Breaking New Ground in Medicare CX Introduction: The Evolution of a Revolution Welcome to part three of our series exploring the transformative power of CRM and specialized consultancy in healthcare. Having explored the conceptual landscape and dived into a specific case study, we now journey into the inner workings of the CX track for this […]
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WEBINAR RECAP Unraveling Payment Integrity Challenges: Tactics for Sustainable Success Speakers: Chad Roswick, VP Healthcare Consulting, Curate Partners Dennis Rossi, Data & Analytics Solutions Partner, Curate Insights Emily O’Brien, VP Healthcare Solution, Curate Partners Healthcare costs are a major concern, and health plans are constantly seeking ways to optimize their spending. Payment integrity (PI) programs
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Unlocking Payment Integrity Success: Why Claims Leaders Need Dedicated Support In my experience navigating the intricate world of healthcare operations and finance, I’ve come to recognize a crucial aspect that can make or break Payment Integrity (PI) initiatives: the need for dedicated support. Let me share why expecting claims leaders to manage PI efforts alongside
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The Future of Medicare: Advancing Interoperability and Streamlining Prior Authorization Executive Summary: We delve into the evolving and intersecting landscapes of prior authorization and healthcare interoperability for payers. Amidst increasing scrutiny related to AI-enabled denial decisions, CMS continues to waver on prior authorization rulings. We urge payers to stay ahead, navigating regulatory changes, optimizing workflows
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Navigating Skepticism: Building Momentum for Payment Integrity in Healthcare Operations Embarking on the journey to establish a robust Payment Integrity (PI) program within healthcare operations often entails addressing initial skepticism and misconceptions. In my two decades in healthcare, I’ve encountered a spectrum of comments reflecting initial skepticism when introducing PI initiatives: “What is PI, and
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Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity In the complex landscape of healthcare operations, one principle stands out above all: Payment Integrity (PI) starts at the top. At the helm of every successful PI initiative lies the unwavering commitment and strategic vision of executive leadership. As highlighted in a recent
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Leading the Way: The Crucial Role of Executive Leadership in Payment Integrity In the complex landscape of healthcare operations, one principle stands out above all: Payment Integrity (PI) starts at the top. At the helm of every successful PI initiative lies the unwavering commitment and strategic vision of executive leadership. As highlighted in a recent
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Embracing Decentralization: The Power of Peer-to-Peer Networks in Modern Technology Curate Consulting Services: Pioneering P2P Solutions in Healthcare and Tech Modernization In an era dominated by the internet and digital transformations, the Peer-to-Peer (P2P) architectural pattern stands out for its robustness, decentralization, and innovative approach to resource sharing and communication. P2P networks empower devices, termed
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Identifying Early Win Scenarios for AI in Healthcare The healthcare industry is uniquely positioned to benefit from the advent of artificial intelligence (AI), particularly in its generative form. As healthcare organizations cautiously navigate the landscape of this innovative technology, identifying scenarios where AI can quickly deliver value — or “early wins” — is crucial. These
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Embracing the Silver Tsunami: CRM Tools and their role in helping transform Healthcare Organization-Patient Relationships As the clock ticks and candles on the birthday cake add up, we’re all part of a journey called aging. It’s a journey that comes with its share of challenges, not just for individuals but also for Healthcare Organizations navigating
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