Big Data? So What?

What good is “Big Data” if you can’t make any sense of it? Just because the go-live date of a giant new system is when the builders get paid, does that mean turning it on is the ultimate goal? Or is there more to “Big Data” than size and speed? We should evaluate and...

A review of recent healthcare data breaches

“Data Breach”: The two words that can sink any healthcare organization. You may have noticed more stories about healthcare data breaches in the news. There are actually a lot of healthcare data breaches occurring (some estimates say at least one each day). It is...

Medicaid network challenges and provider shortages

How hard is it to build an adequate network? As a Medicaid health plan, one of the foundational components of your success is the strength of your network.  In addition to the impact on member care that a weak provider network can have, there are federal requirements...

Important Healthcare Mandate in Certain States

An important healthcare mandate passed the Arizona legislature that will require health insurance payers to credential physicians in 100 days or less. The bill takes effect January 1, 2019. That’s less than 100 days away. Arizona is the first state to require...

Provider Stories On the Ground: NC ACOs

You may have heard a few stories about ACOs the past few years. A few – in most markets there’s not a lot of track record so its important to learn from any ACO case studies we can. ACOs overview If you are not very familiar with the ACO-world (accountable care...