06Nov
Types of Health Informatics
managing healthcare data is complex and resource-intensive. Health informatics addresses this challenge by merging health data with IT systems to streamline healthcare operations and analytics.
30Jul
Enhance Payer Patient Education
Data and Technology Strategies Enhance Payer Patient Education Analytics platforms, omnichannel engagement tools, telehealth, and other technological advancements have become essential in driving successful, enhanced payer patient education. Cathy Moffitt, MD, a pediatrician with 15 years of experience in the pediatric emergency department and now the senior vice president and Aetna chief medical officer at
22Jul
Boosting Payer Patient Education with Technology
Data and Technology Strategies Elevate Payer-Driven Patient Education Analytics platforms, omnichannel engagement, telehealth, and other technology and data innovations are transforming patient education initiatives within the payer space. Dr. Cathy Moffitt, a pediatrician with over 15 years of emergency department experience and now Chief Medical Officer at Aetna within CVS Health, emphasizes the crucial role
19Jul
Boost Payer Patient Education
As a pediatrician with 15 years of experience in the pediatric emergency department, Cathy Moffitt, MD, understands the critical role of patient education. Now, as Senior Vice President and Aetna Chief Medical Officer at CVS Health, she applies that knowledge to the payer space. “Education is empowerment. It’s engagement. It’s crucial for equipping patients to
09Jun
Improve Patient Care and Trust
A recent survey conducted by Kyruus Health and shared with HealthPayerIntelligence reveals that consumers are demanding more accurate online provider data from payers to enhance access to care. Healthcare solutions from Tectonic and Salesforce improve patient care and trust by improving data accuracy. The survey, fielded by Wakefield Research in April 2024, involved 1,000 healthcare
20May
TEFCA could drive payer-provider interoperability
Bridging the Interoperability Gap: TEFCA’s Role in Payer-Provider Data Exchange The electronic health information exchange (HIE) between healthcare providers has seen significant growth in recent years. However, interoperability between healthcare providers and payers has lagged behind. The Trusted Exchange Framework and Common Agreement (TEFCA) aims to address this gap and enhance data interoperability across the
21Mar
Case Study: Healthcare Health Cloud Marketing Cloud Large Childrens Hospital
Large children’s hospital needs a usable data model and enhanced security to deliver excellent patient outcomes. Healthcare Health Cloud Marketing Cloud Large Childrens Hospital. Industry: Healthcare Client is a large children’s hospital with pediatric healthcare offering acute care. Problem: Implemented : Our solution? Results: In order to improve operations, provide physician-facing services, and move data—including PHI
16Dec
The Promise of AI in Health Outcomes
As President Biden has highlighted, artificial intelligence (AI) holds tremendous promise and potential peril. This is especially true in healthcare. On October 30, the President underscored his commitment by signing a landmark Executive Order aimed at governing AI development and use to improve health outcomes for Americans while safeguarding their security and privacy. The Biden-Harris
17May
AI Potential to Improve Prior Authorizations
AI’s Potential to Reduce Provider Burdens in the Prior Authorization Process Artificial intelligence (AI) has the potential to significantly ease the documentation and substantiation burdens providers face during the prior authorization process. Prior authorization, a critical step where health plans approve or deny coverage for services or prescriptions before they’re administered, is a key cost-control
13May
Salesforce Health Cloud for Payers
Utilization Management (UM) has been a familiar term since the 1970s, but its significance has grown considerably as a tool for managing medical costs. The pressure to contain costs amid overutilization and resource waste has intensified, prompting health insurers (payers) and employers to seek ways to control premiums and claims trends. Salesforce Health Cloud for
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