Health Tech 4 Medicaid’s Post

🚨 Exciting News! HealthAxis and COPE Health Solutions are proud to announce a strategic partnership to drive value-based care and operational efficiency across health plans and providers! 🤝 This collaboration brings together HealthAxis and COPE Health Solutions scalable CAPS and ARC platforms and business process operations with CHS’ expertise in, value-based payment models, medical management, and analytics to drive operational efficiency and clinical excellence across the healthcare industry. The partnership will be focused on supporting payers and risk-bearing providers—to streamline operations, reduce costs, and optimize clinical and quality performance. 💡 For more details on how this partnership will drive operational efficiency and clinical excellence across the healthcare industry, read the full press release here: https://ow.ly/YaOK50TCyuq #HealthAxis #COPEHealthSolutions #HealthcareInnovation #ValueBasedCare #HealthcareTransformation #OperationalExcellence #PopulationHealth #HealthcarePayers #Healthcare #HealthcareAdministration #HealthcareManagement #Medicare #MedicareAdvantage #PACE #Medicaid #CoreAdministration

symplr Unveils Payer Solutions Boosting Agility in Evolving Landscape at AHIP 2024 — PRBuzz.co — Payer #solutions #drive efficiency in #healthcare operations amid #swift regulatory changes HOUSTON, #June #11 #2024 symplr®, a leading provider of #enterprise healthcare operations #software will #debut its #suite of end-to-end #data #management solutions for payers at #todays AHIP 2024 #conference in #booth #1727 in #Las #Vegas With provider data credentialing #having #long been a time-consuming process – often #taking three to six #months to complete – symplr will demonstrate the company's expanded initiative that has helped payers credential #60 more providers, #30 more quickly, through automation. "The #industry needs companies like symplr to automate our workflows, drive innovation, and meet regulatory demands," said Antoinette Geyer, Senior VP of Provider Delivery Services at The Health Plan of West Virginia. "In today's evolving healthcare landscape, symplr holds the key to leveraging technology strategically, empowering health plans and providers to be more responsive and adaptable." "The industry needs companies like symplr to automate our workflows, drive innovation, and meet regulatory demands," said Antoinette Geyer, Senior VP of Provider Delivery Services at The Health Plan of West Virginia. With frequent provider demographic data changes monthly, payer organizations often struggle to maintain high-quality provider data, a requirement of Centers for Medicare and Medicaid Services

symplr Unveils Payer Solutions Boosting Agility in Evolving Landscape at AHIP 2024 — MediaContacts.co — Payer #solutions #drive efficiency in #healthcare operations amid #swift regulatory changes HOUSTON, #June #11 #2024 symplr®, a leading provider of #enterprise healthcare operations #software will #debut its #suite of end-to-end #data #management solutions for payers at #todays AHIP 2024 #conference in #booth #1727 in #Las #Vegas With provider data credentialing #having #long been a time-consuming process – often #taking three to six #months to complete – symplr will demonstrate the company's expanded initiative that has helped payers credential #60 more providers, #30 more quickly, through automation. "The #industry needs companies like symplr to automate our workflows, drive innovation, and meet regulatory demands," said Antoinette Geyer, Senior VP of Provider Delivery Services at The Health Plan of West Virginia. "In today's evolving healthcare landscape, symplr holds the key to leveraging technology strategically, empowering health plans and providers to be more responsive and adaptable." "The industry needs companies like symplr to automate our workflows, drive innovation, and meet regulatory demands," said Antoinette Geyer, Senior VP of Provider Delivery Services at The Health Plan of West Virginia. With frequent provider demographic data changes monthly, payer organizations often struggle to maintain high-quality provider data, a requirement of Centers for Medicare and Medicaid Services

