Recent Posts
CAN YOU SLEEP AT NIGHT? COMMON POST IMPLEMENTATION NIGHTMARES
(6 Minute Read) The acquisition and implementation of enterprise software can be an extremely stressful time for any organization. Uncertainty and worry can keep you up at night until after your...
IS YOUR CARE MANAGEMENT PLATFORM AGILE ENOUGH TO ADAPT DURING A PANDEMIC?
As COVID-19 continues to spread, healthcare leaders around the globe are racing to understand and respond to the crisis. In the last few months, there has been a dramatic shift in the healthcare...
REDUCING UNNECESSARY ER VISITS IN YOUR MEMBER POPULATION
(5 Minute Read) As emergency department utilization continues to steadily increase, health plans must strategically limit their cost exposure. Every year there are approximately 139 million visits to...
HEDIS 2020: WHAT YOU NEED TO KNOW
(4 Minute Read) The Healthcare Effectiveness Data and Information Set (HEDIS®) was created by the National Committee for Quality Assurance (NCQA) to measure the clinical quality performance of health...
PROCESS IMPROVEMENT: 8 TIPS FOR GAINING EMPLOYEE BUY-IN
PROCESS IMPROVEMENT: 8 TIPS FOR GAINING EMPLOYEE BUY-IN Innovation is the buzz word of 2019. This year has been filled with incredible advances in the healthcare industry. Everyone is looking for...
Is Your Plan Ready for a RADV Audit?
(3 Minute Read) HELP YOUR ORGANIZATION BECOME COMPLIANT AND PREPARED WITH MOCK RADV AUDITS. Each year CMS selects 30 plans for RADV (Risk Adjustment Data Validation) audits to confirm that the...
The 5 Stages of Data Maturity
(4 Minute Read) Data flows through an organization daily, and the quality of enterprise data is more important now than ever before. To understand how it originates, how it is used, where it is used...
