Curtailing the massive drain caused by waste, abuse and fraud in healthcare has never been more impor¬tant. New payment models are on the horizon, including bundled payments, and greater emphasis is being placed on payment for outcomes. Given the magnitude and visibility of the problem, insurers need to avail themselves of advanced and effective means to reduce wasteful, abusive and fraudulent medical spend¬ing in the most efficient way possible. This demands a more holistic approach across the payment continuum, using technologies that not only address issues from multiple angles but also facilitate cross-organization partnership. Read more now. 
March 22nd @ 1PM ET-- Payment Strategies for Healthcare: Reduce Costs, Streamline Provider Payments and Meet Reform Mandates: In this educational Web seminar, you will hear from industry experts on the current healthcare landscape from the payer and Third Party Administrator (TPA) perspective and on efforts to reduce costs, streamline provider payments and meet healthcare reform mandates. You will understand how one major TPA increased operational efficiency and realized savings by adopting innovative technology and processes. Finally, you will learn about the federally mandated healthcare operating rules, per Section 1104 of the Patient Protection and Affordable Care Act (ACA) and the benefits to the industry of their adoption. As part of this, CAQH CORE, a collaboration of healthcare industry stakeholders and operating rule author, will also provide an overview of the Draft CAQH CORE EFT and ERA operating rules. March 7th @ 2PM ET--Winning in the Age of Consumer-Driven Healthcare: How Effective Communications Can Boost Customer Satisfaction while Helping to Control Administrative Costs: Join this one hour webcast with Forrester Consulting's healthcare customer experience expert, Liz Boehm, on key trends giving rise to the healthcare consumer, the implications for payer marketing and communications approaches, and a look at the payer practices that are having the biggest impact on customer experience.
How to Tackle the Business Impact of ICD-10: Financial neutrality is the business goal for most payers going through the ICD-10 transition. Provider contracts, payments, medical policies and other business functions are profoundly impacted by the ICD-10 transition. Payers who are unable to address these impacts will likely fail to achieve their financial neutrality goals.
Attend this Web seminar to better understand how to mitigate ICD-10 transition risks, create more accurate code maps, and overcome testing and implementation challenges.
Turn Practice into Profits: Analytics Drive New Opportunities to Deliver Big Returns from Claims Management: Join us for this must-attend Web seminar for executives, operational management, claims managers, and auditors, where we'll review the leading issues impacting the costs and efficiencies of claims management. Hear from experts who will present a breakthrough in analytics capabilities specific to claims processing, and learn about the latest practices and claims-specific analytics being used by leaders in the health insurance industry. You will also learn about the latest practices to identify and fix poor performance habits and replicate high-quality throughput habits across your organization.
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