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Insight from Healthcare Thought Leaders

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VirtualHealth: Intelligent Care Management Technology: Driving Alignment Towards the Quadruple Aim. HCEG Content

Comprehensive Care Management: Driven by HealthTech Convergence Singularity

Comprehensive care management dictates that an individual’s interactions with their care providers and their health…
Steve Sisko
Steve SiskoOctober 29, 2021
Second Opinion Benefits. Health plans, payers, employer groups. Medical Review Institute of America MRIoA. 2nd HCEG Content

Why Health Plans and Employer Groups Should Embrace Obtaining a Second Opinion

There are many reasons why an individual may want to obtain a second opinion on…
Steve Sisko
Steve SiskoOctober 5, 2021
Health Plans Intelligent Care Management Technologies. EHR Integration. Value-based payment programs. HELIOS. Closing the Loop. Events

5 Reasons Why Health Plans Must Adopt Intelligent Care Management Technologies

Over the last 10+ years, nearly all health systems and healthcare providers have adopted some…
Steve Sisko
Steve SiskoSeptember 29, 2021
ocus Area Roundtable on Next-Generation Value-Based Payment Programs Focus Area RoundtableHCEG Content

Value-Based Payment Programs – Highlights from Recent Roundtable

Like other systemic changes needed to ‘fix healthcare’ in the United States that have been…
Steve Sisko
Steve SiskoSeptember 23, 2021
Payment Integrity. Fair and Equitable, Structurally Sound Payment System. Healthcare. payment reform. provider payment models. Value-based care. EventsHCEG Content

Payment Integrity’s Role in Building a Fair & Equitable, Structurally Sound Payment System

Each year over the last decade, 'Healthcare Payment' and 'Data & Analytics' have been on…
Steve Sisko
Steve SiskoSeptember 13, 2021
Delay to Price Transparency Mandate. No Surprises Act (NSA) and Transparency in Coverage (TiC). Machine-Readable Files. Self-Service Price Estimation Tool. HealthSparq. Resources

Extracting Strategic Value from Delay to Price Transparency Mandates

Staying on top of government regulations and their compliance is an ongoing reality for health…
Steve Sisko
Steve SiskoSeptember 9, 2021
Payment Integrity. Payer Provider Reimbursement. Fair Price. Accuracy. Appropriateness. Timeliness. MultiPlan. EventsFocus Area RoundtableHCEG Content

Payment Integrity: Supporting Frictionless Services & Outcomes at Fair Prices

Historically, payers and providers have maintained ‘arm’s length relationships’ with each party acting in accordance…
Steve Sisko
Steve SiskoAugust 31, 2021
Impact of Healthcare Policy. Legislation. ACA exchange marketplace. Individual Small Group Market. SEP. extended enrollment. Subsidy. American Rescue Plan. open enrollment period. Softheon. Focus Area RoundtableHCEG Content

Impact of Healthcare Policy on ACA Marketplace – Leadership Discussion

The new administration and the pandemic have significantly impacted the United States healthcare delivery system…
Steve Sisko
Steve SiskoAugust 26, 2021
Intelligent care management technologies. Value-based care models. Whole-person care. Patient engagement. VirtualHealth HELIOS. Events

Intelligent Care Management Technologies: Key Considerations & Opportunities

As the healthcare delivery system continues to embrace value-based care and payment models, a number…
Steve Sisko
Steve SiskoAugust 20, 2021
Practical Interoperability. Trust, Workflow, & Value-Based Care Models. HealthCare Executive Group. HCEG. Focus Area Roundtable. health plans, payers. Insurance. EventsFocus Area RoundtableHCEG Content

Practical Interoperability Part 2: Trust, Workflow, Value-Based Care Models, & More

‘Practical Interoperability’ means different things to different healthcare stakeholders. In the HealthCare Executive Group’s first…
Steve Sisko
Steve SiskoAugust 2, 2021
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