Hcim.com

CMS Proposed Changes: Enhancing Healthcare Access and …

WebMeena Seshamani, MD, CMS Deputy Administrator and Director of the Center for Medicare, summarizes the proposed changes, “If finalized, the proposals in …

Actived: 3 days ago

URL: https://hcim.com/cms-proposed-changes-enhancing-healthcare-access-and-coordination/

Data Integration is Critical to a Value-Based Transformation

WebAs the healthcare industry begins to transform to the new Value-Based model, there is now much greater emphasis on quality patient care. The effort by current …

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The Evolution Of Data, Social Determinants, And AI In Population …

WebPopulation Health Management is the new foundation in the successful shift to value-based care and is evolving beyond risk management. It’s currently focused

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The Future of Improper payments in Medicare and Medicaid

WebLooking at CMS’s data is fascinating, especially when we look at the trends pre-COVID. In 2020, improper payments decreased from 7.25% in 2019 to 6.27%. This …

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SymKey Case Study

WebSymKey Case Study: UPHP - Health plan operations are complicated. Increasing claims volume coupled with the staff shortages that are currently plaguing the …

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SDOH And Health Equity In 2023

WebIt shouldn’t come as a surprise that Payers are taking their own strides into health equity. Especially considering the astronomical hits that they experienced in 2021 …

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Introducing SymKey 4.0

WebSymKey 4.0 is available now. Here is what one client said about the release: “This is a game changer! The new Hold Until feature has come in handy.

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Provider Database Accuracy

WebEffective January 1, 2022, all group/individual Health Plans must establish a provider verification process. Providers and Facilities will be required to provide …

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CMS Changes Affecting ACOs in 2023

WebAs the healthcare industry continues to evolve, so do the technologies and systems used to manage and deliver care. In 2023, CMS (Centers for Medicare & …

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Determining the Success of the HITECH Act

WebGuest post by Definitive Healthcare. After nearly seven years since the $35 billion HITECH Act was passed, some look at the slow pace of Meaningful Use, the …

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HHS Releases Proposed Rule Regarding Certification Of …

WebJanuary 2, 2014 – The Department of Health and Human Services (HHS) published a proposed rule today regarding certification (also referred to as attestation) under the …

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Robotic Process Automation vs AI and Machine Learning

WebRobotic Process Automation - If you’re in health plan operations, you’ve likely heard about the latest technologies hitting the market. It seems like every other …

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