Health Care Payer Data

Listing Websites about Health Care Payer Data

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Data Tools - HCCI

(6 days ago) WebAn interactive dashboard lets users view national and state multi-payer health service data. The data powering Health Care Vitals represents over 190 million people with public and private health insurance—nearly two out of every three people in the US with health …

https://healthcostinstitute.org/data

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All-Payer Claims Databases Agency for Healthcare Research and …

(1 days ago) WebAll-payer claims databases (APCDs) are large State databases that include medical claims, pharmacy claims, dental claims, and eligibility and provider files collected from private …

https://www.ahrq.gov/data/apcd/index.html

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Getting data architecture right: A guide for healthcare payers

(2 days ago) WebAutomated consent and permission management. Health data is subject to a high level of regulation to protect patient information from cyberattacks, loss, or …

https://www.mckinsey.com/capabilities/mckinsey-digital/our-insights/tech-forward/getting-data-architecture-right-a-guide-for-healthcare-payers

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Digital health ecosystems: A payer perspective McKinsey

(5 days ago) WebUsually, a payer’s existing transactional core systems (claims, for example) can be kept in place but will need to be integrated with a flexible data layer. The …

https://www.mckinsey.com/industries/healthcare/our-insights/digital-health-ecosystems-a-payer-perspective

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Data & Analytics Agency for Healthcare Research and Quality

(6 days ago) WebData & Analytics. AHRQ's Data Tools allow you to explore AHRQ data sources flexibly and in depth. Medical Expenditure Panel Survey (MEPS) is a set of surveys of families and …

https://www.ahrq.gov/data/index.html

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All-Payer Claims Databases: Unlocking Data to Improve Healthcare …

(4 days ago) WebAll-payer claims databases (APCDs) 1 are used to unlock this data by collecting healthcare claims and other data into databases that can be used by a wide variety of stakeholders …

https://www.healthcarevaluehub.org/advocate-resources/publications/all-payer-claims-databases-unlocking-data-improve-health-care-value

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Healthcare Payer Analytics Tableau

(5 days ago) WebUse the power of visual payer analytics to transform the member experience, improve your operational agility, and help close the health-equity gap. Optimal Patient Experience …

https://www.tableau.com/solutions/industries/healthcare-life-sciences/payer

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Healthcare Payer Data Analytics and Data Management

(2 days ago) WebHealthcare payer data analytics management is crucial in optimizing payer operations and improving patient outcomes. By harnessing the power of data, payers …

https://blog.concordusa.com/insights/healthcare-payer-data-analytics-and-data-management-fps

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Data Management for Healthcare Payers: Optimizing Insights and

(3 days ago) WebData Integration and Interoperability: Data integration is critical for healthcare payers to create a holistic view of their members, providers, and claims. …

https://www.dataanalyticsforhealthcare.com/blog/a-comprehensive-guide-to-data-management-for-healthcare-payers-optimizing-insights-and-improving-outcomes

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An ocean of data & a desert of insight: transforming healthcare …

(Just Now) WebFrom claims to EMRs to lab and third-party data, healthcare payers have more data than ever at their fingertips – over 2.3 zettabytes per year according to a …

https://medinsight.com/healthcare-data-analytics-resources/blog/an-ocean-of-data-a-desert-of-insight-transforming-healthcare-payer-data-into-strategic-insights/

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How Payer Forecasting Is Shifting Towards Real-Time Data Analytics

(1 days ago) WebPayers are using real-time data to make predictions in various areas of the healthcare industry. For example, real-time data analytics can help payers forecast …

https://healthpayerintelligence.com/features/how-payer-forecasting-is-shifting-towards-real-time-data-analytics

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Leveraging Healthcare Data in Payor-Provider Negotiations

(5 days ago) WebHeathcents: Your Healthcare Payer Data Analytics Solution. Today, data is your most precious commodity. 1 In a contract negotiation, whoever has the most valuable data …

https://payrhealth.com/resources/blog/why-practices-should-leverage-healthcare-data-in-payor-provider-negotiations/

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Payer Data Exchange Change Healthcare

(8 days ago) WebExplore related solutions . Medical Claim Attachments Discover an electronic medical claim solution for providers, payers, and partners who want to eliminate manual processes to …

https://www.changehealthcare.com/medical-network/payer-data-exchange

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The Evolution of Patient-Centered Care: Patient Access to Their …

(4 days ago) WebHealth care payers are now making data available to patients in new and exciting ways. Beyond merely sharing claims data, patients can now view a variety of …

https://www.healthit.gov/buzz-blog/patient-access/the-evolution-of-patient-centered-care-patient-access-to-their-health-data

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Data Evaluation of All-Payer Claims Databases Agency for …

(4 days ago) WebData elements used to construct health care measures. APCDs are typically organized into eligibility, claim, and provider files. However, data elements across these files are …

https://www.ahrq.gov/data/apcd/backgroundrpt/data.html

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ClarisHealth Maximizing Opportunity with 2024 Healthcare Payer

