While the high maternal mortality rate in the U.S. has been a major public health concern, it has been of particular importance in Georgia, ranked 46 out of 50 states for maternal health. The latest data shows that Georgia has a maternal mortality rate of 27.7 per...
In the care management plan puzzle, payers in the healthcare system hold key pieces needed to complete it. In fact, they’re often the only ones who know the full picture of the services a patient is receiving. Taking the time to understand the role of payers in care...
The costs of hospital readmissions are a major topic of concern in the healthcare industry, impacting a hospital’s quality of care as well as their financial health. As value-based reimbursement models begin to replace fee-for-service, developing a strategy to reduce...
Hospital readmissions continue to be a significant patient-safety issue that plagues the healthcare industry. Despite the U.S. Centers for Medicare & Medicaid Services (CMS) implementation of the Hospital Readmissions Reduction Program (HRRP) in 2012, the 30-day...
Claims data is created each time a patient covered by an active health insurance plan visits a healthcare provider. After the visit, the provider will submit a summary of services rendered to the patient’s payer for reimbursement, and that information forms part of...
Health information exchange (HIE) plays a critical role in the drive towards interoperability in healthcare. HIE evolved as a solution to data silos that emerged among hospital and health systems and the variety of electronic health record software they implemented,...
While the COVID-19 pandemic has been at the forefront of medical and public concern for the past year and a half, the opioid overdose epidemic has continued to quietly take its toll in the United States. In the twelve months leading up to April 2021, over 100,000...
