Insurers have long been plagued by fraud, error, waste, and abuse in health care payments. The costs are huge – amounting to as much as 25 percent of payments made. Today’s data management and
analytics platforms promise breakthroughs by incorporating comparative and behavioral data to predict as well as detect loss in all its forms. To explore the opportunities and how insurers can capitalize on them, IIA spoke with Ben Wright, Sr. Solutions Architect in SAS’s Security Intelligence Global Practice.
To support a more robust exchange of health information across multiple systems and care settings, HIT must embrace future-state technology: A single data management solution built on a single platform that stores all content in its native format in a single archive.
Tired of year after year of healthcare cost increases, Steel Dynamics decided to fight back. They partnered with Castlight Health, a cloud-based provider of healthcare management services. Castlight Health’s health benefits platform armed employees with buying information — when and how they needed it. As a result, Steel Dynamics cut healthcare spending by approximately $500,000 in their first year with Castlight Health.
Electronic health records (EHRs) are necessary, but were not designed to anchor population health management (PHM). This is partly because they lack semantic interoperability, which is the ability of disparate information systems to share data and enable communications among users in a meaningful way.
This paper explains how an approach that includes a care collaboration platform can manage population health by aggregating and normalizing the necessary data.
Insurers have long been plagued by fraud, error, waste, and abuse in health care payments. The costs are huge – amounting to as much as 25 percent of payments made. Today’s data management and analytics platforms promise breakthroughs by incorporating comparative and behavioral data to predict as well as detect loss in all its forms. To explore the opportunities and how insurers can capitalize on them, IIA spoke with Ben Wright, Sr. Solutions Architect in SAS’s Security Intelligence Global Practice.
Health insurers have long been plagued by issues of fraud, waste, abuse, error and corruption. Taking an enterprise approach to payment integrity – one that combines advanced data management and sophisticated analytics – can help payers detect and prevent fraud; effect positive change in how providers, employees and patients behave; and substantially reduce health care costs. Payers can achieve better outcomes when software support for the core disciplines of payment integrity run on a single platform.
Published By: AlienVault
Published Date: Oct 20, 2017
The security-oriented rule of the Health Insurance Portability and Accountability Act (HIPAA) is designed to ensure the confidentiality, integrity, and security of ‘electronic protected health information’ (ePHI). However, to comply with the Security Rule and to demonstrate that security controls are in place and working is no easy task, especially for today’s resource-constrained IT security teams.
AlienVault® Unified Security Management™ (USM) helps you to accelerate your path to HIPAA compliance and simplifies maintaining your HIPAA certification thereafter. With multiple essential security capabilities together into a single platform, AlienVault USM gives you an affordable and easy-to-use solution to satisfy the HIPAA Security Rule, and provides highly customizable, predefined HIPAA compliance reports out of the box, making it fast and simple to get the visibility you need to maintain your organization’s security posture.
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