Information Technology

July 23, 2014 | Anthony Brino

The nation's largest health insurer is making its free mobile app available to everyone, in a bid to move the needle on price transparency.

July 18, 2014 | Anthony Brino

More and more, health insurance professionals who design consumer-driven and high deductible plans are using them personally, a trend that bodes well for their improvement.

July 9, 2014 | Anthony Brino

One regional insurer is using a new approach in provider network management, as it aims to tackle a laborious administrative process.

June 12, 2014 | Anthony Brino

If health insurers want to garner new members and keep them well, it may be worth looking internally, at how employees are faring and how managers make decisions.

June 3, 2014 | Anthony Brino

For employees, there can be nothing quite like the paperwork of HR and benefits, and for employers it can be expensive, especially with new ACA reporting requirements. Internet companies are trying to cash in on that, and could also shake up the insurance broker business.

May 27, 2014 | Anthony Brino

Amid the transition to the Affordable Care Act, startup companies looking to augment, service or replace health insurance have been getting record investments.

May 20, 2014 | Erin McCann

As a payer and provider and the country's largest managed care organization with a lot of digital and online patient data, Kaiser Permanente has tried to address privacy and security head-on, and may pave a way for others.

May 14, 2014 | Anthony Brino

Next year, when Americans go looking for the best surgeon or cheapest MRI, many will have free access to a new comparison service started by three insurance giants.

May 12, 2014 | Ben Harris, Contributing Writer

Modernizing code is essential for payers as technology ages and healthcare evolves. How does it work, and what's on the line?

April 28, 2014 | Eric Wicklund

How do consumers want to talk to their health plans? By any means possible, please, and right now.

April 22, 2014 | Erin McCann

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

April 14, 2014 | Erin McCann

When it comes to security threat severity, the Heartbleed bug doesn't miss a beat, and may not for some time.

June 2, 2014 | White Papers
Health plans must not only address today’s security threats, but plan for unexpected emerging risks of the new healthcare marketplace.

June 2, 2014 | White Papers
Today, value-based payments reward successful health outcomes, increased quality of care, and higher patient satisfaction. For health plans, this shift presents dramatic challenges. For many, technology will be the key enabler of these new payment models.

June 2, 2014 | White Papers
Success for payers will be based on their ability to integrate and analyze many types of data, from many sources. Making informatics and medical costs and quality management the last true value proposition for health plans.

May 19, 2014 | White Papers
If your organization enters or changes data manually, or is using a series of macros cobbled together to automate enrollment, claims reprocessing, or panel updates, you’re probably losing time, money, and risking data quality. This study explores the causes, prevalence, and repercussions of these traditional data practices for payers, then shares innovative ways to conquer inefficiency with automation technology.

March 11, 2014 | White Papers
For health insurers, data integrity and visibility are key to successful integration with the Federal Marketplace. However, complex processes and trivial errors can lead to data gaps that impact revenue, profitability and member satisfaction. Adopting a standarized approach to data integrity early in the process is critical to succesfully adapting to the technologies and processes of the Affordable Care Act.

November 20, 2013 | White Papers
Whether they realize it or not, most healthcare payers are losing millions of dollars each year across activities such as COB, subrogation, eligibility, MSP validation, and more. Fortunately, a new generation of "intelligent" cost containment solutions helps cut the losses and achieve significantly improved recoveries, cost avoidance, and increased revenue - all of which support health reform priorities such as medical loss ratio and waste and abuse efforts. This white paper details real-world examples of "intelligent" cost containment success, best practices for improvement, and more.

November 7, 2013 | On Demand Webinars
The healthcare sector has a clear opportunity to modernize care delivery by adopting new data interchange standards and EHR systems. But getting there will first require upgrading aging infrastructure, managing data explosion, and ensuring compliance with new regulations. This translates to more projects and greater costs for IT resources that are already stretched thin. There is a clear need for transformative technologies that will enable healthcare IT teams at payer organizations to tackle the unavoidable wave of big projects faster and with greater efficiency. Watch this webinar to learn how Molina Healthcare drove cost and operational gains in its claims processing environment.

October 9, 2013 | On Demand Webinars
The healthcare sector is going through massive transformation. Payers have to invest in readiness around data delivery to federal and state or multiple health insurance exchanges before Jan 1, 2014 deadline. While the ICD-10 adoption deadline has been pushed back due to industry pressures on regulator - it is still a huge undertaking for any healthcare entity that touches diagnostic or procedural codes. These are just some of the projects that are converging on healthcare IT teams this year. For healthcare CIOs and IT teams and especially application development teams this project overload translates into a cascading capital and operational cost burden. Learn how Presbyterian reduced storage, operational costs and realized significant productivity benefits around critical business processes.

October 9, 2013 | White Papers
Healthcare reform is transforming the US medical insurance sector - creating a dynamic and competitive new market with compelling opportunities for growth. But do you have the necessary responsiveness to capitalize on these opportunities? Here are the five compelling ways technology investment delivers agility you need - and how.

March 8, 2013 | White Papers
The Centers for Medicare and Medicaid Services announced in January that enforcement action for Phase I and II Operating Rules related to enhanced delivery and content of eligibility and claim status responses is delayed until March 31, 2013. This means you still have time to investigate solutions and reduce the risk of penalties to be assessed beginning no later than April 1, 2014. Are you ready? To learn more, download the RelayHealth Operating Rules Quick Start Guide.

November 6, 2012 | White Papers
Does your organization regularly exchange healthcare files with partners? Improve your information transparency by sending and receiving healthcare data with CrossPoint, a Managed File Collaboration solution that identifies data quality and integration problems within the thousands of flat files traded among healthcare networks. CrossPoint monitors, tracks, and archives exchanged healthcare data in a HIPAA-secure environment, complete with analytics. All the tools you need in a single hub solution for up to 10x savings.

June 6, 2012 | White Papers
This paper examines why health care reform is causing a shift to a consumer-driven business model and the role analytics plays in helping organizations make the transformation successfully. Read this white paper to gain insight on how health insurance plans can come out ahead with advanced customer intelligence and engagement strategies.


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