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XSOLIS Insights / XCHANGE 2019

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 XSOLIS Insights, on Jan 14, 2020 6:00:00 AM

Value-based care, population health and social determinants of health (SDoH) are terms that seem to pop up everywhere for those who work in healthcare. But they aren’t just buzzwords or …

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Topics:The Future of HealthcareXCHANGE 2019

by XSOLIS Insights, on Jan 2, 2020 6:00:00 AM

Utilization review was first introduced during the 1960s as a solution to combat the rising costs of healthcare by reducing overuse of resources and identifying waste. Health plans began reviewing …

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Topics:Utilization ReviewXCHANGE 2019Leadership

by XSOLIS Insights, on Dec 17, 2019 6:00:00 AM

In a breakout session at XCHANGE 2019, Rena Arden, corporate supervisor of utilization management at Knoxville, Tennessee-based Covenant Health, shared the lessons learned when the health system centralized its utilization …

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Topics:Utilization ReviewCase Management ModelsConferenceXCHANGE 2019

by XSOLIS Insights, on Dec 5, 2019 6:00:00 AM

Transitioning to a new software system and new related workflows can be difficult—so how can leaders help their teams stay grounded during the process and work more efficiently? That’s the …

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Topics:ConferenceXCHANGE 2019Leadership

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

Before the arrival of electronic medical records (EMRs), there was no interoperability: exchanging data meant picking up a phone or sending a fax. EMRs promised a more seamless way to …

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Topics:InnovationThe Future of HealthcareXCHANGE 2019