| 12/16/2021 |
Codoxo Introduces Audit Scope, an AI-Enabled Audit Case Management and Workflow Solution for Health Plans and Pharmacy Benefits Management Organizations |
PRWeb |
... defined requirements.- Rapid and accurate detection of potential claims and/or providers for audits when paired with fraud detection and rules-based algorithms.- Deep insights into reasons for detection, including peer-to-peer comparisons, provider performance , and claim level details.- Easy and intuitive review and selection workflow, allowing auditors to drill into each provider or claim and quickly identify and collect supporting claims to add to audit queues or cases ... |
| 12/15/2021 |
Resetting Payer-Provider Arrangements for COVID-19 and the Evolving Improvement Journey |
slideshare.net |
As the healthcare industry recovers from COVID-19, providers are re-evaluating the financial arrangements that motivate them to improve their processes while benefiting payers and patients.With the pandemic driving lower provider volumes and straining hospital resources, the industry has a renewed urgency for policies that drive better outcomes while lowering cost and improving revenue. Moving forward, healthcare must reset its payer-provider performance standards to the post COVID ... |
| 12/4/2021 |
Siemens Positioned in the Visionaries Quadrant of the Gartner Magic Quadrant for Industrial IoT Platforms |
newswiretoday.com |
... for Industrial IoT platforms.1 - Gartner.com / Siemens.Mindsphere.io.Gartner (gartner.com), a leading worldwide IT research and advisory firm, evaluates vendors on the quality and efficacy of the processes, systems, methods or procedures that enable IT provider performance to be competitive, efficient and effective. Vendors are also rated on the ability to positively impact revenue, retention and reputation within Gartner’s view of the market.Siemens is positioned as the sole vendor ... |
| 11/30/2021 |
Infogain Named a Star Performer and Major Contender in Everest Group's Enterprise Quality Assurance (QA) Services PEAK Matrix® Assessment 2022 | Business Wire |
Business Wire |
... their PEAK Matrix to assess and classify service providers based on criteria that include market impact, vision and capability.Everest Group also makes assessments based on customer responses from surveys and interactions, including service provider performance , benchmarking, priorities, and best practices.Nishith Mathur, Chief Strategy and Solutions Officer, Infogain said, “Being recognized as a 'Star Performer' and 'Major Contender' in Everest Group’s Enterprise Quality Assurance (QA) Services PEAK Matrix ... |
| 9/18/2021 |
Director of Finance – Central Valley Medical Services Corporation – Remote |
medacura.com |
... Responsibilities: The Director of Finance is responsible for maximizing the return on financial assets by establishing financial policies, procedures, controls and reporting systems. This position will generate forecasts and analyze trends income, operating expenses, provider performance , provider contract performance, product line profitability, membership, medical costs, premium yields, and other areas of business, as well as ensure legal and regulatory compliance for all accounting and financial reporting functions. Duties include, but ... |
| 9/9/2021 |
WellSky Names Andy Eilert as President, Emerging Markets to Advance Technology and Analytics Capabilities | Financial Buzz |
financialbuzz.com |
... announced that Andy Eilert has joined the company as President, Emerging Markets, effective immediately. In this role, Eilert will focus on enhancing WellSky’s provider software and analytics capabilities to optimize care and scale provider performance through new ventures and strategic opportunities in emerging healthcare markets.Eilert has more than 25 years of experience in the healthcare services and technology sectors, with companies ranging from early stage to Fortune 5 ... |
| 9/9/2021 |
Google Alert - Provider |
blogspot.com |
... Flag as irrelevant WEB Find a Provider - Crozer Health Crozer Health Accepting New Patients; Providence Facial Plastic and Cosmetic Surgery, Providence Ear Nose and Throat Associates - Chester, ... Flag as irrelevant Communications Senior Manager - Sourcing & Provider Performance at Boeing Boeing Communications Senior Manager - Sourcing & Provider Performance . Seattle, Washington; Auburn, Washington; Bellevue, Washington; Colorado Springs, Colorado; ... Flag as irrelevant You have received this email because you have subscribed to Google Alerts . Unsubscribe ... |
| 9/9/2021 |
WellSky Adds Andy Eilert to Leadership Roster |
homecaremag.com |
... announced that Andy Eilert has joined the company as president, emerging markets, effective immediately. In this role, Eilert will focus on enhancing WellSky’s provider software and analytics capabilities to optimize care and scale provider performance through new ventures and strategic opportunities in emerging health care markets.Eilert has more than 25 years of experience in the health care services and technology sectors, with companies ranging from early stage to ... |
| 9/8/2021 |
WellSky® Names Andy Eilert as President, Emerging Markets to Advance Technology and Analytics Capabilities |
Yahoo News |
... announced that Andy Eilert has joined the company as President, Emerging Markets, effective immediately. In this role, Eilert will focus on enhancing WellSky’s provider software and analytics capabilities to optimize care and scale provider performance through new ventures and strategic opportunities in emerging healthcare markets.Eilert has more than 25 years of experience in the healthcare services and technology sectors, with companies ranging from early stage to Fortune 5 ... |
| 9/8/2021 |
WellSky® Names Andy Eilert as President, Emerging Markets to Advance Technology and Analytics Capabilities | Business Wire |
Business Wire |
... announced that Andy Eilert has joined the company as President, Emerging Markets, effective immediately. In this role, Eilert will focus on enhancing WellSky’s provider software and analytics capabilities to optimize care and scale provider performance through new ventures and strategic opportunities in emerging healthcare markets.Eilert has more than 25 years of experience in the healthcare services and technology sectors, with companies ranging from early stage to Fortune 5 ... |
