Provider Performance

Financial Agility is Essential to Healthcare’s Post-COVID-19 New Normal - Industry Analysis by Loyale Healthcare | PRWeb | 7/29/2020

… payment system will evolve to support good care.” Dr. Lee’s concluding statement about the payment system is too important to overlook, because it has a meaningful impact on patient decisions about their care and provider performance . We and others have written extensively on the financial barriers to care for many Americans. These barriers existed for years before the COVID-19 crisis, and the crisis has made a desperate situation worse …

Network Management Guide for ACOs | 7/28/2020

CareJourney’s Provider Performance Index is a comprehensive, explainable, and reliable way to evaluate cost effectiveness and outcomes across PCPs, specialists, and practice groups. This guide presents quick tips on implementing network selection, management, and optimization using the CareJourney Index Cost and Outcome Scores. Use Cases Covered Enhanced View of Utilization Patterns & Network Integrity Benchmark Provider Performance Against Competitor Health System Learn how to compare provider or practice group cost effectiveness …

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MHCC PROGRAM MANAGER - #20-009273-0002 | 7/27/2020

… needs and promoting informed decision-making by providing timely and accurate information on the quality of health care services to policymakers, purchasers, providers, and the public. The MHCC maintains a consumer website, through which provider performance and quality information is made available to the public. The Maryland Healthcare Quality Reports website can be accessed at healthcarequality.mhcc.maryland.gov . The MHCC is seeking a Program Manager to provide project oversight and analytic support …

CHESS Health Selected for Nationwide NIDA Study on Medication for Opioid Use Disorder | PRWeb | 7/23/2020

… improves treatment delivery, and improves treatment outcomes, including reduced relapse. Health plans and governments also benefit from more individuals in treatment and better outcomes; with the CHESS platform, they also gain analytic insights into provider performance . CHESS Health has received recognition from the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-based Programs and Practices (NREPP), the Journal of Substance Abuse and the Surgeon General. For more …

Sendero Health Plans launches digital health initiative | 7/22/2020

… profit community-based health plan, contracted with HealthTrio , a software service provider for the health care market . According to Sendero , this partnership will seek to “deliver better healthcare access, inform healthcare consumers, and improve provider performance and quality care outcomes.” We worked with our members to identify how we could improve their care. As a direct result, we are investing in solutions to improve member interaction and engagement with the …

Clarify Health Releases Cutting-Edge Enhancements to Its Referral Analytics Software to Help Health Systems Minimize the Impact of COVID-19 Surges on Patient Care | Business Wire | 7/21/2020

… industry and discover new value-added trends and patterns. Clarify’s referral analytics software stands apart in the market today through its ability to derive transparent macro and micro insights about patient journeys, referral volume, provider performance , and competitive intelligence in a matter of seconds. As health systems and provider groups work to regain revenue flows via referral optimization, Clarify allows users to interrogate the most up-to-date and complete …

New Step by Step Map For analytical crm | 7/19/2020

… arrange custom made workflow automation, get actionable insights into conversations, keep track of gatherings, and utilize the 360-degree customer watch to find out all The most crucial details from an individual screen.The customer provider performance in CRM is meant to act as a central hub made up of precise, up-to-date information regarding your entire customers and their communications with all your business.And whilst the hosted option reduces …

Value Based Program Consultant - Maryland - UnitedHealth Group - Columbia, MD | 7/18/2020

… VBPC will be responsible for developing relationships with Behavioral Health Home providers, 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 performance improvement. As the single point of clinical contact for a practice, the VBPC will be …

Senior Practice Consultant - Field Based in MN (Twin Cities Metro Area) - UnitedHealth Group - Eden Prairie, MN | 7/17/2020

… role where you’ll have the opportunity to make an impact on a huge scale. This is the place to do your life’s best work.(sm) The Practice Consultant is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships …

Sendero Health Plans to deliver industry leading tools to members and providers to enhance member experience and care | PRWeb | 7/16/2020

… plan, providing personalized care to the Central Texas region, contracted with HealthTrio, a leading healthcare digital experience provider. This partnership will implement innovative solutions that deliver better healthcare access, inform healthcare consumers, and improve provider performance and quality care outcomes. Our partnership with HealthTrio will provide our members with the state-of-the-art tools they need to better manage their care through their providers and Sendero, and get the …

