Provider Performance

Selected news for the healthcare topic - Provider Performance, collected since 10/2017. Recent stories appear in financialbuzz.com and actuary.com. This healthcare topic shares news with NCQA, UnitedHealth, ZeOmega, Population Health and dozens of others.

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1/12/2021 malvern-online.com The "EDC Market Dynamics and Service Provider Performance (4th Edition)" report has been added to ResearchAndMarkets.com's offering.EDC systems allow a variety of users - clinical monitors, data managers, biostatisticians, study coordinators, investigators, patients - to input, review, and even present the data obtained throughout the course of a clinical trial. While essential if not the workhorse of data collection, EDC systems can be challenging in a variety of ways especially as ...
1/12/2021 Director of Actuarial Services \/ Healthcare Economics - Telecommute - UnitedHealth Group - Eden Prairie, MN actuary.com ... brings value to the products Optum services by: Identify and communicate benefit expense trend drivers Partner cross functionally to identify mitigation opportunities Determine impact of changes in benefits, reimbursement rates and clinical programs Optimize provider performance and drive value-based reimbursement Provide information and guidance on retrospective and prospective utilization and cost trends You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough ...
1/12/2021 Director of Actuarial Services \/ Healthcare Economics - Telecommute - UnitedHealth Group - Eden Prairie, MN insurancejobs.com ... brings value to the products Optum services by: Identify and communicate benefit expense trend drivers Partner cross functionally to identify mitigation opportunities Determine impact of changes in benefits, reimbursement rates and clinical programs Optimize provider performance and drive value-based reimbursement Provide information and guidance on retrospective and prospective utilization and cost trends You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough ...
1/12/2021 Clarify Health Renews Certification as a CMS Qualified Entity and Publishes Report on National Provider Performance Measures aithority.com ... id=”” css=”.vccustom1523079266073(margin-bottom: 0px !important;padding-top: 0px !important;padding-bottom: 0px !important;)”] Clarify Health Renews Certification as a CMS Qualified Entity and Publishes Report on National Provider Performance Measures On Jan 13, 2021 ShareClarify will continue to receive 100% of Medicare Fee-for-Service claims data, further expanding the breadth, depth, and longitudinality of its patient-level data sets for industry ...
1/12/2021 The Ridgway Record ridgwayrecord.com ... commitment to relax PA/UM efforts for those health systems and provider groups that are ‘non-outliers’. Non-outliers are identified through the implementation of a clinical decision support system that retrospectively examines provider performance and adherence to evidence-based medicine.“For over a decade, CCGroup has remained the market leader in offering a clinical decision support system based on medical condition, clinically appropriate ranges of clinical practice,” ...
1/6/2021 eCOA/ePRO Market Dynamics and Service Provider Performance, 2020 Report – ResearchAndMarkets.com financialbuzz.com The “eCOA/ePRO Market Dynamics and Service Provider Performance (4th Edition)” report has been added to ResearchAndMarkets.com’s offering.There’s no question that technology is continuously becoming more prevalent in the clinical development space and electronic clinical outcomes assessments (eCOA) and electronic patient reported outcomes (ePRO) systems are no exception.Over the past several years, eCOA/ePRO systems are now considered the norm and are necessary tools to ...
1/5/2021 Director of Actuarial Services \/ Healthcare Economics - Telecommute - UnitedHealth Group - Eden Prairie, MN actuary.com ... brings value to the products Optum services by: Identify and communicate benefit expense trend drivers Partner cross functionally to identify mitigation opportunities Determine impact of changes in benefits, reimbursement rates and clinical programs Optimize provider performance and drive value-based reimbursement Provide information and guidance on retrospective and prospective utilization and cost trends You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough ...
12/30/2020 Behavioral Health Value Based Program Consultant - Phoenix, AZ Telecommute - UnitedHealth Group - Phoenix, AZ insurancejobs.com ... VBPC will be responsible for developing relationships with provider agencies/facilities and driving a quality improvement process to improve quality, improve clinical outcomes, increase efficiency and reduce overall benefit expense. The VBPC will monitor provider performance and compliance with contractual obligations, provide tools to assist with performance and compliance, and is accountable for driving provider performance improvement. As the single point of clinical contact for a practice, the VBPC will ...
12/30/2020 Director of Actuarial Services \/ Healthcare Economics - Telecommute - UnitedHealth Group - Eden Prairie, MN actuary.com ... brings value to the products Optum services by: Identify and communicate benefit expense trend drivers Partner cross functionally to identify mitigation opportunities Determine impact of changes in benefits, reimbursement rates and clinical programs Optimize provider performance and drive value-based reimbursement Provide information and guidance on retrospective and prospective utilization and cost trends You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough ...
12/25/2020 Director of Actuarial Services \/ Healthcare Economics - Telecommute - UnitedHealth Group - Eden Prairie, MN actuary.com ... brings value to the products Optum services by: Identify and communicate benefit expense trend drivers Partner cross functionally to identify mitigation opportunities Determine impact of changes in benefits, reimbursement rates and clinical programs Optimize provider performance and drive value-based reimbursement Provide information and guidance on retrospective and prospective utilization and cost trends You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough ...
