Each year it seems pharmacy costs are taking a larger bite out of businesses like yours. We’re here to relieve some of the burden and help you reach your business goals by putting the sound advice you need right at your fingertips.
Published By: Iovation
Published Date: Aug 02, 2019
Insurance fraud is back with a vengeance. With four out of ten mobile claims estimated to be fraudulent, using connected devices have made it easier than ever for fraudsters to commit insurance crimes. Gather insights from the live panel discussion hosted by MoneyLIVE & TransUnion. As fraud experts examine current trends & impacts of insurance fraud in today's digital age and learn how to overcome insurance fraud while protecting your customer relationships.
What you will learn:
Key trends behind fraud and the way in which they are impacting insurers.
How to tackle fraud and identify red flags by using a holistic approach.
Explore trigger points that can help warn insurers of when there is a high chance of fraudulent activity.
Identify the genuine customers and their genuine claims from the fraudsters.
VMware named a Leader, positioned furthest for its Completeness of Vision. Read this complimentary copy of the 2018 Gartner Magic Quadrant for WAN Edge Infrastructure to find out more.
*Gartner does not endorse any vendor, product or service depicted in its research publications, and does not advise technology users to select only those vendors with the highest ratings or other designation. Gartner research publications consist of the opinions of Gartner’s research organization and should not be construed as statements of fact. Gartner disclaims all warranties, expressed or implied, with respect to this research, including and warranties of merchantability or fitness for a particular purpose.
With the combination of electronic health records, rich repositories of claims data, medical device outputs, laboratory and prescription systems, real-world data and the data mined from other information technology systems, the health and life sciences ecosystem can now gain new perspective.
Download this complimentary paper to learn more about how health care data has the power to transform the sector, helping to address the industry’s biggest challenges surrounding costs and quality of patient care.
By adopting solutions that allow them to both produce and consume data analytics insights in a way that better guides clinical and business strategies, innovative health care organizations can learn not only to survive but also thrive in the decades to come.
What You Will Learn:
Over the years we’ve all heard claims of simple, seemingly magical solutions to solve security problems, including the use of sandboxing technology alone to fight advanced malware and targeted threats.
This paper explores:
• Where sandboxing technology stands today
• Why it fails to meet the needs of organizations
• What’s needed for effective malware analysis
As damaging breaches continue to occur, more organizations are considering endpoint detection and response (EDR) solutions to address the incidents that aren't being handled adequately by their existing defenses. However, EDR solutions come in a wide variety of implementations and can vary significantly in scope and efficacy — choosing the best solution can be challenging.
This white paper, “Endpoint Detection and Response: Automatic Protection Against Advanced Threats,” explains the importance of EDR, and describes how various approaches to EDR differ, providing guidance that can help you choose the product that's right for your organization.
Read this white paper to learn:
What makes EDR such a valuable addition to an organization's security arsenal and why finding the right approach is critical
How the “EDR maturity model” can help you accurately evaluate vendor claims and choose the solution that best fits your organization’s needs
How the CrowdStrike® EDR solution empowers organ
Chilmark Research, a global research and advisory firm, recently released a report rating vendors and solutions in the healthcare analytics industry. IBM Watson Health, a leader in healthcare analytics, has put together this infographic comparing how its solutions stack up against some of the closest competitors in the industry in areas such as population discovery and definition, predictive analytics, cost and utilization, and claims data contribution.
If your organization is one of the 95% of enterprises
that operate in the cloud, you are already grappling
with cloud security. And if your organization is one of
the 85% of companies that use multiple Infrastructureas-a-Service
(IaaS) and Software-as-a-Service (SaaS)
clouds, you have additional issues to consider.
Compared to the days when organizations managed
everything on-premises or only had a handful of cloud
deployments, this new multi-cloud world exacerbates
the expansion of the attack surface and makes threat
containment and accountability more difficult. Further,
pressure on security teams to protect everything in
the multi-cloud environment is leading to reactive and
expensive threat management.
