Process Improvement

Process Improvement

Successful Process Improvement November 2024 Well Solutions Group It Takes Leadership How process improvement is managed above and beyond what is done is a key ingredient for success and can make the difference between a well-executed improved process and one that...
Payment Integrity 101

Payment Integrity 101

Payment Integrity 101 November 2024 Well Solutions Group Article 1: Current State of Healthcare Payment Integrity Payment integrity encompasses efforts by payers and healthcare providers to navigate ongoing challenges relative to achieving accurate and efficient...
Medicare Advantage: Planning for the Future

Medicare Advantage: Planning for the Future

Medicare Advantage: Planning for the Future November 2024 Well Solutions Group  Part 1: The Current LandscapeThe remarkable growth in Medicare Advantage enrollment over the past twelve years is raising questions about both the cost and quality of that coverage as well...
AI for Population Health Management

AI for Population Health Management

AI for Population Health Management Aug–Nov 2021 Well Solutions Group AI Practical Uses and Understanding STARTING WITH THE FUNDAMENTALSThis is the first in our short series of articles about prospects for advancements in population health management (and health care...

CMS Pre-Authorizations – November 2024

CMS Interoperability and Prior Authorization Final Rule SynopsisThe Centers for Medicare & Medicaid Services (CMS) changed its prior authorization rules to simplify and digitize the process, and to reduce the burden on each of the three legs in the healthcare...

Precision Medicine – Part 1 – September 2024

Precision Medicine as key driver of next generation personalized health care The term “Precision Medicine” refers to the tailoring of clinical and other health care-related interventions based upon an individual’s unique make-up and circumstances. While...