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When referring a patient to a specialist, a lot more needs to be considered than just if that specialist is in-network. The right technology and incorporating the right data can get patients to the right specialist.

Protected Health Information (PHI) has become more vulnerable to today’s aggressive hackers. The response must be proactive protection of patient data.

CMS will be launching a radiation oncology bundle in 2022. As we help our clients who have already taken the step to implement such bundles, we are seeing the clinical and financial benefits for both the payer and provider.

The shift in total joint replacement procedures from inpatient to Ambulatory Surgery Centers has the potential to reduce costs while maintaining at least the same level of quality outcomes. However, patients and doctors still need to look at the potential risks involved.

Giving back to the community is at the heart of who we are. Throughout the pandemic, we knew that charitable giving was more important than ever.

The exorbitant cost of healthcare in the U.S. doesn’t always equate to the best healthcare quality. A value-based care model focuses on whether appropriate care was provided and if it was effective. Here are the main ways healthcare quality

As we prepare to return to a post-Covid19 normal, we’re reflecting on what we learned from our work-at-home experience. While it’s difficult to replace face-to-face interaction, the opportunity to be fully remote allowed us to strengthen our relationships and enhance our ability to collaborate effectively across telecommunication mediums.

Many accountable care organizations (ACOs) focus on primary care as the cornerstone for their value-based care programs. Adding episodes of care and specialist engagement can be transformative to a successful ACO strategy.

In theory, upfront knowledge of the cost of healthcare services is beneficial. However, the market economics of patients “shopping” for healthcare will only work when the price, service, and quality of service are all factored in to establish overall value.

As the healthcare industry continues to move toward a value-based care model, everything from laws to data standards have had to change. However, we know from experience that the promise value-based care offers far exceeds the effort it will take to get there.