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HEDIS Preparation Guide: 3 Essential Steps

MRO Compliance

HEDIS audits are important for Medicare and Medicaid health plans because data is used to determine the efficacy of a payer to care for its members. HEDIS helps highlight care gaps by identifying areas where patients may not be receiving necessary preventive care or treatments. Utilization and Risk Adjusted Utilization.

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Philips' maternal health champion discusses digital women's health

Healthcare It News

For providers and payers, partnering with these apps to provide access to their patients is a way to improve outcomes and patient satisfaction while addressing the underlying causes of systemic bias. One way is to partner to help them investigate their data to understand the compliance of their hypertensive patients.

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What Payers Need to Know to Stay Ahead in 2025

MRO Compliance

Scenarios like this illustrate the importance of interoperability and ensuring patient records transfer seamlessly across providers and plans. To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing.

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How AI and machine learning can help predict SDOH needs

Healthcare It News

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. For example, training a predictive model on the general population may be inaccurate when used in a Medicare or Medicaid population.

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Precision Medicine 2.0: How AI-Driven Insights Are Changing Healthcare for the Better

HIT Consultant

This enables pharma companies to bring treatments to market more quickly, providing patients with faster access to life-saving therapies. For healthcare leaders, investing in AI as a strategic enabler can significantly bolster clinician performance, operational efficiency, and patient satisfaction.

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Telehealth Bolsters Patient Satisfaction (J.D. Power), and Providers Are Working to Catch Up (BDO)

Health Populi

The post Telehealth Bolsters Patient Satisfaction (J.D. One counter-force that would motivate providers to adopt virtual care as normal “healthcare” flow is value-based care. Doing so could result in more regular and natural use of telehealth and virtual care that is incentivized by the value-based payment regime.

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Nurse unions slam Kaiser's advanced care at home strategy

Healthcare IT News - Telehealth

" "The Kaiser Permanente Advanced Care at Home is an innovative person centered program rooted in quality, safety and patient satisfaction. Patients enrolled in the program must meet established clinical and safety criteria," the representatives continued. ON THE RECORD.

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