Health Plans

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HighPoint Participating in Information Management Symposium

HighPoint is proud to be a Gold Sponsor at this year’s Information Management (IM) Symposium 2019 in Boise, Idaho. The IM Symposium provides plan business and technical representatives an opportunity…

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KLAS: Health Plans Considering New IT Vendors

While utilization management and care management solutions have been around for many years, health plans are now looking for technologies to help them manage multiple business lines and adapt to…

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Shopping for a ‘Real’ Project Manager

There are typically two camps on finding project managers (PM): buy them on the open market or make them. But, before you go shopping, stop and answer a few questions:…

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State Privacy Laws on the Rise

Privacy laws are being implemented around the world as most of us in the United States watch from our desks. At first the impacts were minimal, then Google was hit…

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The Struggle for Accuracy in Provider Directories

The issue Provider directories are often fraught with errors and inaccuracies, which can lead to hefty CMS fines and sanctions against health plans. As many health plans know from personal…

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Project Status: It’s Not Easy Staying Green

Is your project’s status report green….really?? Healthcare executives typically get color coded “cliff notes” on the status of their projects. These small cheat sheets, snippets of a status report, as…

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CMS Releases Proposed Policy Changes for 2020

On July 29, 2019, CMS released its proposed changes for Chronic Care Management  2020. Here’s IQVIA’s Healthcare Center of Excellence (COE) take on the changes. Overall there are some great new…

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What Do NCQA’s Five-Star Ratings Mean?

There are numerous rating systems these days: Rating the top movies, the best restaurants, or that little yellow full-or-half-star on popular e-commerce sites that indicate how satisfied customers were with…

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Configuration Issues Addressed after Critical System Failure

An East Coast health plan experienced one of the worst critical system failures and service issues imaginable. It struggled with getting members on individual health insurance products. The issues deteriorated…

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How One Health Plan Helps Others Achieve Scalability, Efficiencies

A health plan with solid roots in the south west United States is taking a unique approach to caring for its members by leveraging its knowledge and expertise in creating…

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