Blog
Kingman Regional Medical Center: Prompt customer service from Xsolis has reaped major rewards
Brian Geyman has had a long career in utilization management (UM), spanning over 15 years. When he came to Kingman Regional Medical Center in Kingman, Arizona, in early 2021, he […]
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How Dragonfly Harnesses Machine Learning, Big Data and Analytics in Healthcare
The electronic medical record is an incredible repository of information. It’s not without drawbacks however. A huge amount of data is locked up in clinical documentation and isn’t necessarily accessible […]
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How to Get Buy-in From Leadership on Tech Investments to Improve Operational Efficiency
Technology has long been an effective way to improve operational efficiency. That’s true for a variety of industries in general and the world of healthcare in particular. Leveraging technology in […]
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Humana’s Angie Frame: Payers and providers working in harmony is no longer a pipe dream
Do you dream of a day when a provider and a payer are partners and not adversaries – a day when payers complement the provider’s work at the beside instead […]
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Hackensack Meridian Health: Best in class reporting to drive improvements, resiliency
Ever feel like your technological solutions are not providing an accurate view of the whole patient and their clinical health? Perhaps your utilization review team is being asked to check […]
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AI vs. Machine Learning vs. Deep Learning vs. NLP
Artificial intelligence (AI), machine learning, deep learning, natural language processing (NLP), and more. These related concepts are broadly valuable for modern businesses, in general, and for healthcare utilization management in […]
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How Payer and Provider Collaboration Leads to Value-Based Success
For too long, relations between healthcare payers and providers have been viewed as a zero-sum game – that for every win or advantage one side experiences, there is an inherent […]
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South Shore Health: Reduced Outlier Length of Stay Cases by 17% with More ‘Actionable’ Data
South Shore Health showcases how a comprehensive technology and services strategy can swiftly turn revenue challenges and operational inefficiencies into tangible results – for example, they were able to reduce […]
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How AI Helps You and Your Healthcare Partners
Artificial intelligence (AI) has the power to broadly transform operations across the healthcare industry. That includes helping health plans and providers automate case reviews and access relevant clinical data for […]
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How to Consistently Provide and Corroborate Effective Clinical Documentation Integrity
Effective clinical documentation integrity (CDI) plays a critical role in healthcare. It supports positive outcomes for patients, emphasizes high-quality data generally, and leads to a more efficient reimbursement process for […]