LISTEN NOW Primary care physicians (PCPs) are in the best position to coordinate patient care, because they understand their patients’ unique needs. But knowing which specialists can deliver the most effective care when a referral is required can challenge even the most experienced PCP. That’s because PCPs rarely have insight into the costs and quality of care delivered by other providers. Lacking this evidence, they have no alternative but to base referrals on personal experience, professional recommendations, doctor ratings, and patient requests. This is changing, however, thanks to a new approach called “episode intelligence.” Using HIT analytics, episodes of care

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Current AI can answer specific questions, but it is still a far cry from human intelligence. In most cases, questions evolve around predictions. In the diagnostic world of enterprise imaging, radiologists have been extensively trained to identify disease and are skilled at making efficient predictions, thus limiting the value of AI. In specific cases, algorithms could overcome the intrinsic limitations of human perception, such as skin cancer detection, diabetic retinopathy, or difficult-to-discern diseases on chest X-rays. Beyond these instances, the immediate future of AI lies more in aiding medically underserved areas. However, AI is already far more valuable when its

You’ve heard about blockchain and how it can help ensure secure transactions, a critical factor when it comes to transmitting personal financial and health information. In this presentation by Emily Vaughn Bailey, director of blockchain product development at Change Healthcare, she expands on blockchain’s impact on the healthcare industry and emphasizes the value of the infrastructure on claims and revenue cycle management. Also in the conversation with Health Unchained, Emily talks about: The path of adoption for blockchain technology Visualizing smart contracts to bring together business architects and product teams Connecting Change Healthcare clearinghouse services to the blockchain How blockchain

Imagine a world where a doctor or hospital bill is as clear and easy to understand as a restaurant tab. Or where a mammogram is co-read by a machine, thereby significantly reducing the impact of normal human errors encountered during the reading process. Artificial intelligence and machine learning are making both of those scenarios possible and will converge to revolutionize in the next several years, says Change Healthcare. The amount of money being invested in AI solutions continues to grow. According to a global IT research firm, spending on AI across a number of industries, including healthcare, banking, retail, and

Blockchain first achieved widespread attention in the financial services realm as an infrastructure for cryptocurrencies. Now, this next-generation technology is gaining traction in healthcare for its ability to improve the integrity, auditability, and efficiency of healthcare processes, starting with managing medical claims. The structure of the blockchain makes it easier for healthcare payers (insurance carriers, health plans sponsors such as employers and unions, etc.) and providers (doctors, dentists, hospitals, health systems, etc.) to process claims quickly, accurately and with greater transparency. The resulting efficiencies can help reduce the cost of administering claims and improve the quality of communication across the

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  • Change Healthcare Helps Health Plans Transform Their Members’ Financial Experience
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    Members of two high-profile Washington committees received a tutorial recently on the value of ...
  • Change Healthcare Helps Health Plans Transform Their Members’ Financial Experience
    Today Change Healthcare introduced Member Healthcare Payments, a consumer payment solution that ...
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    Members of two high-profile Washington committees received a tutorial recently on the value of ...
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  • D.C. Lawmakers Given Inside View into Value of Healthcare Price Transparency
    Members of two high-profile Washington committees received a tutorial recently on the value of ...
  • Healthcare Consumer Engagement is Ailing: Here’s How to Heal It
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  • Refining the Patient Experience
    Do you know how easy it is for patients to navigate your organization? When they call to ...
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Most physician practices would agree that denied claims are a drain on resources and have a negative impact on cash flow and revenue. What practices may not realize is just how significant that impact can be. Nearly 90% of denied claims are avoidable and 50% to 65% are never reworked, which leaves a lot of money left on the table—money that could be used to bring on new staff, replace outdated technology, or make improvements to the office.1,2, When you factor in the cost to rework a denial—$25 not including time and overhead—the impact is even greater.3 While the causes

Few physician practices or specialty providers have escaped the impact of high-deductible health plans (HDHPs), which now account for nearly 43% of all private health plans.¹ Out-of-pocket maximum patient responsibility increased nearly 30% between 2015 and 2017, now averaging $4,400, putting greater financial strain on patients and providers alike.² The process of seeing a patient, submitting the claim, receiving reimbursement from the payer, and balance-billing the patient for the remainder is an outdated, ineffective business model. It is also a business model that can be harmful to patient care. According to an article published by Patient Engagement HIT, 64% of

Despite the obvious time and cost-saving benefits of using electronic transactions, providers continue to resist electronic payment, and payers continue to struggle to get providers to sign on. But there are several new techniques that are more appealing, to help decrease paper-based transactions and reduce costs overall. Read the white paper now or download and read later

Change Healthcare announced it’s building a next-generation claims and payments network on Amazon Web Services. The new cloud-based solution will promote more efficient, transparent, and secure administrative and financial transactions by using blockchain to govern transactions throughout the claims continuum. It’s the first stage of a collaborative initiative to give payers and providers near-real-time claim adjudication with immutable, auditable records. Healthcare Finance Change Healthcare Puts Blockchain Claims Processing Tech on Amazon Web Services Healthcare IT News Amazon Web Services Now Hosting Change Healthcare’s Blockchain Tech in the Cloud Healthcare Dive Change Healthcare Deploys Blockchain Network on Amazon Web Services Becker’s

Imaging

Healthcare Transformation

BCBSAZ Shared Savings Program Reduces Hospital Readmissions by 26%

Interoperability

Transparency in Healthcare – Moving Beyond Buzzwords to Solutions

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