Thought Leadership
Stories and trends changing the healthcare landscape
Maturing Analytics for Success: Health Care Business Case Development
Healthcare providers and organizations looking to design and market services to supplement and enhance various aspects of health care delivery (from outreach and engagement, to add on features generating improvements in care and outcomes) are constantly challenged with creating the necessary proof...
Health Services Innovation – A Data-Driven Approach
Successful health care product innovations are more than high end engineering and design. They require a clear understanding of the best “fit” between a market (at risk population) need and the external (drivers of variability) and internal (capabilities, what is actionable) factors that, when...
Getting Started with Consumer Data
Consumer Data refers to individual lifestyle, attitudinal and behavioral data generated by an individual’s engagement or participation in social activities and other life events (e.g., an individual’s online search history, social media activity, purchase transaction history). Living, learning,...
Enhancing Healthcare Analytics with Consumer Data
Healthcare organizations are increasingly using consumer data to augment their understanding and insights into the populations they serve, for a variety of purposes – from forecasting health outcomes, risks and future use of services to development of strategies for outreach and engagement....
Roadmap to Harnessing Value via Telehealth
Telehealth initiatives overall have shown potential to complement mainstream healthcare delivery at a lower cost and positive contribution to quality and outcomes (right care, right time). Read More
Telehealth Integration into Care Delivery Post COVID-19
The COVID-19 pandemic has changed the way people interact with each other, turning to video and other forms of social media to stay connected. This embrace of virtual technology has extended to medical care and has paved the way for what may very well result in permanent changes in the how health...
Navigating COVID-19 in the Healthcare Industry
We can all agree COVID-19 brought about a seismic shift in the delivery of healthcare in 2020. This article reflects on services shifts, challenges those shifts create and approaches for providers and payers to anticipate and navigate the initiatives.Read More
CMS cancels two mandatory pay models and scales back a third
CMS is planning to reduce mandatory bundles based on results, provider feedback and "minimum" utilization considerations. Some programs will be cancelled, some will not launch in 2018 and one is being scaled back. At the same time, we are helping our clients achieve great success building...
Reducing Post Acute Costs for Mandatory CMS Joint Replacement Bundle
"Looking for ways to reduce your post acute costs for the Mandatory CMS Joint replacement bundle? New products are entering the market that allow providers to gauge progress without onsite visits...in surprising ways. Microsoft Kinect shifts from gauging your dance moves to measuring your gait and...
Reimbursement for telehealth 40 percent less than for non-telehealth care
Reimbursement for telehealth services is much lower than non-telehealth care, according to a recent policy brief from the Health Care Cost Institute. Read More
CMS Final Rule on Overpayments
Medicare Advantage Plans, need to update your strategy? Provider responsibilities and look back periods are reduced in the CMS final rule for overpayments. See more information: The Centers for Medicare & Medicaid Services has issued a final rule regarding the legal requirements providers most...
Medicare contractors overpaid $35.8 million for outpatient drugs
Medicare uncovers claims overpayments due to incorrect units of service and provider coding errors. CMS states Medicare contractors should collect their overpayments - how many outpatient overpayments are overlooked? Most focus on inpatient only. We can help!See More