The sharpening focus of the healthcare industry and the federal government on prior authorization and interoperability is amping up the pressure on…
As the quest for health equity gains momentum, the nation’s oldest and largest healthcare evaluation and accreditation body has announced new standards…
Value-based care is the future of healthcare in the U.S. These four core competencies can help guide your organization toward a model…
Meaningful Measures 2.0 goals are designed to facilitate the ongoing move toward value-based care, which targets issues including person-centered care, safety, chronic…
These four states are taking a boots-on-the-ground approach to addressing social determinants of health. Subscribe to our blog Don’t forget to share…
When you can align activities such as prior authorizations, utilization management and operational workflows with regulatory mandates for quality, timeliness, interoperability and…
The latest episode of Liberation Lab focuses on CMS changes to Star Ratings and what the shift in weights of different measures…
Nancy Green, senior vice president at Aveus, sat down with Julie Barnes, founder of Maverick Health Policy, and Debbie Hill, vice president…
A game-changing revision to CMS rules for Star ratings puts Medicare Advantage plans under extra pressure to deliver an excellent customer experience….
The latest episode of Liberation Lab focuses on the prior authorization rule affecting utilization management. Julie Barnes, JD, Founder and Principal of…
What does the new interoperability and prior authorization rule mean for the patient experience? Julie Barnes, founder and principal of Maverick Health…
The COVID-19 pandemic has resulted in more people on Medicaid. It’s more important than ever before for the healthcare industry to do…
New rules will ease administrative burden, speed up reimbursement and remove fears of accidental violations. Subscribe to our blog Don’t forget to…
Liberation Lab turns its sights to the potential implications of the November 2020 election on US healthcare policy. Our expert guests include…
Moving forward, Fast Healthcare Interoperability Resources (FHIR) will be used for the digitalization of HEDIS quality measures. Subscribe to our blog Don’t…
In January 2019, Medecision launched a yearlong process to achieve MARS-E compliance. Here’s how we did it. Subscribe to our blog Don’t…
CMS and ONC delays to enforcement give the industry a few additional months to prepare for major overhauls to ensure the appropriate…
Medical loss ratio (MLR) rebates hit a record $1.3 billion in 2019 because health plans spent too little on medical claims and…
SaaS application connects provider contract and member enrollment details for real-time authorizations and referrals, eliminates costs and delays tied to manual utilization…