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Why Patients Don’t Answer Surveys (and Why it Matters)

There was a time, so I hear, when a physician’s word was gospel and to challenge that authority meant you were an exception and a rebel. When I entered Healthcare in 2007, this was ancient history. Patients are empowered in today’s healthcare marketplace, armed with...

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Revenue Integrity Week: Resources for Success

It’s Revenue Integrity Week! This annual week of recognition and celebration, presented by the National Association of Healthcare Revenue Integrity (NAHRI), is an opportunity to bring awareness and appreciation to the efforts of revenue integrity professionals across...

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10 Things Your Mobile Pay Solution Should Offer

Technology is radically changing the healthcare industry, and patients now demand a modern billing and payment experience that enables them to conveniently transact how, when, and where they desire (more on this topic in our last blog). Mobile pay solutions are better...

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Payment Integrity in Action with L.A. Care Health Plan

Join us for this interactive case study presentation.   What does total payment integrity look like once implemented? To answer that question, we invite you to “Bringing Total Payment Integrity to Light: A Case Study with L.A. Care Health Plan” a can’t-miss payment...

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Don’t Settle for “Just” A Claims Editing Solution

Look beyond claims editing solutions and find a comprehensive solution to payment integrity. If your payment integrity strategy is limited to just a claims editing solution, your health plan is falling short on the payment integrity continuum. Health plans that think...

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Don’t Settle for “Just” A Claims Editing Solution

Look beyond claims editing solutions and find a comprehensive solution to payment integrity. If your payment integrity strategy is limited to just a claims editing solution, your health plan is falling short on the payment integrity continuum. Health plans that think...

read more

When It Comes to Engaging Patients, Keep it Simple.

Why does it have to be so difficult? Healthcare tech, that is. This was the topic of a recent conversation between Relatient CEO, Michele Perry, and disrupTV. In other words, if consumers can purchase everything from water balloons to flat-screen TV’s with one-click...

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Smaller is Better

Working with a small provider offers big opportunities for health plans In the world of healthcare, the concept “bigger is always better” often prevails. Superficially, it makes sense that a health plan can mitigate risk by working with a large company that has big...

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Smaller is Better

Working with a small provider offers big opportunities for health plans In the world of healthcare, the concept “bigger is always better” often prevails. Superficially, it makes sense that a health plan can mitigate risk by working with a large company that has big...

read more

5 Steps to Reducing Waste and Abuse

Tech-enabled tips for comprehensive FWA prevention Medicaid improper payments have been on the rise in recent years, reaching $37 billion in 2017 up from $29.1 billion in 2015 – a 27% increase over three years. States require Medicaid Managed Care Organizations (MCOs)...

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5 Steps to Reducing Waste and Abuse

Tech-enabled tips for comprehensive FWA prevention Medicaid improper payments have been on the rise in recent years, reaching $37 billion in 2017 up from $29.1 billion in 2015 – a 27% increase over three years. States require Medicaid Managed Care Organizations (MCOs)...

read more

5 Ways Health Plans Can Leverage Big Data

Health plans, don’t let your data go to waste In healthcare, disruptive innovation lately centers around the Big Data Revolution. And for many established health payers and plans, talk of overhaul can seem overwhelming. Changes trickling in over the last several years...

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5 Ways Health Plans Can Leverage Big Data

Health plans, don’t let your data go to waste In healthcare, disruptive innovation lately centers around the Big Data Revolution. And for many established health payers and plans, talk of overhaul can seem overwhelming. Changes trickling in over the last several years...

read more

A Clearer Path to Coordination of Benefits

COB Considerations for Medicaid MCOs Coordination of Benefits. Many Medicaid health plans will tell you that this area is a primary concern in their payment integrity program. It’s no wonder: statistics tell us that 4-8% of Medicaid MCO membership has other healthcare...

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A Clearer Path to Coordination of Benefits

COB Considerations for Medicaid MCOs Coordination of Benefits. Many Medicaid health plans will tell you that this area is a primary concern in their payment integrity program. It’s no wonder: statistics tell us that 4-8% of Medicaid MCO membership has other healthcare...

read more