Original and curated content from the HealthCare Executive Group, our sponsors, partners, and healthcare industry professionals.
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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 the HCEG Top 10 list of challenges, issues, and opportunities facing healthcare leaders; whether payment…
Tags: Focus Area Roundtables, MultiPlan, Payment Integrity
September 13, 2021
Extracting Strategic Value from Delay to Price Transparency Mandates
Staying on top of government regulations and their compliance is an ongoing reality for health plans, health systems, and care provider organizations operating in the healthcare industry. And oftentimes when…
Tags: HealthSparq, Price Transparency
September 9, 2021
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 with what they deemed their own best interest. Both parties were wont to hold on…
Tags: MultiPlan, Payment Integrity
August 31, 2021
Impact of Healthcare Policy on ACA Marketplace – Leadership Discussion
The new administration and the pandemic have significantly impacted the United States healthcare delivery system with many changes to health care regulations and policy – particularly in regards to the…
Tags: Healthcare Policy, Softheon
August 26, 2021
Intelligent Care Management Technologies: Key Considerations & Opportunities
As the healthcare delivery system continues to embrace value-based care and payment models, a number of factors are driving the adoption of intelligent care management technologies by health plans and…
Tags: Webinar Series
August 20, 2021
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 Focus Area Roundtable on Interoperability, leaders associated with health plans, care providers, and organizations supporting…
Tags: Focus Area Roundtables, Surescripts
August 2, 2021
Discussing Barriers to Healthcare Interoperability, Use-Cases, and More – Part 1
‘Interoperability’ – particularly between health plans and care providers – has been a high priority of healthcare executives for years. It ranks #6 on the 2021 HCEG Top 10+ list…
Tags: Focus Area Roundtables, interoperability, Surescripts
July 26, 2021
Payer-Provider Collaboration Critical to Meeting Price Transparency Mandates
Ignoring price transparency mandates will not make them go away Will the No Surprises Act be the dagger in the heart of fee-for-service payments? What changes to the No Surprises…
Tags: HealthSparq, Price Transparency
June 17, 2021
Impact of Healthcare Policy Changes & New Regulations – Healthcare Leader Insight & Opinions
With the new presidential administration, staying abreast of and responding to new and changing healthcare policy changes, legislation, and regulatory activities is more important than ever. And with uncertainties about…
Tags: ACA, Focus Area Roundtables, Healthcare Policy, Softheon
June 1, 2021
Insight on Using Data & Analytics to Address Healthcare Consumer Needs
Health plans have more data and analytics than they typically know what to do with. The challenge is to use new types of data and advanced analytics like artificial intelligence…
Tags: Data & Analytics, WHCC
May 11, 2021
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