Unlocking The Human Genome: New Challenges And Opportunities For Health Plans

Unlocking the Human Genome: New Challenges and Opportunities for Health Plans

  • October 28, 2013

Molecular Diagnostics (MDx), the next wave of innovation in healthcare technology, is arriving. Exciting, challenging, transformational, hopeful, complex, alarming, terrifying and expensive are all descriptions that are being used to describe the dawn of this new world. In an earlier post, I discussed the need to build a new diagnostic testing vocabulary that can be shared across payer, provider and lab stakeholders in order to improve collaboration and processing in diagnosis and claims. Following several generations of emerging technology involving digital imaging in the ‘80’s, 90’s, and ‘00’s, Molecular Diagnostics is now arriving with an entirely new view of our genetic…

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Big Data Mining Speeds Claims Payments

Big Data Mining Speeds Claims Payments

  • March 13, 2013

Health Data Management featured a real-world effort to harness big data, profiling Sean Riesterer, director of revenue cycle and reimbursement for Silverton (Ore.) Health. Silverton used RelayHealth's clearinghouse of data to find lags in this organization's service-to submission flow. It took Silverton only a few months to reduce the average service-to-submission time from 30 days to 13 days. Read the case study

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