From Silos To Services For Value-Based Care

From Silos to Services for Value-Based Care

  • September 19, 2016

Even though healthcare has spent decades automating processes and digitizing information, both remain remain largely locked in IT silos. There are impenetrable system boundaries between payers, providers, and vendors that reduce efficiency, increase costs, and resist automation. In other words, true interoperability is sorely lacking. From Silos to Services for Value-Based Care reviews the history of interoperability in healthcare and makes a case for how we can unlock the silos, bring information together, and align processes to improve clinical and financial outcomes. Read now or download and read later

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The Interoperability Imperative

The Interoperability Imperative

  • September 19, 2016

Interoperability in healthcare is not just about moving financial and clinical data between payer or provider or moving clinical data from one application to another. True interoperability allows enterprise applications to "talk" and collaborate in a smart, open, and agile manner. The Interoperability Imperative explains what this means; how and why interoperability is necessary to scale complex value-based reimbursement models; and how payers, providers, and vendors can get started. Read now or download and read later

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Five Steps Payers Can Take To Make Provider Directories Accurate

Five Steps Payers Can Take to Make Provider Directories Accurate

  • April 14, 2016

With fines being levied at payers who don't keep their provider directories current, it's time to rethink the old and onerous ways many payers keep track of their networks. There are five important steps payers should take to simplify and dramatically improve an otherwise complex system. Read the article

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How Health Plans Can Keep Their Approach To New Markets Nimble, Collaborative, And Effective

How Health Plans Can Keep Their Approach to New Markets Nimble, Collaborative, and Effective

  • May 9, 2014

In Managed Care, Michael Flanagan,  associate VP for product management at McKesson Health Solutions, describes what health plans need to do to succeed on the new healthcare exchanges. Plans need new capabilities, such as flexible network management and an unprecedented level of coordination between payers and providers. Payers need to be agile, adjusting to a newly enrolled population, and need the ability to administer more complex product designs, care delivery, and reimbursement initiatives quickly and efficiently. Flanagan lays out a template for health plans to drive their activity on the health insurance exchange. Read the full story here

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