by Di Simplot | Jul 31, 2024 | news
Part 1: The Current Landscape The 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 as the ultimate impact on health equity and solvency of the traditional...
by Di Simplot | Jun 27, 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 10, 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...
by Di Simplot | May 1, 2024 | news
Current State of Healthcare Payment Integrity: Article 1 Understanding what healthcare payment integrity entails and why there is renewed interest Payment integrity encompasses efforts on the part of payers and healthcare providers alike to navigate ongoing challenges...
by Di Simplot | Mar 27, 2024 | news
Harnessing the Value of Artificial Intelligence (AI): Protecting healthcare data privacy and security AI at its core encompasses taking advantage of the rich and diverse sources of information that individuals and health care providers amass across the continuum of...
by Di Simplot | Feb 28, 2024 | news
Process Improvement: 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 fails to deliver demonstrative, sustainable...