| 9/8/2021 |
WellSky® Names Andy Eilert as President, Emerging Markets to Advance Technology and Analytics Capabilities |
digitalmedianet.com |
... announced that Andy Eilert has joined the company as President, Emerging Markets, effective immediately. In this role, Eilert will focus on enhancing WellSky’s provider software and analytics capabilities to optimize care and scale provider performance through new ventures and strategic opportunities in emerging healthcare markets.Eilert has more than 25 years of experience in the healthcare services and technology sectors, with companies ranging from early stage to Fortune 5 ... |
| 9/8/2021 |
WellSky® Names Andy Eilert as President, Emerging Markets to Advance Technology and Analytics Capabilities |
wellsky.com |
... announced that Andy Eilert has joined the company as President, Emerging Markets, effective immediately. In this role, Eilert will focus on enhancing WellSky’s provider software and analytics capabilities to optimize care and scale provider performance through new ventures and strategic opportunities in emerging healthcare markets.Eilert has more than 25 years of experience in the healthcare services and technology sectors, with companies ranging from early stage to Fortune 5 ... |
| 9/3/2021 |
Huge Growth of Healthcare Payer Solutions Market by 2027 | Cognizant, Accenture, Concentrix, EXL Service, Xerox Corporation |
unlvrebelyell.com |
... claims, member engagement, audits, medical documents, and customer relations. These businesses have dedicated units, which improve the overall health system performance through optimizing care quality; reducing costs as well as improving consumer experience & care provider performance . Sample Report with Latest Industry Trends @: https://www.a2zmarketresearch.com/sample?reportId=337835 The top companies in this report include: Cognizant, Accenture, Concentrix, EXL Service, Xerox Corporation, Genpact, Hewlett Packard Enterprise, Hexaware Technologies, Firstsource, HCL Technologies ... |
| 8/23/2021 |
Vizient Receives CMS Certification as Qualified Entity for Access to Medicare Claims Data | Financial Buzz |
financialbuzz.com |
... CMS Qualified Entity (QE) Program (also known as the Medicare Data Sharing for Performance Measurement Program), enables certified organizations to receive Medicare claims data under Parts A, B, and D for use in evaluating provider performance . Only 33 organizations are QEs and of those, only 17, including Vizient , have access to nationwide data.Vizient members increasingly are adopting alternative pay models and value-based care payment methods, requiring data and ... |
| 8/23/2021 |
Vizient Receives CMS Certification as Qualified Entity for Access to Medicare Claims Data | Business Wire |
Business Wire |
... CMS Qualified Entity (QE) Program (also known as the Medicare Data Sharing for Performance Measurement Program), enables certified organizations to receive Medicare claims data under Parts A, B, and D for use in evaluating provider performance . Only 33 organizations are QEs and of those, only 17, including Vizient , have access to nationwide data.Vizient members increasingly are adopting alternative pay models and value-based care payment methods, requiring data and ... |
| 8/23/2021 |
Vizient receives CMS certification as Qualified Entity for access to Medicare claims data |
jhconline.com |
... CMS Qualified Entity (QE) Program (also known as the Medicare Data Sharing for Performance Measurement Program), enables certified organizations to receive Medicare claims data under Parts A, B, and D for use in evaluating provider performance . Only 33 organizations are QEs and of those, only 17, including Vizient, have access to nationwide data. Vizient says that access to the nationwide Medicare claims brings the company one step closer to having ... |
| 8/19/2021 |
Ciox Health's Chase Intelligence Makes Understanding Member Needs Easier and Actionable by Leveraging Provider Attributes and Retrospective Data |
tncontentexchange.com |
... from Ciox utilizes provider data and historical encounter insight to offer a more exact picture of the health plan's full member base and their needs. Ciox Chase Intelligence applies synchronized proprietary algorithms and historical provider performance to simplify health plan membership assessments. Health Plans servicing Affordable Care Act (ACA), Medicare and Medicaid populations are required to submit member assessments annually to establish appropriate reimbursement rates based on qualified risk. The ... |
| 8/3/2021 |
NS1 Surpasses 800 Customers As Demand Surges for Solutions That Eliminate Boundaries at the Distributed Edge |
digitalmedianet.com |
... Net Promoter Score of 78, which is in the top tier among software-as-a-service companies. This is in part due to helping customers remain resilient in spite of fluctuations in internet and provider performance , such as the recent Fastly outage .Product Innovation and Leadership In June, the company unveiled NS1 Connect ™, the industry’s first and only unified application traffic automation and intelligence platform for modern application ... |
| 8/3/2021 |
Pay for performance in primary care: the contribution of the Programme for Improving Access and Quality of Primary Care (PMAQ) on avoidable hospitalisations in Brazil, 2009–2018 |
mashupmd.com |
Background Evidence on the effect of pay-for-performance (P4P) schemes on provider performance is mixed in low-income and middle-income countries. Brazil introduced its first national-level Pay for performance in primary care: the contribution of the Programme for Improving Access and Quality of Primary Care (PMAQ) on avoidable hospitalisations in Brazil, 2009–2018 [https://t.co/bJDXaeGVq4] - [view on twitter ... |
| 7/30/2021 |
NWC, JPS top customer service rankings | News | Jamaica Gleaner |
jamaica-gleaner.com |
The National Water Commission (NWC) has emerged top of the pile in the annual Office of Utilities Regulation’s mystery shopping survey, ranking overall provider performance in customer service experience, including in-store, call centre, and online chat.The NWC registered a total score of 80 per cent, edging the Jamaica Public Service Company (JPS), 76 per cent; followed by FLOW, 70 per cent; and Digicel, 68 per cent.The ... |