Clik here to view.
Member-centric Care: Have we missed a core team member?
Recently rolled off a large payer, I am sitting back and reflecting on what is facing the healthcare industry today and what has happened over the past 15+ years (Looking at the forest rather than the...
View ArticleClik here to view.
Member-centric Care: Missing a Core Team Member
In my last blog post I asked if we have missed a core team member in member-centric care. My answer: In Sales there are the Health, Life and Supplemental Insurance Agents for employers and members...
View ArticleClik here to view.
Member-Centric Care: Are we working on the correct priorities?
In my previous blogs, I asked if we were missing a key player in member-centric care and then provided my opinion. Here is a recap of questions and answers I discussed, as well as some new points: Are...
View ArticleClik here to view.
Member-Centric Care: Have we over turned every rock?
In my previous posts about the Member-Centric Care team, I posed several questions and gave my opinions to support them. Here is a review of what was discussed, as well as new thoughts: Have we over...
View ArticleClik here to view.
Member-Centric Care: Are we enabling the Next Generation of SMEs?
A struggle for the Payer/Provider Industry is how to prepare the next generation of Subject Matter Experts (SMEs). Now more than ever you need the experienced Medical Directors, Clinicians, and...
View ArticleClik here to view.
ACO – A Brave New Enterprise: Are you ready?
Racing towards an ACO and Population Management this year is a huge challenge. A new enterprise platform is a must for an ACO to coordinate the changing of Provider and Payer processes and behavior...
View ArticleClik here to view.
ACO: Maybe I am wrong and Payers will not be Partners
About a year ago I blogged, “Will we be reading in 2011 ACOs partner with large carriers?” I am hearing that carriers are staying away from ACOs and are not planning on partnering. What have you...
View ArticleClik here to view.
ICD-10 Revenue Neutrality Will Drive Collaborative Testing
I was reading my collegue Mike Berard’s blog, on ICD-10 Revenue Neutrality: A Strategic Approach. We have discussed the importance of testing before production between Payer and Provider (e.g.,...
View ArticleClik here to view.
Member-centric Care: Open source to the rescue?
A must read from my colleague, Martin Sizemore, entitled, “Is it time for open source in healthcare?” Wow! This Business/Process with system enablement person, me, can understand this architecture...
View ArticleClik here to view.
Member-centric Care: Not without Business & Architectural RoadMap
If I had a dollar every time an Enterprise Architect said, “I have a Road Map,” and handed me the future state IT architecture (which is 5 years out) and proceeded to verbalize current to future IT...
View ArticleClik here to view.
Member-centric Care: Have we missed a core team member?
Recently rolled off a large payer, I am sitting back and reflecting on what is facing the healthcare industry today and what has happened over the past 15+ years (Looking at the forest rather than the...
View ArticleClik here to view.
Member-centric Care: Missing a Core Team Member
In my last blog post I asked if we have missed a core team member in member-centric care. My answer: In Sales there are the Health, Life and Supplemental Insurance Agents for employers and members...
View ArticleClik here to view.
Member-Centric Care: Are we working on the correct priorities?
In my previous blogs, I asked if we were missing a key player in member-centric care and then provided my opinion. Here is a recap of questions and answers I discussed, as well as some new points: Are...
View ArticleClik here to view.
Member-Centric Care: Have we over turned every rock?
In my previous posts about the Member-Centric Care team, I posed several questions and gave my opinions to support them. Here is a review of what was discussed, as well as new thoughts: Have we over...
View ArticleClik here to view.
Member-Centric Care: Are we enabling the Next Generation of SMEs?
A struggle for the Payer/Provider Industry is how to prepare the next generation of Subject Matter Experts (SMEs). Now more than ever you need the experienced Medical Directors, Clinicians, and...
View ArticleClik here to view.
ACO – A Brave New Enterprise: Are you ready?
Racing towards an ACO and Population Management this year is a huge challenge. A new enterprise platform is a must for an ACO to coordinate the changing of Provider and Payer processes and behavior not...
View ArticleClik here to view.
ACO: Maybe I am wrong and Payers will not be Partners
About a year ago I blogged, “Will we be reading in 2011 ACOs partner with large carriers?” I am hearing that carriers are staying away from ACOs and are not planning on partnering. What have you heard?...
View ArticleClik here to view.
ICD-10 Revenue Neutrality Will Drive Collaborative Testing
I was reading my collegue Mike Berard’s blog, on ICD-10 Revenue Neutrality: A Strategic Approach. We have discussed the importance of testing before production between Payer and Provider (e.g.,...
View ArticleClik here to view.
Member-centric Care: Open source to the rescue?
A must read from my colleague, Martin Sizemore, entitled, “Is it time for open source in healthcare?” Wow! This Business/Process with system enablement person, me, can understand this architecture...
View ArticleClik here to view.
Member-centric Care: Not without Business & Architectural RoadMap
If I had a dollar every time an Enterprise Architect said, “I have a Road Map,” and handed me the future state IT architecture (which is 5 years out) and proceeded to verbalize current to future IT...
View Article