Perceptive Solutions, Inc. Announces Release of WoundZoom Integrated Wound Management Solution | 7/15/2020

… WoundZoom is an integrated wound management solution, comprised of the WoundZoom Wound Centric EMR System, 3D Imaging Hardware, Remote Patient Monitoring and Reporting and Analytics, which bring advanced digital intelligence to wound care, improving provider performance and patient outcomes. “The team at Perceptive Solutions is committed to modernizing wound care and is dedicated to advancing clinical workflows, 3D imaging and documentation solutions for caregivers and improving patient and business outcomes …

Trella Health Recognized as One of the Best Places to Work in Healthcare in 2020 | Markets Insider | Business Insider | 7/15/2020

ATLANTA , July 15, 2020 /PRNewswire-PRWeb/ – Trella Health, the leading source for current and complete outcomes data and provider performance analytics, has been selected by Modern Healthcare as one of the 2020 Best Places to Work in Healthcare. The complete list of this year’s winners, in alphabetical order, is available at ModernHealthcare.com/bestplaceslist. Modern Healthcare will publish a special supplement featuring a ranked list of all the winners along with …

TractManager Announces New Solution Suite — Reduces the Friction in Provider Onboarding | Business Wire | 7/14/2020

… understand their total responsibility during a merger or acquisition; and ensure compliance with regulations from accrediting organizations and state and federal agencies. With this degree of data transparency, organizations can readily evaluate and monitor provider performance . The Provider Onboarding suite can be customized with software and/or services to meet the needs of provider organizations. TractManager’s Professional Services experts help hospitals make the most of their investments with initial implementation …

Vital Data Technology’s Affinitē Risk™ Empowers Health Plans to Perform Risk Adjustment In-house for Optimized Score Performance and Operational Efficiencies | PR Newswire | 7/9/2020

… retrieval, coding, and encounters file creation. Affinitē Risk, on the other hand, connects these processes to transform the risk adjustment workflow into a strategic advantage. Eliminating much of the time-consuming manual gap and provider performance analysis is key to allocating resources that can improve - not merely maintain - risk scores. These capabilities are embedded in the Vital Data solution. Affinitē Risk makes Implementing Risk Adjustment In-House more efficient in …

New Study: I3PI “Secret Shopper” Patients Improve Medical Care, Documentation, and Spending | 7/9/2020

Actors working for the Institute for Practice and Provider Performance Improvement, Inc. (I3PI) made undercover visits to New Jersey doctor’s offices to gather information about how doctors treated common conditions. Doctors substantially improved in the care they provided for smoking cessation, back pain, and depression, wrote more accurate notes, and spent less in treating diabetes and depression in their actual patients compared with other practices. Chicago, IL, July 09, 2020 …

CHESS Health Partners with Psych Hub to Support Patients with Substance Use Disorders | PRWeb | 7/7/2020

… measuring and driving better outcomes, including reduced relapse. Health plans and state governments benefit from the ability to get more individuals into treatment with better outcomes. The CHESS platform also offers analytic insights into provider performance . CHESS Health has received recognition from the Substance Abuse and Mental Health Services Administration’s National Registry of Evidence-based Programs and Practices (NREPP), the Journal of Substance Abuse and the Surgeon General. For more …

Medical Director Cardiovascular - UnitedHealth Group - Minnetonka, MN | 7/5/2020

… by providing clinical leadership and expertise for our Cardiovascular products, including involvement in utilization management, quality of care, product development, operations improvement, the development of clinical programs and evidence-based medical benchmarks for measuring provider performance . You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Advise toward creating clinical guidelines for a utilization management program for cardiovascular services, including …

Sr. Director, Healthcare Performance Improvement Practice - Telecommute - UnitedHealth Group - TN, TN | 7/5/2020

… And you’ll do your life’s best work.(sm)The Managing Director / Data Research Consultant will oversee a team that supports the development of solution sets in the areas of clinical program assessment and improvement, provider performance assessment and evaluation, benchmarking, and program evaluation. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Create supporting collateral and support sales effort …

