Search Tag: claim payments

IT Management

Population Health Lagging: Confused Implementation Strategy

2016 09 Feb

In the U.S., a national study has found slow progress in implementing population health management even though healthcare providers believe it will be important for future market success. The study synthesises survey responses from more than 300 executives and in-depth interviews with more than 100 key decision makers across U.S. healthcare delivery... Read more

IT Management

Big Data Cuts Readmissions

2015 16 Nov

Use of big data has helped University of Pittsburgh Medical Center (UPMC), the second largest integrated payer-provider network in the USA, reduce readmissions. The key was to combine data from both sides of the business — hospital and insurance, according to UPMC Chief Analytics Officer Pamela Peele.“Providers are trained to manage disease, and insurers... Read more

Executive Health Management

Transparency in Pricing May Lower Claim Payments

2014 22 Oct

According to a new study published in JAMA, searching a health service pricing website before using the service results in lower payments for clinical services such as laboratory tests and imaging.     Due to changes in the healthcare insurance market, more and more insured patients now have to bear a greater proportion of their healthcare costs.... Read more

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