3 ways to leverage analytics solutions to enhance the customer experience

Yoganand Sundararajan, Senior Manager, Business Consulting at Virtusa

Yoganand Sundararajan's picture

The billing (claims) data of healthcare providers for the United States Medicare Program, which is considered to be one of the most important healthcare programs to be held private for almost 35 years, was made available to the public just a couple of weeks ago on April 9.

Keep a watchful eye on remote claims processor engagement

Dan Enthoven, Enkata

Dan Enthoven's picture

Many claims processing organizations rely on distributed workforces to save costs on office space, increase their access to labor, and have a broader talent pool to recruit out of. There are plenty of benefits of this approach, but there are also risks.

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President Obama acknowledges the technical issues with HealthCare.gov, pledging his Administration will resolve them soon and asserting that the distressed web portal is not the only way to shop for affordable health insurance available through the ACA.


Three years after launching a 750-patient Medicare Advantage collaborative care pilot, Portland, Maine-based independent physician practice NovaHealth and insurer Aetna have shown concrete results in improving care quality and reducing costs. Technology and provider-payer cooperation played a large part in the program's success.

Healthcare has a few things to do differently in the privacy and security arena -- one of them being: Start taking it seriously.

Fears about public exchanges threatening established insurers may have been exaggerated, at least in the country's largest ACA marketplace.

Behavior change is critical to better outcomes, for patients, as well as providers and payers, as one health system with an insurance arm is finding.

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For the first time in almost four years, WellPoint will have a chief strategy officer, just as value-based reimbursement contracts are taking off.

The Healthcare Financial Management Association's new Price Transparency Task Force has released recommendations for how health plans and providers should inform patients on estimated prices, out-of-pocket costs, in-network status and value.

The nation's largest insurer lead off the first financial quarter under the full Affordable Care Act with a blend of optimism for growth and pragmatism for confronting headwinds like Medicare Advantage and specialty drug costs.

How the small employer market has a lot to gain by from private exchanges.

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