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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.


April 10, 2014 | Anthony Brino

Many startups and companies from other industries have physicians, hospitals, insurers and medtech manufacturers in their sights, betting that they can offer better services at cheaper prices for dissatisfied consumers.


April 3, 2014 | Anthony Brino

Trying to help new members prevent serious events or chronic conditions, one insurer is offering a reward system that may make health risk assessments more palatable, while also creating a window into the health of a new population.


April 2, 2014 | Anthony Brino

The recent IPO of Castlight Health shows a huge need for solutions to healthcare's shopping conundrum, especially among employers. But why is consumer buy-in still limited?


March 26, 2014 | Anthony Brino

The executive who ran IT for Coca Cola is coming to WellPoint to oversee and optimize technology across health plans and other, evolving businesses, including one advanced project with high expectations.


March 11, 2014 | Anthony Brino

WellPoint's Amerigroup is the first Medicaid plan in the nation to use a health record chip that enthusiasts are calling a "breakthrough health IT solution."


March 4, 2014 | Anthony Brino

Aetna is partnering with one of the largest medical device makers in an experiment for struggling diabetic members and their doctors.


March 4, 2014 | Eric Wicklund

With the wellness movement reaching ever more workers, more advanced digital health and wearable technologies are going to be a necessity if the field is going to evolve and start making inroads, some argue.


February 25, 2014 | Bernie Monegain

Aetna CEO Mark T. Bertolini believes that when times are tough, people want to hear the truth. In his Monday morning opening keynote here at HIMSS14, Bertolini was prepared to speak the unvarnished truth.


February 21, 2014 | Bernie Monegain

CareFirst BlueCross BlueShield (CareFirst) has pledged to invest more than $1.3 million in four initiatives designed to expand the use of telemedicine to treat patients with behavioral healthcare needs in underserved urban and rural areas of Maryland and Washington, D.C.


February 21, 2014 | Mike Miliard

3M Health Information Systems will acquire Treo Solutions, which develops healthcare data analytics and business intelligence technology, for an undisclosed sum.


March 25, 2014 | White Papers
Internal subrogation units can generate significantly more recovery dollars than those earned by using an external firm. This white paper outlines the steps to take to establish a well-run unit and find the right case management 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.

January 20, 2014 | On Demand Webinars
Population health initiatives are contributing to the adoption of telehealth for chronic disease management. Hospitals are now examining remote care management as a critical component to avoid exacerbations, prevent readmissions and inappropriate admissions, and lower overall cost of care.

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.

January 9, 2012 | White Papers
As healthcare payers prepare for an undefined future, they can benefit by looking at their technology infrastructure and IT systems, and examining how well these systems can support change. Healthcare payers can leverage technology to provide the flexibility and agility they need to manage change, without even knowing what that change will be. In particular, a modern, rules-based billing system can help payers be ready to support new market segments, products, services and regulations as reform continues to evolve. Learn more about how to manage the uncertainty around reform, and how billing can help.

January 9, 2012 | White Papers
As legislators continue to wrangle and court challenges loom, the final shape of U.S. healthcare reform may not be known for months or even years to come. Many payers are asking: how do we prepare for change in such an uncertain environment? The answer is, “By being prepared for anything.” Adaptive, flexible systems can help healthcare payers to become more adaptive themselves, ready to change their business processes to comply with new regulations — and with new market opportunities — as they arise. Learn more about how to prepare for change in an uncertain future.

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