If you are a security leader tasked with meeting the
challenges of a multi-cloud environment, eventually
you’ll find that siloed cloud security strategies fall short
of the mark. But don’t wait. Now is the time to consider
a holistic security approach that reclaims control from
Healthcare organizations are facing uncertain times, which are putting enormous strains on their revenue cycle management (RCM). Automation is proven to improve RCM measures, and even small improvements can significantly impact the bottom line. This whitepaper details how providers can embrace automation to help drive financial performance.
Children’s Mercy is not only one of the nation’s top pediatric medical centers, they have a strategy that improves organizational profitability in the face of constant change – all while delivering world-class care for their patients. Children’s Mercy accomplished what many have tried: integrating hospital and ambulatory revenue cycle activities with complete integration of all processes on a single IT platform.
Sharp is leading the way in the shift to shared risk. In this journey, they manage to the right financial metrics while still delivering appropriate care to their patient population. Watch the video to learn how GE Healthcare is helping Sharp make a difference.
The shift to value-based reimbursement (VBR) entails more financial risk for providers. Successful management of the transition to VBR can only be achieved when healthcare organizations are clinically and financially integrated to ensure tight care coordination and efficient resource utilization. That level of integration requires the aid of a robust IT infrastructure to support the enterprise. This whitepaper offers the opportunity to learn about new tools for healthcare providers to manage financial challenges associated with value-based reimbursement
This paper will explore some of the market dynamics driving the financial volatility in healthcare and will explore how advanced analytics, with the right IT backbone and organizational competencies, can help organizations successfully identify ways to manage revenue cycle profitability.
Learn how to maximize efficiencies through greater system integration and automation, enable seamless interactions with providers, members and other constituents, and drive increased healthcare value with automated, value-based programs.
This paper, the second in a series addressing four key challenges of healthcare reform, focuses on actions you can take now to streamline core administrative processes to drive efficiency and reduce costs.
Published By: Availity
Published Date: Aug 08, 2013
Carolinas HealthCare System was growing, and as claim volumes mounted, claim error rates doubled. Find out how they recovered $8 million, brought claim edit backlog to zero, and reduced claim edits by 97 percent.
Published By: Availity
Published Date: Aug 08, 2013
Adventist Health System was troubled by inconsistent billing practices and disparate systems across seven central billing offices. Find out how they reduced time-to-payment by 17 percent -- bringing days in accounts receivable to an all-time low -- by standardizing processes and improving workflow with RealMed (now known as Availity Revenue Cycle Management).
Published By: Availity
Published Date: Aug 08, 2013
Asheville Anesthesia Associates faced a growing accounts receivable file and a payment collection process that was too slow. Learn how they used RealMed (now known as Availity Revenue Cycle Management) to reduce time-to-payment by 75 percent, and reduce their average days in A/R by 62.5 percent.
Good Manufacturing Practices (GMP) violations have become the new healthcare fraud as the Department of Justice (DOJ) tests out new legal theories under the False Claims Act (FCA). The Food and Drug Administration (FDA) has dusted off its regulatory authority to prosecute GMP violations.
Driving Change of Property and Casualty – Transform Your Customer Experience
INSURERS ARE UNDERSTANDABLY EAGER to differentiate customer experience by automating mobile workforce management—especially when they can also cut operational costs, reduce carbon footprint, and streamline catastrophe response in the process. But this profound transformation in the daily lives of field claims and other mobile workers must be managed carefully to maximize benefits while minimizing disruption for all stakeholders.
Many potential customers and partners of Oracle Sales Cloud would like to understand from third parties if the claims Oracle makes about the product are accurate. Conducting extensive research, including interviewing customers, systems integrators, and others with firsthand experience of the application, has allowed Constellation to provide an objective view through three customer case studies.
This report offers insights into four of Constellation’s primary business research themes, the Next-Generation Customer Experience, Technology Optimization and Innovation, Digital Marketing Transformation and the Future of Work.
Credit Union Times is the nation's leading independent source for breaking news and analysis for credit union leaders. For more than 20 years, Credit Union Times has set the standard for editorial excellence and ethical, straight-forward reporting.