VP, Advisory Services - Telecommute - UnitedHealth Group - MN, MN | 7/4/2020

… millions. And you’ll do your life’s best work.(sm) The Vice President, Data Research Consulting will oversee teams who support the development of solution sets in the areas of clinical program assessment and improvement, provider performance assessment and evaluation, benchmarking, and program evaluation. You’ll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Create supporting collateral and support sales effort …

Medicare Consultant - Telecommute in Kansas City, or Springfield, MO - UnitedHealth Group - Kansas City, KS | 7/4/2020

… available wherever and whenever people need it, safely and reliably. There’s no room for error. Join us and start doing your life’s best work.(sm) The Practice Consultant is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR gap closure and coding accuracy. The person in this role is expected to work directly with care providers to build relationships …

Associate Healthcare Advocate - Telecommute in SC - UnitedHealth Group - Spartanburg, SC | 6/27/2020

… 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 …

Senior Freight Coordinator | 6/26/2020

… Performa invoice. Link the proforma invoice value to each invoice . Coordinate with team if the there is any amendment in the contract Value . Track the shipment to Pakistan till the destination and report the provider performance . Confirm with the bank receiving the Document and receive the receipt from NCR PRO. Handle Certificate of conformity Certificate Via operations and Performa invoice. Link the contract to each Document. Audit the goods declaration …

Rapid recovery planning for IT service providers | 6/23/2020

… to service provider owners, and executives worldwide. It will cover offerings and execution strategies for solutions and services to optimize profit, growth, and stock value. Service Leadership publishes the Service Leadership Index® of solution provider performance , the industry’s broadest and deepest operational and financial benchmark service. The impact of a recession on service providers As we continue through unchartered economic territory, service providers must prepare for possible recovery scenarios. Service …

Implicit Bias Training Helps Eliminate Healthcare Disparities | 6/19/2020

Manager, Health Equity at Allina Health June 19, 2020 Posted in Leadership, Culture, Governance, Diversity and Inclusion . From hospitals and clinics to data warehousing companies, data is the key to all sorts of improvements. As hospitals and clinics identify opportunities to improve provider performance that will lead to better patient care, and private-sector companies identify opportunities to improve team member performance that will lead to better overall company performance …

Nation’s Largest Member Owned Health Plan to Launch Epic Platform to Improve Patient and Provider Experience | PR Newswire | 6/17/2020

… members. “Sharing insights between payers and providers at the point of care is a great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value-based care delivery system, while giving our providers and members actionable information to make more informed care decisions.” Epic is an …

Medicare

Trella Health Recognized as One of the Best Places to Work in Healthcare in 2020 | Markets Insider | Business Insider | 7/15/2020

ATLANTA , July 15, 2020 /PRNewswire-PRWeb/ – Trella Health, the leading source for current and complete outcomes data and provider performance analytics, has been selected by Modern Healthcare as one of the 2020 Best Places to … in the country deemed an Innovator under the Centers for Medicare and Medicaid Services’ Virtual Research Data Center Program, Trella has access to 100% of Medicare Part A and Part B claims data. Trella analyzes …

Medicaid

Trella Health Recognized as One of the Best Places to Work in Healthcare in 2020 | PRWeb | 7/15/2020

… its Employees to Benefit Patients and Customers ATLANTA Trella Health, the leading source for current and complete outcomes data and provider performance analytics, has been selected by Modern Healthcare as one of the 2020 Best … country deemed an Innovator under the Centers for Medicare and Medicaid Services’ Virtual Research Data Center Program, Trella has access to 100% of Medicare Part A and Part B claims data. Trella analyzes 1.2 billion …

NCQA

TractManager Announces New Solution Suite — Reduces the Friction in Provider Onboarding | Business Wire | 7/14/2020

… care they provide.” TractManager is one of only two organizations accredited in credentialing by the National Committee for Quality Assurance (NCQA) and is the first Credentialing Verification Organization (CVO) with an integrated Contract Lifecycle Management … degree of data transparency, organizations can readily evaluate and monitor provider performance. The Provider Onboarding suite can be customized with software and/or services to meet the needs of provider organizations. TractManager’s Professional Services experts …

