HealthAxis Blog

23Apr, 2018

Predictive analytics can spot patients not taking their medicine

By: | Tags: , , , ,

While the U.S. spends billions of dollars developing new therapeutics, those investments won’t do much good if the drugs aren’t taken as physicians say they should be.  “Using big data to find incidents of medication nonadherence, and using it to tailor patient interventions, is a key component to population health. Any health system trying to tackle population health management in any meaningful way has to grapple with the challenge of patients who don’t adhere to their care plans – especially those who, for whatever reason, don’t take their medicines in […]
READ MORE

Commercial/Private Health Plan Solutions
17Apr, 2018

Consumers open to more digital health use, survey finds

By: | Tags: , , , ,

Consumers are also using a wider array of digital health tools, according to the survey, which found a three-fold increase in mobile and tablet health apps over the past four years “Increasing consumer demand for digital health services is transforming the care delivery team, putting patients and technologies in the driver’s seat alongside physicians, a new Accenture survey suggests. The survey of 2,301 U.S. consumers finds greater acceptance of virtual medical encounters, artificial intelligence and other machine-based services being part of their healthcare experience. One in five respondents said they […]
READ MORE

5Apr, 2018

CMS offering $30 million in grant funding to improve quality measures

By: | Tags: , , , , ,

The funding is to develop partnerships with health systems, clinicians and others to improve measures in the quality payment program of MACRA. “The Centers for Medicare and Medicaid Services is providing up to $30 million in grant funding to develop partnerships with health systems, clinicians and others to improve measures in the quality payment program of MACRA. CMS will provide funding and technical assistance in these cooperative agreements to address measure gaps. Focusing on patient perspectives will ensure measures focus on what is important to patients and drive the improvement […]
READ MORE

21Mar, 2018

A Healthy Start to the Plan Year Begins With Quality Medicare Advantage Enrollment Processes

By: | Tags: , , , ,

For individuals who have Medicare, they have recently had the opportunity to enroll in a 2018 Medicare Advantage or other Medicare plan, review their current coverage, or change plans.  Health plans across the country are evaluating their successes and opportunities for improvement from the recently closed Open Enrollment Period. Every year, health plans wrestle with timely, accurate enrollment and compliant submission to CMS.  Setbacks and headaches here are felt keenly, as it is the first opportunity for plans to succeed or fail relative to the Medicare Star rating system for […]
READ MORE

5Mar, 2018

5 trends in Healthcare Analytics for 2018

By: | Tags: , , , , , ,

In a recent white paper, Tableau outlines significant trends in healthcare analytics for 2018. “Leaders of The demand for higher quality care at lower cost, among other trends, will drive the use of healthcare information technology in general and analytics applications in particular this year. Growth efforts to engage patients and better manage patient populations also are expected to drive the need to capture data and gain insight from it. According to Tableau, as a result 2018 reveals the pent up demand for better healthcare IT and analytics that drive […]
READ MORE

26Feb, 2018

Payers, Providers Pledge to Improve Prior Authorizations

By: | Tags: , , , ,

AHIP, BCBSA, AHA, and other organizations have agreed to improve the efficiency of prior authorizations. “Leaders of organizations participating in the pledge claim that aligning goals to improve prior authorizations can reduce the challenges of payers, providers, and other healthcare organizations face when managing high-cost prescriptions and medical devices. “Prior authorization approvals can be burdensome for health care professionals, hospitals, health insurance providers, and patients because the processes vary and can be repetitive, AHIP said in a press release. Prior authorization requirements can be better targeted if they take into […]
READ MORE

The rise and risk of IoT in healthcare
19Feb, 2018

AI funding exceeds $1B in 2017

By: | Tags: , , , , ,

Report confirms what industry watchers have already been noticing: Artificial intelligence in healthcare is hot. “The quality and reliability of the data feeding AI solutions is particularly crucial to AI’s ultimate value in healthcare, and that could be a problem given lack of clear data standards. Progress on interoperability has been slow, but CMS Administrator Seema Verma said in town hall webcast this week with American Hospital Association CEO and President Rick Pollack that the agency is interested in seeing movement on the issue.” Read the full article. Check out this […]
READ MORE

How Payers, Providers Could Streamline Medical Claims Management
15Feb, 2018

All-Payer Claims Databases Offer Insights into Healthcare Spending

By: | Tags: , , , ,

The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision making. “All-payer claims databases (APCDs) allow payers, providers, and regulators to analyze claims from millions of beneficiaries to learn where spending is directed and whether or not spending on certain healthcare services is avoidable. State-level all-payer claims databases can help stakeholders to manage population health and identify opportunities to reduce wasteful or preventable healthcare spending within the commercial and public insurance sectors. Sixteen states currently have APCDs in operation, while […]
READ MORE