𝐒𝐦𝐚𝐫𝐭 𝐇𝐞𝐚𝐥𝐭𝐡𝐜𝐚𝐫𝐞 𝐏𝐫𝐨𝐯𝐢𝐝𝐞𝐫 𝐄𝐧𝐫𝐨𝐥𝐥𝐦𝐞𝐧𝐭: 𝐒𝐭𝐫𝐞𝐚𝐦𝐥𝐢𝐧𝐢𝐧𝐠 𝐀𝐜𝐜𝐞𝐬𝐬 𝐭𝐨 𝐐𝐮𝐚𝐥𝐢𝐭𝐲 𝐂𝐚𝐫𝐞 𝐈𝐧𝐭𝐫𝐨𝐝𝐮𝐜𝐭𝐢𝐨𝐧: Welcome to Smart Health Care Provider Enrollment, where we redefine the process of joining healthcare networks to ensure seamless access to quality care. 𝐊𝐞𝐲 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐬 𝐨𝐟 𝐒𝐦𝐚𝐫𝐭 𝐇𝐞𝐚𝐥𝐭𝐡 𝐂𝐚𝐫𝐞 𝐏𝐫𝐨𝐯𝐢𝐝𝐞𝐫 𝐄𝐧𝐫𝐨𝐥𝐥𝐦𝐞𝐧𝐭: 𝐄𝐟𝐟𝐢𝐜𝐢𝐞𝐧𝐭 𝐂𝐫𝐞𝐝𝐞𝐧𝐭𝐢𝐚𝐥𝐢𝐧𝐠 𝐏𝐫𝐨𝐜𝐞𝐬𝐬: Our platform accelerates the credentialing process, ensuring that healthcare providers are quickly and accurately enrolled in healthcare networks. 𝐑𝐞𝐚𝐥-𝐭𝐢𝐦𝐞 𝐀𝐩𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐓𝐫𝐚𝐜𝐤𝐢𝐧𝐠: Healthcare providers can track the status of their enrollment applications in real time. 𝐂𝐨𝐦𝐩𝐫𝐞𝐡𝐞𝐧𝐬𝐢𝐯𝐞 𝐏𝐚𝐲𝐞𝐫 𝐍𝐞𝐭𝐰𝐨𝐫𝐤 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧: Smart Health Care Provider Enrollment connects healthcare professionals with a wide network of payers. 𝐀𝐮𝐭𝐨𝐦𝐚𝐭𝐞𝐝 𝐃𝐚𝐭𝐚 𝐕𝐞𝐫𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧: Our platform employs advanced technology to automate data verification, minimizing errors and ensuring the accuracy of information submitted during the enrollment process. 𝐁𝐮𝐢𝐥𝐭-𝐢𝐧 𝐂𝐨𝐦𝐩𝐥𝐢𝐚𝐧𝐜𝐞 𝐂𝐡𝐞𝐜𝐤𝐬: Smart Health Care Provider Enrollment incorporates built-in compliance checks to ensure that providers meet all regulatory requirements. 𝐂𝐮𝐬𝐭𝐨𝐦𝐢𝐳𝐞𝐝 𝐄𝐧𝐫𝐨𝐥𝐥𝐦𝐞𝐧𝐭 𝐏𝐚𝐜𝐤𝐚𝐠𝐞𝐬: We understand that different healthcare providers have unique needs. 𝐒𝐞𝐜𝐮𝐫𝐞 𝐃𝐚𝐭𝐚 𝐇𝐚𝐧𝐝𝐥𝐢𝐧𝐠: Security is our top priority. Smart Health Care Provider Enrollment employs robust measures to protect sensitive provider information. 📞 𝐂𝐨𝐧𝐧𝐞𝐜𝐭 𝐰𝐢𝐭𝐡 𝐔𝐬: 🌐 Website: https://www.shcbs.us/ 📧 Email: info@shcbs.us ☎️ Phone: +1 (844) 412-1144 #MedicalBilling #HealthcareAutomation #SmartHealthCare #BillingSolutions #RevenueCycleManagement #PatientExperience #RegulatoryCompliance #InnovativeBilling #SmartHealthMedicalBilling

Healthcare organizations need to move with greater velocity to support interoperability internally as well as externally. There has been significant maturation in the technology space to support this over the past several years.

Inaccurate provider data plagues the healthcare system, creating a burden for both providers and payers. Outdated information leads to wasted resources, with providers spending billions annually maintaining directories for different insurers. Patients struggle to find in-network providers due to incorrect data, leading to revenue loss for providers and frustration for patients. The No Surprises Act (NSA) mandates accurate directories, but inconsistencies make compliance difficult. Studies show 81% of provider listings in major insurer directories contain errors. Manual updates are cumbersome and prone to mistakes. What's the Solution? Collaboration and Technology Learn more: https://hubs.ly/Q02qPDmp0

In Capital Rx’s JUDI® - The Beauty of an Open Platform, we describe how our purpose-built, cloud-native #enterprisehealthplatform provides several advantages over legacy systems, not the least of which is offering payers, including health plans, health systems, employers, municipalities, and others, flexibility via #APIs. Click below to learn more about how APIs help with accessing data, powering PBM workflows of all kinds, and vendor #integration! #HealthTechAdvancements #HealthcareData #EHP h/t Ryan Kelly @Karen Dierker Alfonso Martinez https://okt.to/boBXOQ

In Capital Rx’s JUDI® - The Beauty of an Open Platform, we describe how our purpose-built, cloud-native #enterprisehealthplatform provides several advantages over legacy systems, not the least of which is offering payers, including health plans, health systems, employers, municipalities, and others, flexibility via #APIs. Click below to learn more about how APIs help with accessing data, powering PBM workflows of all kinds, and vendor #integration! #HealthTechAdvancements #HealthcareData #EHP h/t Ryan Kelly @Karen Dierker Alfonso Martinez https://okt.to/gFyZWi

Attending #MHPA24 was an enlightening experience - had the opportunity to connect with amazing #Medicaid managed care organizations and gain valuable insights into their current challenges. The conference highlighted the need for innovation for vulnerable populations. I was particularly inspired by the work of health plans like #IEHP - Tahira Davis, MIS/BA gave an excellent overview of IEHP's application of technology and approach to member and communications and engagement to populations that could otherwise be socially isolated or not engaged optimally with the plan. Key takeaways from the conference: Value-based performance: The importance of understanding the full clinical picture to make informed business decisions. Data integration: The need to organize data from various sources to optimize performance. Provider enablement: Supporting providers in transitioning to value-based contracts. Collaboration: The power of partnerships between MCOs and health startups. If you're interested in learning more about the affordability and outcomes advantages of Chronic Condition Peer Support and sub-clinical innovation, follow us Better Health for updates! #MHPA #Medicaid #PopulationHealth #HealthcareInnovation

In Capital Rx’s JUDI® - The Beauty of an Open Platform, we describe how our purpose-built, cloud-native #enterprisehealthplatform provides several advantages over legacy systems, not the least of which is offering payers, including health plans, health systems, employers, municipalities, and others, flexibility via #APIs. Click below to learn more about how APIs help with accessing data, powering PBM workflows of all kinds, and vendor #integration! #HealthTechAdvancements #HealthcareData #EHP h/t Ryan Kelly Karen Dierker Alfonso Martinez https://okt.to/DEq9OU