Seasonal Surge

2024-12-03T14:03:31-04:00By |Population Health, Trends|

Explore why hospital admissions spike during the holidays and what healthcare providers can do to manage the surge. From delayed care to seasonal illnesses and mental health challenges, this article dives into the data and offers actionable tips to improve outcomes and ease the strain on healthcare systems during the busiest time of year.

Wearable Technology

2024-11-21T12:20:44-04:00By |Operational Analysis, Readmissions|

The integration of wearable technology in the healthcare sector has transformed the way health insurance payers assess risk, engage customers, and manage costs. Devices like fitness trackers, smartwatches, and biosensors provide real-time data that helps payers make informed decisions while enhancing customer engagement. Today, we’re exploring the impact of wearable technology on health insurance payers, supported by statistical data, case studies, and comparative analysis of predicted and actual developments.

Reducing Hospital Readmission Rates

2024-11-14T12:56:51-04:00By |Operational Analysis, Readmissions|

An exploration of evidence based strategies and policy implications that may reduce hospital readmission rates. Readmission rates, defined by the frequency with which patients return to the hospital within 30 days of discharge, are influenced by multiple factors ranging from socio-demographic attributes to the quality of post-discharge care.

Enhancing Healthcare Efficiency

2024-11-14T11:57:30-04:00By |Clinical Analysis, Independent Review Organization, IRO|

A well-structured medical review program helps healthcare payers and providers reduce payment errors, ensure compliance, and improve patient outcomes. By leveraging data analysis, targeted reviews, and corrective actions, medical review programs create a framework for efficient, high-quality care. BHM is a high-quality partner with over 20 years of experience and credentialed by URAC, NCQA, and HITRUST.

Is Transparency Key to Gaining Trust? 5 Actionable Practices

2024-10-31T16:05:07-04:00By |Organizational Analysis, Payer Trends, Training|

Transparency is not just a regulatory requirement for healthcare payers; it’s a key factor in fostering trust, improving relationships, and driving collaboration. By focusing on clear communication, data integrity, financial openness, and regulatory compliance, payers can create a more reliable and cooperative environment with providers.

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