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.
With the election of a new president who is signaling significant interest in overhauling healthcare policies, the stakes are high for providers, payers, and policymakers. What lessons can be drawn from the past, and what predictions can we make about the road ahead?
The landscape of data-driven management in healthcare has transformed in ways that were both anticipated and unforeseen. Revisiting the predictions from that article provides a unique opportunity to evaluate what has changed, where expectations aligned with reality, and what new challenges have emerged.
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.
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.
The rising costs of healthcare make finding new, effective strategies critical for hospitals, insurance payers, and other healthcare organizations. Efforts for reducing healthcare costs not only aim to control expenses but also improve patient care quality.
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.
Take a quick look into the game-changing impact of big data in healthcare. Discover how predictive analytics, personalized care, and operational efficiencies are transforming the industry, plus the critical security measures every healthcare leader needs to know.
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.
The healthcare landscape is rapidly evolving and predictive analytics is playing a pivotal role in transforming patient outcomes, operational efficiency, and cost management.