12/23/2020 Healthmonix and Fusion5 Partner to Drive Value-Based Care mychesco.com ... based care solutions,” says Lauren Patrick, president and CEO of Healthmonix. “By combining the expertise of both companies in navigating the complexity of requirements for programs such as MIPS, Fusion5 can further optimize provider performance and maximize reimbursement and incentives for top performers,” says Fusion5 CEO Jim Gera. READ: December 16 Coronavirus Update: 282 New Positives Brings Total to 16,696 COVID-19 Cases in Chester CountyThrough the ...
12/18/2020 Director of Actuarial Services \/ Healthcare Economics - Telecommute - UnitedHealth Group - Eden Prairie, MN actuary.com ... brings value to the products Optum services by: Identify and communicate benefit expense trend drivers Partner cross functionally to identify mitigation opportunities Determine impact of changes in benefits, reimbursement rates and clinical programs Optimize provider performance and drive value-based reimbursement Provide information and guidance on retrospective and prospective utilization and cost trends You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough ...
12/17/2020 Healthmonix and Fusion5 Partner to Drive Value-Based Care PR Newswire ... value-based care solutions," says Lauren Patrick , president and CEO of Healthmonix. "By combining the expertise of both companies in navigating the complexity of requirements for programs such as MIPS, Fusion5 can further optimize provider performance and maximize reimbursement and incentives for top performers," says Fusion5 CEO Jim Gera .Healthmonix & Fusion5 combine resources/intelligence to improve patient care & drive larger returns from VBC programs.Tweet this Through the partnership, Healthmonix ...
12/17/2020 Healthmonix and Fusion5 Partner to Drive Value-Based Care Business Insider ... value-based care solutions," says Lauren Patrick , president and CEO of Healthmonix. "By combining the expertise of both companies in navigating the complexity of requirements for programs such as MIPS, Fusion5 can further optimize provider performance and maximize reimbursement and incentives for top performers," says Fusion5 CEO Jim Gera .Through the partnership, Healthmonix and Fusion5 plan to combine resources and intelligence to drive increased practice efficiencies, improved patient care and ...
12/14/2020 Humana Announces Value-Based Primary Care Services MA Model HealthPayer Intelligence ... navigate the disruptive effects of the coronavirus pandemic,” said Oraida Roman, vice president of value based strategies at Humana.Through the model, Humana will offer monthly, capitated payments to participating providers based on provider performance regarding certain quality measures and patient outcomes. Dig Deeper Anthem Blue Cross Adds Providence to Value-Based Care Health PlanHumana’s new model seeks to boost quality of care and control healthcare spending ...
12/10/2020 LeanTaaS raises $130 million to minimize health appointment wait times VentureBeat ... to unlock the true capabilities of AI and machine learning. Register hereLeanTaaS , a predictive analytics company based in Charlotte, North Carolina and Santa Clara, California that leverages data science to improve health care provider performance , today raised $130 million. LeanTaaS says the funds will be used to build out the company’s existing suite of products as well as to scale its engineering, product, and go-to-market teams ...
12/10/2020 LeanTaaS Raises $130 Million To Minimize Health Appointment Wait Times newsopener.com LeanTaaS, a predictive analytics company based in Charlotte, North Carolina and Santa Clara, California that leverages data science to improve health care provider performance , today raised $130 million. LeanTaaS says the funds will be used to build out the company’s existing suite of products as well as to scale its engineering, product, and go-to-market teams.Long patient wait times can be the undoing of a large clinic ...
12/4/2020 Associate Healthcare Advocate - Telecommute in Little Rock, AR - UnitedHealth Group - Little Rock, AZ insurancejobs.com ... start doing your life's best work.(sm) The Associate Healthcare Advocate is responsible for a range of provider relations services within Optum. The Associate Healthcare Advocate will work as an extension of the local Provider Performance Team by aligning to geographical regions, medical centers and/or physician practices that manage a high volume of membership. The Associate Healthcare Advocate under the supervision of a Director/ Manager and or Mentor is ...
12/1/2020 Apervita Appoints David Yakimischak as New Chief Technology Officer enterprisetalk.com ... including technology development, operations (DevOps), engineering and quality assurance. He also will lead the effort to scale the company’s digital platform, which enables digital quality measurement, clinical intelligence, value-based contract monitoring and provider performance measurement.Most recently, David served as CTO at ConnectiveRx, which provides tech-enabled commercialization services to leading pharmaceutical manufacturers to help patients get on and stay on prescribed medications.Read More: How RPA Can ...
11/30/2020 Apervita Appoints David Yakimischak as New Chief Technology Officer tmcnet.com ... products, including technology development, operations (DevOps), engineering and quality assurance. He also will lead the effort to scale the company's digital platform, which enables digital quality measurement, clinical intelligence, value-based contract monitoring and provider performance measurement.Most recently, David served as CTO at ConnectiveRx, which provides tech-enabled commercialization services to leading pharmaceutical manufacturers to help patients get on and stay on prescribed medications.Prior to that, he oversaw ...