(9 days ago) WebEnterprise healthcare payer technology that emphasizes industry standards, streamlines data sources, builds empathy with stakeholders, improves efficiency and reduces team …

https://www.clarishealth.com/blog/healthcare-payer-technology-trends/

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Payer trends health systems should watch closely in 2024

(7 days ago) WebAccording to data from the National Association of Insurance Commissioners, health insurers’ profit margins fell to 3.3% in the second quarter of …

https://www.hfma.org/cost-effectiveness-of-health/payer-trends-health-systems-should-watch-closely-in-2024/

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70% of Providers See Data Sharing as Key to Value-Based Care

(Just Now) WebHFMA and Humana found that 70 percent of providers view interoperability and data sharing as the largest barriers to value-based payment adoption, which can be …

https://healthpayerintelligence.com/news/70-of-providers-see-data-sharing-as-key-to-value-based-care

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Final Prior Authorization Rules Look to Streamline the Process

(1 days ago) WebFour APIs are included in the final rule (Table 1). The Patient Access, Provider Access, and Payer-to-Payer APIs facilitate exchange of claims and clinical information …

https://www.kff.org/private-insurance/issue-brief/final-prior-authorization-rules-look-to-streamline-the-process-but-issues-remain/

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How do Medicare Advantage insurers craft population-specific …

(8 days ago) WebMCBS includes data for all Medicare beneficiaries, including Medicare Advantage members. Health plans can use the survey results to gain insights into …

https://healthpayerintelligence.com/features/how-do-medicare-advantage-insurers-craft-population-specific-health-plans

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UnitedHealth Group Updates on Change Healthcare Cyberattack

(8 days ago) WebOptum delivers care aided by technology and data, empowering people, partners and providers with the guidance and tools they need to achieve better health. …

https://www.unitedhealthgroup.com/newsroom/2024/2024-04-22-uhg-updates-on-change-healthcare-cyberattack.html

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All Payer Hospital Inpatient Discharges by Patient County of …

(4 days ago) WebThis chart displays the total number of inpatient discharges by the patient county of residence and discharge year for the counties with the largest number of …

https://health.data.ny.gov/Health/All-Payer-Hospital-Inpatient-Discharges-by-Patient/upg3-rz92

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Market consolidation worse among payers than health systems

(7 days ago) WebHowever, new data from the Association of American Medical Colleges (AAMC) shows that health payers are actually more consolidated than health systems. …

https://revcycleintelligence.com/news/market-consolidation-worse-among-payers-than-health-systems

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QuickStats: Percentage of Residential Care Communities That Use

(3 days ago) WebCDC - Blogs - NCHS: A Blog of the National Center for Health Statistics – QuickStats: Percentage of Residential Care Communities That Use Electronic Health …

https://blogs.cdc.gov/nchs/2024/05/03/7611/

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Report: More Coloradans able to access preventative health care

(3 days ago) WebOverall, more Coloradans are getting the care they need to stay healthy compared to previous years, according to a new analysis of data in the Colorado All Payer Claims …

https://www.msn.com/en-us/health/other/report-more-coloradans-able-to-access-preventative-health-care/ar-AA1lu3Ko

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Clover Quick Reference Guide

(4 days ago) WebChange Healthcare: Payer ID#: 77023 via mail: Clover Health P.O. Box 3236 Scranton, PA 18505 To find an in-network provider Provider Directory To view pre-authorization criteria …

https://www.cloverhealth.com/filer/file/1453950875/82/

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Klobuchar Asks Regulators to Investigate MultiPlan Over Health …

(3 days ago) Webhealth insurance. health plans. legal. payers. price transparency. regulation. A data analytics firm has helped big health insurers cut payments to doctors, raising …

https://www.healthleadersmedia.com/payer/klobuchar-asks-regulators-investigate-multiplan-over-health-care-pricing

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Search Payer List by Name, ID, & Transaction Type Office Ally

(6 days ago) WebQuickly search for insurance payer IDs with Office Ally's easy-to-use payer ID lookup tool & access our updated payer ID list to simplify your billing process. 21st Century Health …

https://cms.officeally.com/payerlist

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Baton Health takes the manual data entry out of credentialing

(3 days ago) WebBaton Health, a Redesign Health company, is launching a Universal Primary Source database that allows credentialing teams to identify and pull relevant information …

https://www.fiercehealthcare.com/digital-health/baton-healths-primary-source-database-cuts-credentialing-time-999

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Payer ID Payer Name Comments - ABILITY Network

(2 days ago) WebPayer ID Payer Name Comments 11090 Avera Health Plans 10067 AvMed Health Plans 13225 Bankers Life and Casualty 13656 Banner University Family Care

https://www.abilitynetwork.com/wp-content/uploads/2019/11/November_EligibilityPayer_List.pdf

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