Population Health

Nation’s Largest Member Owned Health Plan to Launch Epic Platform to Improve Patient and Provider Experience | PR Newswire | 6/17/2020

… great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value … in a trusted network,” said Alan Hutchison , Vice President of Population Health at Epic. “It will enable a more robust, data-driven approach to improving patient health. It will also streamline administrative processes such as …

Health Management

Nation’s Largest Member Owned Health Plan to Launch Epic Platform to Improve Patient and Provider Experience | PR Newswire | 6/17/2020

… health management, and member satisfaction. We are committed to helping our providers deliver quality care for our members. “Sharing insights between payers and providers at the point of care is a great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value-based care delivery system …

Digital Health

CareSignal™, mGage® Launch COVID Companion Free to Health Systems | PR Newswire | 3/18/2020

… easier for people to get the information and support they need,” said Jennifer Junis , senior vice president, OSF Saint Gabriel Digital Health. “The public deserves quick access to the most up-to-date, relevant information … a scalable remote patient monitoring platform that improves payer and provider performance in value-based care by engaging and identifying rising-risk patients. Care teams receive real-time alerts enabling real-time prioritization and outreach …

Case Management

Determinants of uptake of intermittent preventive treatment during pregnancy: a review | 11/21/2019

… ANC) contact thereafter, at least 1 month apart, until delivery [ 7 ]. Use of insecticide-treated bed nets (ITNs) and effective case management continue to be recommended in all areas where pregnant women are at risk … in SSA. In addition, the database of the Health Care Provider Performance Review was searched for studies among pregnant women in SSA assessing methods of improving health worker performance and care seeking [ 33 ]. Data analysis …

Medicare Advantage

Innovaccer’s real-time insights for MA plans help close care gaps | 11/19/2019

San Francisco-based Innovaccer has found a way to help Medicare Advantage plans close care gaps, while improving Star ratings, the company contends. Innovaccer’s solution package for MA plans, launched a year ago, includes FHIR ready-APIs, point-of-care alerts, provider performance analytics and holistic patient-360 profiles, according to Kanav Hasija, co-founder and chief product officer at Innovaccer. Innovaccer developed the product because it saw that one …

Behavioral Health

Licensed Value Based Program Consultant Maryland Telecommute - UnitedHealth Group - MD, MD | 11/18/2019

Behavioral Health Home (BHH) Program. The VBPC will be responsible for developing relationships with Behavioral Health Home providers, 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 performance improvement. As the single point of clinical contact for …

Continuum of Care

Licensed Value Based Program Consultant Maryland Telecommute - UnitedHealth Group - MD, MD | 11/18/2019

… the future of health care, here’s your opportunity. We’re going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life’s … 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 performance improvement. As the single …

Provider Engagement

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ - Business Wire | 11/11/2019

… part of Veradigm™, an Allscripts (NASDAQ: MDRX) business unit. This year’s forum will include Pulse8’s Caralyn Maerz , Director of Provider Engagement, as a panelist to discuss leveling up your provider-health plan relationships on … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …

ACA

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ - Business Wire | 11/11/2019

ACA Commercial markets as well as with Value-Based Payment models for Medicare. Our advanced analytic methodologies and flexible business intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning to deliver the most cost-effective and appropriate interventions for closing gaps in documentation, coding …

Member Engagement

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ - Business Wire | 11/11/2019

… new and innovative ways to fight off provider and member fatigue and come away with new ideas to jointly improve member engagement and patient care Recognize opportunities to collaborate to optimize workflows on both sides … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …

Patient Safety

Patient Experience Grant and Scholar Program Recipients Announced by The Beryl Institute | PRWeb | 10/29/2019

… and inform healthcare strategy and actions. The 2019 Patient Experience Grant Program study titles and recipients are: Can the Canadian Patient Safety Framework be utilized as a formal approach to addressing quality of care concerns … project. - VA Boston Healthcare System, Boston, MA A look at provider performance scores from the intersection of patient and provider demographics. - Children’s Hospital of Philadelphia, Philadelphia, PA Evaluation of bedside communication and its impact on …

