Business Sponsors
mPulse Mobile Acquires HealthCrowd and Receives Growth Investment from PSG
mPulse Mobile
1/10/2022
We’re excited to share the good news that HealthCrowd is now part of the mPulse Mobile family! Today, January 10th, 2022, mPulse Mobile proudly announced the acquisition of HealthCrowd.By joining two innovative organizations, the combined company will unleash digital engagement capabilities to transform how healthcare organizations improve both consumer outcomes and experience.
Innovative Solutions Needed For Eldercare
Aloe Care Health
12/17/2021
Technology can never - should never - replace the human hand of caregiving. What it must do, however, is make the experience better. With an overwhelming portion of the American population now providing unpaid care to an older adult and older adults wanting to age in place, it is imperative we use innovative technology to help.
This is why we built the comprehensive Aloe Care medical alert and communication system. Technologically superior. Path-breaking. Need-meeting.
The Great Divide: Gaps in Care Strategies eBook
Icario
12/15/2021
This eBook offers approaches for plans to identify, engage, and address gaps in care. The bridge concept illustrates that timely, realistic strategies can fill in the cavities that still exist. These approaches provide insight for increased accessibility and continuity of care.
Zelis Acquires Sapphire Digital
Zelis
12/6/2021
Combined company enhances healthcare consumer solutions and accelerates mission to harmonize the complete pricing and payments process.
Inovaare Embeds 2022 CMS Audit Program Protocols
Inovaare
11/30/2021
Inovaare Corporation, a compliance and operations management software provider leading digital transformation within the healthcare industry, today announced it has updated all Risk and Compliance, Audit and Monitoring, and Appeals and Grievances solutions to include the 2022 CMS Program Audit protocols.
Inovaare Embeds 2022 CMS Audit Program Protocols in All Solutions
Inovaare
11/15/2021
Inovaare announced it has updated all Risk and Compliance, Audit and Monitoring, and Appeals and Grievances solutions to include the 2022 CMS Program Audit protocols across all product lines within eight weeks of the final protocols announcement in late May 2021.
Zelis Announces Refreshed Brand & Mission
Zelis
11/10/2021
Company doubles down on promise to price, pay, and explain healthcare for rapidly growing client base of payers, providers, and healthcare consumers.
Demo: Shift from volume to value with Network Intelligence
Cotiviti
10/28/2021
Cotiviti’s Network Intelligence helps payers and providers collaborate to create and manage value-based healthcare delivery and payment. Watch our on-demand demo as we demonstrate Network Intelligence and discuss how to put data into action to incentivize change.
Revolutionize Your Supplemental Benefits
InComm Healthcare
10/27/2021
Take Your Health Program to New Places with the InComm Healthcare Benefit Card. It's simple. Your health plan members can have a single card to cover multiple benefits. Choose from OTC Products, Healthy Foods, Dental, Vision and Hearing, Delivered Meals and Produce, Transportation, Internet and Utilities Bill Payment, and Incentives and Rewards.
Centauri Achieves HEDIS® MY2021 Certification
Centauri Health Solutions
10/26/2021
Centauri Health Solutions is excited to announce that its HEDIS® (Healthcare Effectiveness Data and Information Set) management and reporting solution, Precise®, is now certified by the National Committee of Quality Assurance (NCQA) for 81 HEDIS measures, systematic sampling and survey samples for HEDIS MY2021 reporting. Survey sample certification was completed well in advance of the December 15, 2021, deadline.
A proven approach to preventing E&M over-coding
Cotiviti
10/25/2021
Cotiviti Chief Medical Officer Richard Pozen, M.D., explains how payers can tackle challenging Level 4 and 5 E&M claims while still paying claims promptly and minimizing abrasion.
4 best practices to prevent rapid disenrollment
Cotiviti
10/25/2021
When it comes to preventing disenrollment, first impressions matter—for most members, that means their experience with a plan’s pharmacy benefit, prior authorizations, or transition of coverage. Here are four proven best practices to remember as you build or improve upon your disenrollment prevention strategy.
Execute claims editing more accurately
Cotiviti
10/25/2021
Cotiviti EVP of Payment Integrity Matthew Hawley offers several best practices for health plans to deploy a claim editing solution that pays claims with the highest accuracy and the lowest provider abrasion.
Payvider: The Blurring of the Lines Between Payer and Provider in Digital Health Deals
LexBlog
10/20/2021
Christopher J. Donovan discusses the unique opportunities that provider-owned health plans are seeing in becoming players in the tech-enabled provider space as plans are shedding their historic roles of risk bearer and aggregator to embrace value-based care and make the necessary investments and innovation needed to succeed in that world.
Blue Cross NC, Avalon Healthcare Solutions Collaboration Yields $112 Million in Cost Savings, Quality Improvements for Lab Services
Avalon Healthcare Solutions
10/20/2021
The cost savings go together with improved health outcomes through the reduction of inappropriate lab testing and better adherence to clinical guidelines.