Healthcare

5 great answers built on Pega for your Healthcare provider management problems

The least prioritized (and invested) IT system, in a Payer organization, is that of Network Management. This is, however, expected to change in the future, since Payer organizations have started realizing that both Provider and member service ratings, as well as Medicare payer rating could be badly impacted by not providing the right provider data 

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Case Intake and the Black Hole: The Need for Digital Automation

In this post, we will focus on the three primary phases of Adverse Event Case Processing (AECP): intake, processing and reporting, and their related challenges. Many of the Intake process-related tasks are further exacerbated as we straddle the worlds of analog (manual) and digital (automated) processes. In this blog post, we will review the challenges associated with 

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Need for Project Management in Healthcare

The Healthcare industry continues to evolve under the pressures of increasing costs and demands for quality. This evolution has made the need for project management more apparent than ever before. As a result, healthcare organizations have commenced to apply the foundations of project management in their operations and are focused on improving health outcomes across 

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Pega and RPA: Top 5 quick ROI opportunities in healthcare automation

Pega’s acquisition of OpenSpan has triggered a lot of excitement among customers, competition and service providers. The acquisition has opened up a whole lot of avenues for overcoming the business challenges healthcare payers are facing today on account of mundane manual tasks and also due to use of multiple silo systems. These organizations, in their quest 

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IoT in healthcare: Creating value through collaboration

As the U.S Healthcare goes through a fundamental shift with policy makers and payers demanding curbing of the costs, the focus is increasing on outcomes rather than on volumes for incentivizing the physicians. As a result, the payers and providers are working together more than ever to achieve the goal of reducing the costs by 

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Technology: A key to patient satisfaction?

Patients are the key driving force of today’s consumer-driven healthcare market. Whether it’s the caregiver one chooses from healthgrades.com or a facility chosen from the Centers for Medicare & Medicaid star ratings, patient satisfaction marks the future of this highly dynamic and competitive industry. As for health plans, apart from patient satisfaction, member satisfaction is 

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Wearables have to evolve to remain relevant

When wearables arrived on the stage a few years ago, they were mainly seen as devices peripheral to healthcare. Since then, their popularity has surged, primarily due to the increase in sales of fitness trackers and smart watches. Now, many believe the power of wearable technology could be the key to solving some of healthcare’s 

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Five considerations for data collection in a population health initiative

Data collection is the first step in population health initiative. The healthcare data is spread across a wide spectrum and involves the participation from various players. Below are the top 5 considerations for efficient data collection. Electronic Health Records (EHR) EHRs are digital versions of patient’s medical records. Every healthcare interaction leaves a digital footprint 

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How your daily health timeline might look in 2020?

This is the future of healthcare: The below snapshot shows how your daily health timeline might look like in 2020. Some of the technologies shown in the illustration might sound fictitious, yet as indicated on the right hand side column they either are already commercialized or are in advanced stages of development. The companies working on these 

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Authenticity is what healthcare is thirsting for. Do we have it?

Last night, during a dinner conversation with friends, I proposed that AUTHENTICITY is the most scarce & precious resource and trait. People need more authenticity in their relationships and don’t want pretentious conversations. Employees want their employers to be more authentic and share the good, the bad and the ugly news directly with them. Bosses 

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‘Wearables – payers synergies’ needs a push to set the ball rolling

‘Wearables’ are a new trend in the consumer electronics industry. They are miniature electronic devices that are incorporated into items of clothing or accessories and can comfortably be worn on the body. There are numerous opportunities for wearables in the Healthcare domain, some of them include fitness and wellness tracking, telehealth, and emergency remote healthcare 

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Digital health care – A millennial convergence

Lately, we’re buzzing about how millennials will adapt to the future of the health care delivery system. Many millennials have implemented new age health habits, such as eating locally sourced food and adopting trendy workout routines. Although millennials are a health-conscious generation, their fellow generational groups are still paying the doctor a visit every time 

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