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
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
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
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
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
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
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
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