Patient Satisfaction

Patient Experience Grant and Scholar Program Recipients Announced by The Beryl Institute | PRWeb | 10/29/2019

provider performance scores from the intersection of patient and provider demographics. - Children’s Hospital of Philadelphia, Philadelphia, PA Evaluation of bedside communication and its impact on the patient’s daily goals, patient satisfaction, trainee satisfaction, and patient activation. - Duke University Medical Center, Durham, NC Patients and Families: How can we build capacity among staff to seek experience feedback, use the data to inform improvement opportunities, and collaborate to arrive at solutions? - Hamilton …

EMR

(USA-VA-Pennington Gap) Quality Practice Performance Coordinator - SW Virginia | 10/27/2019

… healthier lives while doing your life’s best work.(sm) The Quality Practice Performance Coordinator is responsible for program implementation and provider performance management which is tracked by designated provider metrics, inclusive minimally of 4 STAR … needed results. The person will review charts (paper and electronic - EMR), look for gaps in care, perform telephonic assessments, help coordinate doctor appointments, make follow-up calls to members after appointments, and assist our members …

Medical Education

Study Demonstrates Continuing Education Improved Health Care Providers’ Knowledge of Autosomal Dominant Polycystic Kidney Disease (ADPKD) | PR Newswire | 10/15/2019

… therapy. This certified CE course was planned and executed in accordance with the requirements of the Accreditation Council for Continuing Medical Education. About ADPKD ADPKD is the most commonly inherited renal disorder and affects up … to close professional practice gaps, increase competence, and improve healthcare provider performance. Activities developed by CMEology embrace the National Quality Strategy and are designed to improve the effectiveness of patient care. References Ravyn D, Goodwin …

Patient Engagement

Med-IQ partners with JDRF on T1D education | PRWeb | 10/10/2019

… focuses on providing the latest information in T1D management, including diabetes technologies, adjunctive therapies, and psychosocial care, to help improve patient engagement and outcomes. Live workshops—Designed for primary care clinicians, this live workshop series … delivery system with the knowledge they need to continuously improve provider performance and patient outcomes. Med-IQ has delivered unique educational experiences and services across the country and around the world, has been extensively published …

Clinical Data

Deep Learning Bests Traditional Models in Risk Stratification | HealthIT Analytics | 10/2/2019

… Analytics in Action News Deep Learning Bests Traditional Models in Risk Stratification A deep learning model, powered by financial and clinical data, outperformed traditional tools in pediatric patient risk stratification. Source: Thinkstock By October 02 … panel of patients may also lead to better assessment of provider performance by taking case mix into consideration.” The team noted that they used a small ACO data set for this study and using larger …

Electronic Medical Record

Integrated Delivery Network Enhances Data Management, Health Risk Assessment, and Care Coordination with Jiva™ 6.1 | PR Newswire | 12/7/2017

… To illustrate, when patients transitioned between care settings, care managers would often need to enter the same data into multiple electronic medical record (EMR) systems to ensure its availability to other physicians and facilities. This … payers and care-delivery organizations to improve individual health and provider performance. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega serves as a true partner for clients, offering flexible …

HealthTrust

Sr. Financial Analyst - USA-TN-Nashville | 1/3/2020

upload resume: Profile At HealthTrust we are committed to strengthening provider performance and clinical excellence through an aligned membership model and the delivery of total spend management advisory solutions that leverage its operator experience, scale and innovation. We are headquartered in Nashville, Tennessee, and serve over 1,500 hospitals and health systems, and more than 31,000 other member locations including ambulatory surgery centers, physician practices, long-term care and alternate care …

Optum

Licensed Value Based Program Consultant Maryland Telecommute - UnitedHealth Group - MD, MD | 11/18/2019

… Provider performance and compliance with contractual obligations, provide tools to assist with performance and compliance, and is accountable for driving performance improvement. As the single point of clinical contact for a practice, the VBPC will be responsible for communicating progress towards achievement of targeted goals to Senior Leadership both within Optum and the Provider. The VBPC must demonstrate strong clinical and analytic skills, strong oral and written communication skills and …

UnitedHealth Group

Licensed Value Based Program Consultant Maryland Telecommute - UnitedHealth Group - MD, MD | 11/18/2019

… 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 uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order …

