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medicaid

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Published By: AON     Published Date: Dec 07, 2017
While the Affordable Care Act (ACA) increased the number of Americans with access to health insurance, U.S. employers and employees continue to struggle with rising health care costs and changing workforce demands. Recent Aon research shows that 20% of health care consumers cite high health care costs as the major reason they have either declined health care coverage, stopped taking medications, or avoided care altogether. If the U.S. health care system is to succeed, stakeholders across the health ecosystem must influence change in each market—employer, individual, and government (Medicare, Medicaid, and Tricare). While each part of the three-legged stool is important, this paper focuses on five strategies Aon believes will strengthen the employer-based system—a system that provides health care coverage to well over half of Americans (61%, or 177 million).
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health insurance, employer – provided health benefits, aon hewitt, health ecosystem, well – being initiatives
    
AON
Published By: JBoss Developer     Published Date: Oct 21, 2016
TMG Health, the largest business process outsourcing (BPO) provider in the Medicare and Medicaid market, relied on a slow, batch-oriented legacy application environment that prevented it from providing continuous data visibility and access to its clients. With help from Red Hat Consulting, TMG deployed a new application platform using Red Hat JBoss Enterprise Application Platform and other Red Hat solutions. As a result, TMG reduced development time and costs and delivered real-time data access and visibility to its clients.
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consulting, efficiency, data, api, java
    
JBoss Developer
Published By: IBM Watson Health     Published Date: Dec 12, 2018
Data analytic solutions help improve the value of health and human services, drive better decision-making and lower costs. See how the right solutions can contribute to millions of dollars saved through fraudulent claims detection, offer insights into the social determinants of health and benefit social programs.
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government, health and human services, artificial intelligence, data, cognitive insights, medicaid, fraud reduction, social program management, healthcare technology
    
IBM Watson Health
Published By: RelayHealth     Published Date: Mar 29, 2013
Operating Rules Countdown: Enforcement Action Began April 1 - The Centers for Medicare and Medicaid Services (CMS) announced in January that enforcement action for Phase I and II Operating Rules was delayed until March 31, 2013. This phase of Operating Rules is related to enhanced delivery and content of eligibility and claim status responses.
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operating, medicare, services, rules, eligibility, claim
    
RelayHealth
Published By: Reputation.com     Published Date: Oct 02, 2017
HCAHPS is the barometer for understanding a patient’s hospital experience. But can you predict the outcome of your patient satisfaction surveys by reading online reviews from past and present patients? And more importantly, does improving your hospital’s online reputation improve HCAHPS scores? Yes. Reputation.com’s Data Science team, led by Brad Null, Ph.D, analyzed two years of HCAHPS hospital survey data from The Centers for Medicare and Medicaid Services, across more than 4,800 hospitals.
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Reputation.com
Published By: Reputation.com     Published Date: Jun 29, 2018
HCAHPS is the barometer for understanding a patient’s hospital experience. But can you predict the outcome of your patient satisfaction surveys by reading online reviews from past and present patients? And more importantly, does improving your hospital’s online reputation improve HCAHPS scores? Yes. Reputation.com’s Data Science team, led by Brad Null, Ph.D, analyzed two years of HCAHPS hospital survey data from The Centers for Medicare and Medicaid Services, across more than 4,800 hospitals. The team reviewed the data alongside online reviews, ratings and rankings for those same hospitals, and made some significant discoveries: • Online reviews provide early warning of issues that may impact patient experience, giving hospitals the opportunity to identify and address those issues before patient satisfaction scores suffer. • By continually monitoring, managing, requesting and responding to patient reviews, a healthcare organization can address negative feedback that impacts HCAHPS resu
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Reputation.com
Published By: Entrust Datacard     Published Date: May 15, 2014
Entrust Solutions for Centers for Medicare & Medicaid Services Authentication Compliance
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entrust, healthcare, cms systems, medicare, medicaid, it management
    
Entrust Datacard
Published By: Entrust Datacard     Published Date: Jul 21, 2014
As an expert in multifactor and identity authentication, Entrust provides capabilities to healthcare organizations that far surpass the regulations.
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authentication, healthcare, medicine, identity, security, cms system
    
Entrust Datacard
Published By: SAS     Published Date: Nov 16, 2018
Medicaid fraud is prevalent, costly and difficult to prevent. With a combination of more integrated data and advanced analytics, state agencies can turn the tables on fraudsters. They can accelerate the transition from detection to prevention, as new forms of fraud are recognized faster and fewer improper payments go out the door. This IIA Discussion Summary explores the challenges and opportunities in preventing Medicaid fraud in an interview with SAS’ Ellen Joyner-Roberson, Principal Marketing Manager for Fraud and Security Intelligence, and Victor Sterling, Principal Solutions Architect.
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SAS
Published By: SAS     Published Date: Nov 16, 2018
Fraud is costing government programs more than ever. For example, Medicaid lost $36 billion in 2017 – 10 percent of its total expenditures – which represents a 27 percent increase over 2015. As explored in this paper, fraud numbers are on the rise because fraud rings are not only getting more effective at what they do, but because it’s easy for them to find soft targets across multiple government programs simultaneously. Learn about how next-generation analytic tools from SAS cut across data and program silos and empower investigators to go on the offensive with fraud operators – without disrupting the efficient and timely delivery of benefits, services or tax refunds.
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SAS
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