IT

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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Open Enrollment: It’s So Much More Than Eligibility

When we talk about open enrollment for January 1st activity, we tend to focus on the member-related situations that come during this time of new enrollments, disenrollments and benefit changes. …

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