UnitedHealth

Licensed Value Based Program Consultant Maryland Telecommute - UnitedHealth Group - MD, MD | 11/18/2019

… 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 uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order …

Walmart Health

Making the Grade with Embold Health - Nashville Medical News | 11/18/2019

Walmart Care Clinics. Stein also served as an emergency room physician for the Veteran’s Healthcare System of the Ozarks and held various policy positions in Washington, D.C., while completing his medical degree at Johns Hopkins School of Medicine in Baltimore. As a medical student, Stein first noticed a striking contrast in provider performance. “Even while training at Johns Hopkins, which is one of the best schools in the country, there …

Embold Health

Making the Grade with Embold Health - Nashville Medical News | 11/18/2019

Making the Grade with Embold Health By MELANIE KILGORE-HILL Daniel Stein, MD, MBA Improved Savings, Outcomes by Identifying Top-Performing Docs How do companies know employees are getting the best healthcare available? Until now … a medical student, Stein first noticed a striking contrast in provider performance. “Even while training at Johns Hopkins, which is one of the best schools in the country, there were physicians whose skills hadn’t kept …

Pulse8

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ - Business Wire | 11/11/2019

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ Download Thumbnail November 11, 2019 08:01 AM Eastern Standard Time CHICAGO–( BUSINESS WIRE )–In its 14 … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …

Allscripts

Pulse8 Presenting as a Panelist on Provider-Health Plan Relationships During the RISE Risk Adjustment Forum in Scottsdale, AZ - Business Wire | 11/11/2019

… knowledge and continuous improvements to risk adjustment programs from experienced industry specialists, including Pulse8, which is part of Veradigm™, an Allscripts (NASDAQ: MDRX) business unit. This year’s forum will include Pulse8’s Caralyn Maerz , Director … intelligence tools offer real-time visibility into member behavior and provider performance. Pulse8’s Illumin8 Active Intelligence™ platform offers a suite of uniquely pragmatic solutions that are powered by our patent-pending Dynamic Intervention Planning …

Medecision

Medecision acquires health delivery system transformation pioneer GSI Health | PR Newswire | 10/29/2019

DALLAS , Oct. 29, Medecision , an integrated health management solutions provider that supports the health and care of more than 50 million consumers nationwide, has acquired Philadelphia -based GSI Health , a SaaS provider of workflow, engagement … These improvements include reduced avoidable hospital admissions and better care provider performance as well as payment alignment. GSI Health Founder, President and CEO, LeRoy (Lee) E. Jones , is joining Medecision as Senior Vice President, Care …

GSI Health

Medecision acquires health delivery system transformation pioneer GSI Health | PR Newswire | 10/29/2019

… management solutions provider that supports the health and care of more than 50 million consumers nationwide, has acquired Philadelphia -based GSI Health , a SaaS provider of workflow, engagement and compliance solutions and related services. The … These improvements include reduced avoidable hospital admissions and better care provider performance as well as payment alignment. GSI Health Founder, President and CEO, LeRoy (Lee) E. Jones , is joining Medecision as Senior Vice President, Care …

Anthem, Inc.

Provider Performance Medical Director - Payment Innovation - Nationwide - PS28124 - USA-NV-Reno | 10/9/2019

Provider Performance Medical Director - Payment Innovation - Nationwide - PS28124Location: United StatesRequisition : PS28124Post Date: 20 hours agoYour Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .This is an exceptional opportunity to do innovative …

ZeOmega

Jiva™ Tackles Major Challenges Surrounding Population Identification and Stratification | PR Newswire | 1/3/2018

PLANO, Texas , Jan. 3, 2018 /PRNewswire/ – ZeOmega ® , a market leader in population health management (PHM) solutions, recently launched Jiva Integrated Identification and Stratification (IIS) as part of Jiva™ Clinical Solutions. Other identification and stratification tools … payers and care-delivery organizations to improve individual health and provider performance. With deep domain expertise and a comprehensive understanding of complex population health challenges, ZeOmega serves as a “true-north” partner for clients—offering …

Quintiles

CRO Quality Benchmarking for Phase IV Service Providers (2017 Edition) - Research and Markets | Business Wire | 10/17/2017

