HELIOS is the most configurable platform for healthcare payors with 90% configurability right out of the box. You may have heard us say this before, but if not, "HELIOS is the most configurable and flexible solution for healthcare management." But what does that even...
For healthcare organizations, CMS-0057-F outlines the modern healthcare system and offers opportunities to improve care and utilization management In the last couple of years, the Centers for Medicare & Medicaid Services (CMS) have been making strides to increase...
For healthcare payors and organizations, the HL7® FHIR® (Fast Healthcare Interoperability Resources 1) standard is crucial to data interoperability efforts. This standard is designed to improve data interoperability by providing a standardized way to exchange and...
The American Medical Association said it best: “In health care, teams that collaborate effectively can enhance the quality of care for individual patients. By being prudent stewards and delivering care efficiently, teams also have the potential to expand access to...
Healthcare is now one of the highest costs of the U.S. economy. The country is expected to spend a projected $4.7 trillion (18 percent of the national economy) on healthcare alone in 2023. And according to a recent study by Accenture, health literacy may be playing a...
As a new year approaches, the U.S. healthcare industry faces converging factors that signal some significant upcoming changes. An estimated 60% of adults have at least one chronic disease, and 40% suffer from two or more, straining healthcare resources. In 2023, life...
CMS’ new care delivery model, Making Care Primary (MCP) focuses on a coordinated, collaborative approach at the primary care level, and the critical role it plays in an organization’s ability to deliver value-based care and improve health outcomes. As noted in our...
New FHIR® data interoperability application helps payers quickly transform and manage critical data for organization-wide sharing, visibility, and care team us Data interoperability is a hot agenda item for many healthcare organizations. 1. Stakeholders across the...
Track 3: Using Quality Improvement Frameworks to Optimize Care Delivery and Gain Financial Benefits In our last few blogs, we’ve been looking at CMS’ new Making Care Primary (MCP) model, which aims to have Medicaid advance value-based care at the primary care level...
Track 2: Implementing Advanced Primary Care CMS’ recently announced Making Care Primary (MCP) model advances the agency’s drive to shift from a fee-for-service model to a value-based care model. The MCP model takes a tiered approach, with three tracks of...