Insights from The Lab

Health Plan Operations

Category: Health Plan Operations


How Digitization in Health Payer Operations Reduces Processing Cost and Claims Leakage

Half of your operation’s cost-saving potential hides here The goal of effective healthcare is timeless; only the approach and technologies change. Whether it’s the broader strategy of population health management (PHM) or the more tactical value-based care (VBC), better health outcomes for patients also equate to better financial outcomes for payers, administrators, and providers in …

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Health Payer Claims: How Business Intelligence (BI) Analytics Will Accelerate Your Value-Based Care Initiatives

See how Business Intelligence dashboards can help you crush costs, avoid delays, and improve the patient experience Given the volume of claims that need to be processed, and the timeframes required, it’s little wonder that health payers struggle to keep up—and even keep apprised. How many claims are open at a given time? How many …

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Accelerating Value-Based Care for Health Payer Operations with Standardization and Robotic Process Automation

We feel your non-standardized pain. If you’ve been tasked with bringing your health plan operations into the future— or even the present— with things like advanced analytics, business intelligence, and robotic process automation—you’ve realized that you’ll hit a big fat wall unless you standardize first. Standardize what? Everything. Processes. Activities. Workflows. Data. Population Health Management. …

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Hospital Finance Management: Case Studies in Lean Finance Transformation Projects

It’s a strange paradox: As accounting grows more precise, it becomes less relevant. All of that “precision noise” makes it incredibly challenging to implement a lean hospital finance management and transformation, especially if you’re running a network of hospitals with shared finance-group operations. In this article, we’re going to cull some down-in-the-weeds details, as well …

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Improvements from Start-to-Finish

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