by Di Simplot | Jan, 2025 | news, Thought Leadership
Data, Applications, Benefits and Challenges: Much of the success in reducing morbidity and mortality over the past half century has been due to earlier detection of disease, in tandem with public health measures such as smoking cessation and weight management; as well...
by Di Simplot | Dec, 2024 | news
Value-Based Care (VBC) is a healthcare model that ties healthcare providers’ compensation to the quality, equity, and cost of care they deliver. The model focuses on improving patient outcomes, such as health quality and satisfaction, while also promoting...
by Di Simplot | Nov, 2024 | news
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...
by Di Simplot | Sep, 2024 | news
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...
by Di Simplot | Jun, 2024 | news
Payment Integrity Evolution Over the past decade, the healthcare industry has seen payment integrity evolve from an under-resourced operational niche to a strategic asset that is central to the overall management of medical expense. A paradigm shift is underway,...
by Di Simplot | Jun, 2024 | news
Guiding Principles: Payment Integrity as a Strategic Enterprise Solution Today’s technology innovations and workforce challenges (need to drive toward greater efficiency) are prompting payers to take a closer look at payment integrity with an eye toward a more...
