Healthcare Organizations

Why Encounters Matter

Encounter data really didn’t matter much 5 – 10 years ago…so what has changed? Health plans typically viewed encounter data as just another output from the claims payment process; that’s…

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NCQA Updates Health Plan Accreditation for 2020

Improvements to evaluating health plans and increasing transparency. Focus on implementing standards and achieving outcomes. Reducing the administrative burdens for health plans. These are all prominent goals for NCQAs Health…

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TEFCA: The On-Ramp to Interoperability

The U.S. Department of Health and Human Services (HHS) has been given the colossal task of creating a Trusted Exchange Framework and Common Agreement (TEFCA) that supports a network-to-network exchange…

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One Health Plan’s Practical Example with Provider Directories

In a recent blog, we looked at provider directories, regulations around them, and fines levied against health plans for inaccurate directories. Now, we’ll look at how one organization improved the…

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Ending Data Co-Dependence; Acquisition

Chapter 1 The IQVIA Healthcare Center of Excellence is part consulting firm, part advisory service and part relationship counselor. We help organizations realize that they don’t have to be in…

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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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