The Evolving Landscape of Privacy and Cybersecurity: Essential Strategies for Legal and Compliance Professionals
As legal and compliance professionals, we champion privacy and cybersecurity in our organizations — but success requires a team effort.
Real-World Evidence Meets Machine Learning: What It Takes to Future-Proof Evidence Generation
Every life sciences organization needs to consider how best to apply machine learning (ML) to RWE to support better patient outcomes. Here’s how they can ensure RWE is “ML-ready.”
Beyond Analytics: How Sellers Dorsey is Hard-Coding Value into Medicaid Policy [Video]
How to turn analytics into actual policy outcomes.
Proven Methodologies For Ensuring Seamless CRM Migrations In Highly Regulated Environments
Organizations that excel don’t treat migrations as IT exercises. They treat them as compliance projects that require technical execution. Their methodology begins with regulatory obligations, builds technical architecture around them, and conducts relentless validation before calling the migration complete.
Healthcare’s Paper Check Problem
By adopting a modern digital payment solution, payers can streamline operations, improve provider relationships and reduce fraud exposure. Most importantly, they gain a flexible, scalable foundation built to meet today’s demands and tomorrow’s challenges.
When HSA Dollars Enter Direct Primary Care, Control Follows
When tax-advantaged dollars enter a care model, they do more than expand purchasing power. They reorganize incentives, accelerate intermediary involvement, and clarify who holds leverage.
Infusion Industry Boom Raises Red Flag from State Regulators
A handful of states have issued guidance documents that illustrate how regulators are viewing the IV hydration and IV therapy businesses, which infusion providers should consider as part of their overall compliance monitoring efforts.
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Survey on the Healthcare Financial Landscape Offers a Roadmap for Stakeholders
Zelis highlights how employers, payers, and consumers are integrating digital tools to manage healthcare costs.
Why It’s Time to Bring HCC Coding In-House
Recent advances in generative AI have made it a lot easier and safer to bring HCC coding in-house, lowering costs, and strengthening audit readiness.
The Case for a Universal Medical Coder in Achieving True Interoperability
A universal medical coder, applied consistently across care settings, offers a practical solution to the enduring challenge of data integrity.
Privacy Rules Are Tightening, Again. Here’s How Your Healthcare Marketing Can Embrace Compliance to Thrive
How can healthcare providers contend with a regulatory environment that has never been more fragmented? Here are three lessons on why privacy is your competitive advantage.
Why Health Plans Are Reclaiming Utilization Management, and What It Takes to Do It Right
CMS and AHIP are raising the floor, but forward-thinking plans are aiming higher. They’re designing utilization management systems that are clinically sound, operationally efficient, and aligned with enterprise goals.
How Artera is Using Agentic AI to Humanize Patient Care
Artera President Tom McIntyre talks about the practical application of AI in healthcare.
CMS and AHIP Isn’t the Finish Line: It’s the Starting Gun for Prior Auth Innovation
Without systemic redesign, these efforts risk reinforcing the same pain points that made prior authorization a flashpoint for payers and providers.
Advancing Patient & Planet Health Through Proper Healthcare Waste Management
By prioritizing sustainability-minded and compliant waste management in the workplace, healthcare leaders can advance patient and employee well-being, as well as environmental and fiscally responsible programs.
Best Practices in Managing Medical Equipment Rollouts
Successful implementation makes all the difference between a seamless changeover and a poorly executed one that interferes with the delivery of patient care.
Putting Part 2’s Data Privacy Protections into Play: 3 Key Considerations
If the guidelines for data sharing are not adhered to by providers, then all the work that has gone into revising this regulation will have been for nothing. But the road to compliance doesn’t have to be overwhelming. Here are three essential steps for healthcare leaders in navigating the soon-to-be Part 2 landscape.
4 Practice Policies that Help Maintain Behavioral Health Practice Success
Running a behavioral health practice requires balancing patient volume and case diversity, while maintaining operations. Transparent practice policies are necessary for success and ensuring high-quality, consistent patient care.