HealthPayerIntelligence is an online publisher that features latest news and exclusive interviews with subject-matter experts in the health payer industry.

Quality Analytics, Risk Adjustment Tools Prep Payers for Success

Source: Thinkstock By Thomas Beaton June 14, 2018 – Quality analytics and risk adjustment technologies are effective solutions for payers when these tools can structure claims and clinical information into actionable models, identify multiple risk indicators, and foster provider collaboration, according to a new KLAS report. KLAS interviewed 84 health plans […]

AHIP, BCBSA, AMA Join to Improve Public, Private Payer Ecosystem

Source: Thinkstock By Thomas Beaton June 13, 2018 – The Partnership for America’s Health Care Future (PAHCF), a newly formed coalition, consisting of leading healthcare provider societies and payer organizations, has committed to strengthening the nation’s private and public payer ecosystems. AHIP, the American Medical Association (AMA), the BlueCross BlueShield Association, […]