Applying IQVIA data and analytics expertise to enable health equity/SDOH strategies and plans Fact Sheet Boost your STARS Ratings with IQVIA's Advanced AI and Unparalleled Data Blog Risk Adjustment in the Age of Artificial Intelligence By: Dr. Calum Yacoubian Fact Sheet IQVIA Payer Analytics Su...
Today, all healthcare stakeholders are laser-focused on care’s efficiency, effectiveness, accessibility, affordability and overall value. Health plans have a vital role to play in this evolving healthcare landscape, and we can help. Partnering with health plans to drive growth and improve value ...
4, is misleading. Americans may be divided in their views of President Clinton's health-care reform plan or conservative alternatives to it, but other polls have shown that a majority of Americans in general and US physicians in particular support a single-payer plan.U.S. Newspapers...
In September 2017, we began using Smart Edits for 837P (professional claims) for a small number of our commercial plans. Now, Smart Edits are eligible to care providers for all lines of business. Click here to view a list of health plans and their Payer ID.Do I need any special ...
Payer Platform Implementation Helping Payers Accelerate Their Digital Transformation Journeys When legacy systems no longer provide the functionality you need or they create too many operational pain points, it’s time to look at the daunting task of implementing a new core platform. Emids® makes...
Find your health insurance match! Whether it is ACA, Short-Term Medical, Medicare, or just Dental - discover a plan that fits. Find plans online or call for a free quote to explore your options. Better health starts here.
Wider Circle, a company that works with health plans and providers to deliver community care programs, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD). The aim of the partnership is to have Wider Circle work with CareFirst's Medicaid Plan...
With a steadfast commitment to providing total value, Cotiviti stands out as a strategic partner for health plans aiming to optimize their operations. Read Fact Sheet Cotiviti named 2024 Best in KLAS® for payer quality measurement and reporting Learn More 40:42 Payment Integrity The fundament...
DaVita Inc. The case involved whether the health policy’s coverage differentiated between individuals with and without End-Stage Renal Disease (ESRD), a potential violation of the Medicare Secondary Payer statue. The Court found that there was no such violation, and that the plan doesn’t ...
The net result of all this is that even though the vast majority of workers are happy with their current employer-provided health plans, Biden’s public option will slowly but surely squeeze them out of the market. The bottom line is that we’ll wind up with single-payer, government-run ...