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While MVA and workers' compensation claims are only a small percentage of a healthcare organization's total claims, they can amount to millions of dollars in annual revenue for many hospitals and secure higher reimbursement rates than commercial insurance.

Pharmacists have become a critical part of healthcare delivery.

Can you spot service vulnerabilities that may put you at risk and signal the need for outside help from a professional services firm?

Here's what you need to know about taking claims management to a higher level.

If there's one point a recent session at America's Health Insurance Plans Institute & Expo 2017 brought home, it's that if providers and payers are going to manage their members as a population, they need to start by knowing them individually.

Advanced analytics drives payer - provider collaboration and value-based care success.

Savvy payers want physicians to succeed in value-based contracts and provide them with a comprehensive reporting and analytics tool.

Advanced analytics with clinical integration is the solution to chart audits for payers and their provider networks.

Cloud-service platforms and software applications can help healthcare organizations of all sizes tackle big data issues.

The performance by Blue Man Group offers myriad best practices in care process redesign. Learn how standardization, localization, and scripted improvisation can be leveraged in the healthcare industry.