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by XSOLIS Insights, on Sep 18, 2020 6:00:00 AM

Healthcare can’t remain a zero-sum game. Earlier this week, XSOLIS CEO Joan Butters joined George Renaudin, SVP at Humana, and Doug Ghertner, CEO at IVX Health, for a frank discussion on the state …

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Topics:Utilization ReviewReal-Time AnalyticsCase ManagementCase Management ModelsPayer

by XSOLIS Insights, on Jan 28, 2020 6:00:00 AM

It’s safe to say that the provider and payer relationship can be contentious at times, often due to the subjectivity involved in the utilization review (UR) process. But what if …

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Topics:PayerPayer-Provider AlignmentThe Future of HealthcareXCHANGE 2019Leadership

by Heather Bassett, MD, on May 30, 2019 6:00:00 AM

Late last month I moderated a webinar with a panel of two industry leaders, Tonya Harrison representing Atrium Health and Sherri Ernst representing Covenant Health. Previously, I explored Atrium Health’s adoption …

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Topics:InnovationPreventing DenialsPayerPayer-Provider Alignment

by XSOLIS Insights, on Feb 18, 2019 6:00:00 AM

Utilization review and case management teams have firm goals: effectively managing patient care and supporting the financial well-being of their organizations. Yet these teams are often understaffed and buried in clerical …

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Topics:Real-Time AnalyticsHealthcare AnalyticsHealthcare TechnologyCase ManagementPayer

by XSOLIS Insights, on Dec 26, 2018 6:00:00 AM

With healthcare amidst a sea change, leaders are rethinking their positions on issues that had seemed clear just a few years ago. Leaders from within our organization lent their insight …

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Topics:Healthcare AnalyticsCase ManagementInnovationPayer

by Joan Butters, CEO of XSOLIS, on Jul 24, 2018 6:00:00 AM

Sherri Ernst, Revenue Integrity & Utilization Management Officer at Covenant Health, knew the system was broken. Claims that met criteria were still being denied time and again, requiring her staff …

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Topics:Utilization ReviewHealthcare AnalyticsHealthcare TechnologyInnovationPreventing DenialsPayer

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