Features

5 Strategies for 5 Stars: Cigna’s Approach to CMS Star Ratings

HealthPayerIntelligence Achieving five stars in all three domains – Medicare Advantage, Part D, and overall - is difficult. The work of Cigna’s HealthSpring of Florida plan in 2018 earned them five-stars across the board, making them one of only two...

Best Practices to Develop a Social Determinants of Health Strategy

HealthITAnalytics Addressing the social determinants of health (SDOH) in a community can seem like an insurmountable task, but Humana’s best practices show that a changing health system is ready to tackle these problems. The SDOH are factors outside of...

How Geographic Data Can Help Address Social Determinants of Health

HealthITAnalytics A patient’s social determinants of health contribute more to her health than her genetic code or her medical care. These social determinants of health are factors outside of the traditional healthcare setting that impact an...

5 Successful Risk Scoring Tips to Improve Predictive Analytics

HealthITAnalytics Risk scoring allows organizations to understand their population based on defined risk factors and anticipate the future risk of the group. A risk score is a metric used to predict aspects of a patient’s care (cost, risk of...

How Downside Risk Will Impact Participation in Pathways to Success

RevCycleIntelligence Providers queued up eagerly to partake in the Medicare Shared Savings Program when the rewards outweighed the risks, but many accountable care organizations exited the program as the balance of risk shifted to their perceived disadvantage....

Using Social Determinants of Health to Drive Medication Adherence

PatientEngagementHIT Prescribed medication is essential to treating and managing disease, but a lack of medication adherence is limiting the effectiveness of treatment and costing patients their lives and contributing to hundreds of billions of dollars in...

Wi-Fi 6, 5G Could Be Turning Point for Health IT Infrastructure

HITInfrastructure Healthcare organizations are deploying more bandwidth-intensive connected medical devices and mobile devices, which are straining existing health IT infrastructure. Next-generation wireless networking technologies, such as Wi-Fi 6 and 5G...

What’s the Role of Medicare Advantage for Payers and Consumers?

HealthPayerIntelligence As the US population continues to age, older individuals are seeking out comprehensive, affordable care options that meet their specific health needs. Medicare Advantage is one of the most popular ways for consumers to round out their...

What the CMS Hospital Star Ratings Mean for Care Quality, Patients

PatientEngagementHIT Five-star ratings aren’t just helpful for vacationers looking for a hotel or hungry families trying out a new restaurant. These symbols of quality are also essential in an increasingly consumer-centric healthcare industry, especially...

Pros, Cons, and Strategies for Implementing Healthcare Multicloud

HITInfrastructure Healthcare multicloud is becoming an attractive way for organizations to deal with the explosion of digital health data in electronic health records, connected devices, Internet of Things, and healthcare apps. As more healthcare...

How to Design a Comprehensive EHR Usability Assessment

EHRIntelligence A decade after the HITECH Act of 2009 first incentivized EHR adoption, many physicians remain dissatisfied with EHR design and are seeking improvements to EHR usability. Optimizing an EHR so that it offers intuitive, streamlined workflows...

How Network Segregation, Segmentation Can Stop Ransomware Attacks

HITInfrastructure Ransomware attacks against healthcare organizations have been on the rise in recent years, with sometimes devastating results.* From EHR downtime to compromised patient data, these cyberattacks can significantly disrupt the operations of...

What Is Cyber Insurance for Healthcare Organizations?

HealthITSecurity The healthcare sector has been a prime target for hackers over the last few years. Attacks have increased in sophistication, shifting at times from the obvious ransomware attacks to subtle, credential-stealing cyberattacks that hide in the...

Consumers, AI Will Challenge Health IT Infrastructure Leaders in 2019

HITInfrastructure As part of the healthcare industry’s ongoing transformation, health IT infrastructure is undergoing rapid change. Seamless, future-proof health IT infrastructure development will become increasingly important as the use of artificial...

What Is Deep Learning and How Will It Change Healthcare?

HealthITAnalytics Healthcare organizations of all sizes, types, and specialties are becoming increasingly interested in how artificial intelligence can support better patient care while reducing costs and improving efficiencies. Over a relatively short...

Optimizing Healthcare Workforce Management for High-Value Care

RevCycleIntelligence Investing in high-quality clinicians and staff enables healthcare organizations to deliver the highest value care to their patients. But the growing physician shortage and the increasingly competitive healthcare industry are making it...

Combating Chronic Disease through the Social Determinants of Health

HealthITAnalytics Healthcare providers do their very best to understand everything they need to know about their patients during the few scant minutes they are able to spend with each individual.  Once or twice a year, or maybe when a sore throat...

Complying with the HIPAA Privacy Rule During Emergency Situations

HealthITSecurity Emergency situations and natural disasters, such as hurricanes, pandemics, or mass casualties, can quickly overwhelm healthcare systems. The last thing on people’s minds in those situations is complying with the HIPAA Privacy Rule....

How to Choose a Population Health Management Company

HealthITAnalytics Population health management is quickly becoming a critical competency for healthcare organizations large and small.  From the primary care offices responsible for preventive services to inpatient hospitals on the hook for penalties...