Provider Performance And Loyalty Primary Section Takeaways Rolling Average 7. Company Service Quality Profiles Covance ICON INC Research Mapi PAREXEL PPD PRA Quintiles 8. Study Data Phase IV Leaders, Unprompted Phase IV Leaders, Prompted Service Provider Familiarity Service Provider Usage Service Provider Preference Service Provider Differentiation Selection Drivers: Selecting among Preferred Providers Preferred Provider Attributes Gaining Importance Selection Drivers When Not Using Preferred Providers Selection Drivers: No Preferred Providers Service …

DaVita

CRO Quality Benchmarking for Phase IV Service Providers (2017 Edition) - Research and Markets | Business Wire | 10/17/2017

… Company 5 Major Sections 4. Service Provider Selection Process Primary Section Takeaways 5. Service Provider Perceptions And Interactions 6. Service Provider Performance And Loyalty Primary Section Takeaways Rolling Average 7. Company Service Quality Profiles Covance … 9. Service Provider Drill-Downs Accenture Bioclinica Chiltern Cognizant Covance DaVita Clinical Research DCRI-Duke ICON INC Research inVentiv Health Clinical Lambda Mapi Medpace NAMSA Novotech PAREXEL PPD PRA Quintiles SGS Life Sciences Tat a …

HCA

Financial Agility is Essential to Healthcare’s Post-COVID-19 New Normal - Industry Analysis by Loyale Healthcare | PRWeb | 7/29/2020

Financial Agility is Essential to Healthcare’s Post-COVID-19 New Normal - Industry Analysis by Loyale Healthcare Share Article Despite billions in federal stimulus payouts, 2020 operating losses at America’s hospitals are projected to be between … a meaningful impact on patient decisions about their care and provider performance. We and others have written extensively on the financial barriers to care for many Americans. These barriers existed for years before the COVID …

(USA-TN-Nashville) Contract Analyst, Services | 11/18/2019

Job Information HCA, Hospital Corporation of America Contract Analyst, Services in Nashville , Tennessee At HealthTrust we are committed to strengthening provider performance and clinical excellence through an aligned membership model and the delivery of total spend management advisory solutions that leverage its operator experience, scale and innovation. We are headquartered in Nashville, Tennessee, and serve over 1,500 hospitals and health systems, and more than 31,000 other member locations including ambulatory …

Alan Hutchison

Nation’s Largest Member Owned Health Plan to Launch Epic Platform to Improve Patient and Provider Experience | PR Newswire | 6/17/2020

… great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value … the payer, and the patient in a trusted network,” said Alan Hutchison , Vice President of Population Health at Epic. “It will enable a more robust, data-driven approach to improving patient health. It will also …

Nation’s Largest Member Owned Health Plan to Launch Epic Platform to Improve Patient and Provider Experience | PR Newswire | 6/17/2020

… great way to make a real difference in patient care and lower health costs,” said Krishna Ramachandran , Vice President of Provider Performance at HCSC. “This agreement will help advance access to a truly integrated value … the payer, and the patient in a trusted network,” said Alan Hutchison , Vice President of Population Health at Epic. “It will enable a more robust, data-driven approach to improving patient health. It will also …

Dan Ross

CareJourney to Add 70m+ Medicaid lives to Network Advantage, CareJourney Index Products | Markets Insider | Business Insider | 11/7/2019

… that allow customers to leverage this data set to design and manage networks via its Network Advantage product, and benchmark provider performance in a transparent way with its CareJourney Index product. In late 2018, CareJourney … directly inform design and benchmarking of commercial provider networks,” said Dan Ross , CEO at CareJourney. “This addition accomplishes that goal, and we’re getting the gold standard for data quality in the under-65 population, as …

CareJourney to Add 70m+ Medicaid lives to Network Advantage, CareJourney Index Products | PR Newswire | 11/7/2019

… that allow customers to leverage this data set to design and manage networks via its Network Advantage product, and benchmark provider performance in a transparent way with its CareJourney Index product. In late 2018, CareJourney … directly inform design and benchmarking of commercial provider networks,” said Dan Ross , CEO at CareJourney. “This addition accomplishes that goal, and we’re getting the gold standard for data quality in the under-65 population, as …