
By: Oracle HCM Cloud     Published Date: Aug 02, 2016
Healthcare payers need to think cost effectively to accomplish the goals of recruiting and retaining top talent, providing excellent patient care and consolidating healthcare with partners. Updating talent acquisition tactics and technologies doesn't have to be expensive. Find out how Best-in-Class companies recruit, hire, on board, and retain employees.
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Oracle HCM Cloud
By: Oracle HCM Cloud     Published Date: Aug 02, 2016
In the midst of industry consolidation, shrinking margins, and fierce competition for talent, health care payers are facing increasing pressure to deliver more cost efficient, high-quality patient care. Learn how to succeed in this dynamic healthcare market by integrating financial and HR systems to tackle immediate challenges and create scalability for the future.
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healthcare payers, healthcare hcm, healthcare erp and hcm in the cloud
    
Oracle HCM Cloud
By: Oracle HCM Cloud     Published Date: May 25, 2017
The changing healthcare environment means that both payers and providers must use all of their available data to ensure that employee productivity goals are met, members and patients receive high-quality service, and compliance is maintained. Unfortunately, many organizations face challenges with disparate systems providing inconsistent data. Find out how leading healthcare organizations are integrating HR and finance systems for one source of truth, and in turn enabling better decisions.
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Oracle HCM Cloud
By: Oracle HCM Cloud     Published Date: May 25, 2017
"Successful talent acquisition today puts candidates front and center. To accomplish the goals of recruiting and retaining top talent, providing excellent patient care, and consolidating healthcare with partners, payers need to think cost effectively. Updating talent acquisition tactics and technologies doesn't have to be expensive, though. Take note of how Best-in-Class companies recruit, hire, onboard, and retain employees. Learn more."
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Oracle HCM Cloud
By: RelayHealth     Published Date: May 31, 2013
Join RelayHealth for a recorded Healthcare Finance News webinar, Accelerating Service-to-Payment Velocity. With all of the changes happening in healthcare today, some things do remain the same. Your two primary sources of cash are still patients and third-party payers. While patient financial responsibility is rapidly increasing, a large percentage of revenue still flows in via governmental payers and commercial health plans.
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accelerate payment, payment resolution, service-to-payment velocity, claims data, continuing education credit
    
RelayHealth
By: Teradata     Published Date: Jun 12, 2013
This IDC Health Insights Perspective discusses the growing importance of CRM for healthcare payers, its expected benefits and potential challenges, and suggested best practices for harnessing CRM capabilities to drive enhanced value for both payers and end consumers.
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health plan, crm, customer relationship, health, health insights, crm
    
Teradata
By: The TriZetto Group     Published Date: Aug 01, 2011
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
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trizetto, trizeto, healthcare reform for payers, payers and healthcare reform, reform and payers, compliance with reform, administrative efficiency, technology, icd-10, 5010, claims administration, mlr requirement, value-based insurance design, value-based reimbursement programs, healthcare information technology, population health management, mlr
    
The TriZetto Group
By: The TriZetto Group     Published Date: Oct 20, 2011
The evolving healthcare landscape has created a wealth of fresh opportunities for payers. There is a sense of urgency for payers in leadership roles to leverage technology and successfully transition to a value-driven healthcare system that rewards top performers and high quality standards. Passage of the Patient Protection and Affordable Care Act (PPACA) quickly changed many aspects of payers' business with higher costs, new oversight, more competition and a longer-term promise of millions of new members. Since healthcare insurance reform became law, opponents have vowed changes, if not its outright repeal. While it may be tempting to take as little action as possible and hope that the 2010 mid-term election or 2012 general election will make this all go away, the reality is that repeal is not a likely possibility.
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trizetto, healthcare, healthcare reform, ppaca, investments
    
The TriZetto Group
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