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Published By: GE Healthcare     Published Date: Feb 12, 2016
Frost & Sullivan’s award was bestowed on GE’s Centricity Financial Risk Manager which enables healthcare systems to reduce the cost of administering risk-based contracts, thus improving profitability and maximizing efficient workflows.
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GE Healthcare
Published By: MedAssets     Published Date: Aug 01, 2014
While the challenges of implementing ICD-10 are well documented, the impact to the revenue cycle is not as well known. Revenue cycle leaders must model their payor contracts now to mitigate the risks that ICD-10 will bring.
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MedAssets
Published By: HealthLeaders Media     Published Date: Sep 04, 2015
The HealthLeaders Media Physician Alignment Survey confirms there is continued deep support for clinical integration across our industry. We see some clear trends in how hospitals and health systems use clinical integration and risk sharing to work toward physician alignment and better access.
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HealthLeaders Media
Published By: HealthLeaders Media     Published Date: Oct 08, 2015
The Centers for Medicare & Medicaid Services, the nation’s largest payer, has set a clear direction with its publication of targets: By 2018, 50% of fee-for-service payments will be through alternative payment models, such as ACOs and bundled payments, and 90% of FFS payments will be tied to quality or value. And CMS has begun to introduce mandatory bundles. This suggests that all providers will need to develop population health competencies, including the ability to manage risk for both cost and quality.
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HealthLeaders Media
Published By: HealthLeaders Media     Published Date: Feb 26, 2016
The need for analytic tools to make sense of disparate data sources will certainly be expanding in the upcoming years. This report highlights what analytical data healthcare leaders are currently focusing on, as well as the challenges they expect to face when using analytics to support their organizations in the future.
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HealthLeaders Media
Published By: HealthLeaders Media     Published Date: Apr 14, 2016
Nearly six years after passage of the Patient Protection and Affordable Care Act, the healthcare industry is in the midst of a massive retooling that is dramatically altering the way we think about cost management, strategic partnerships, and customer service. Fee-for-service reimbursement is giving way to new models of care delivery and payment to support a system based on pay-for-value. With financial risk or payments tied to value measures (such as patient satisfaction, clinical performance, and population health), compensation and reimbursement will increasingly be tied to value-based incentives.
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HealthLeaders Media
Published By: Truven Health Analytics     Published Date: Mar 01, 2015
In response to concerns raised by healthcare leaders that the absence of adjustment for socioeconomic status (SES) and race characteristics in patient populations impedes the fair comparison of hospitals on risk-standardized 30-day unplanned readmission rates, Truven Health AnalyticsTM evaluated the extent to which risk-adjusted readmission rates for acute myocardial infarction, heart failure, and pneumonia are affected by adjustments for community-level SES factors through its Community Need Index (CNI) and patient race. The study shows there is, indeed, a statistically significant effect. For more, visit truvenhealth.com/wp/readmissionpenalties.
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Truven Health Analytics
Published By: Truven Health Analytics     Published Date: Feb 26, 2016
Truven Health Analytics™ evaluated the extent to which community need— a measure of the underlying economic and social factors that affect the overall health of a community, including income, cultural/language barriers, education, insurance and housing—is associated with elevated rates of preventable hospitalizations or an increased risk of hospitalization believed to be preventable with quality ambulatory care. The results of this investigation reveal a modest but statistically significant association between community need and an increased risk of hospitalizations that are believed to be preventable with good-quality ambulatory care.
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Truven Health Analytics
Published By: JATA     Published Date: Sep 30, 2015
Creating a state-of-the-art clinical documentation improvement (CDI) program isn’t just about boosting coding accuracy. It’s a key strategy in managing the transition from volume-based to value-based care, say healthcare leaders. That transition is a risky endeavor that is putting hospital and physician financial performance to the test. As hospitals participate in new care and business models aimed at improving value, leaders must ensure that their organizations are able to maintain reimbursement levels, effectively treat the chronically ill—especially in outpatient settings—and gather accurate data that will allow them to assess performance and segment their varying populations. While some organizations often believe they are leaving revenue on the table because of documentation and coding issues, CDI offers numerous opportunities for improving financial performance, finds a recent HealthLeaders Media survey of 149 healthcare executives at provider organizations.
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JATA
Published By: Nuance     Published Date: Mar 08, 2016
Driving financial performance in the outpa­tient setting is a top-of-mind priority among senior health system leaders. But managing the differing clinical documentation methodologies and risk assessment strategies present the great­est challenges to optimizing this important source of reve­nue, according to a recent HealthLeaders Intelligence survey. Provider organizations are finding the ambulatory setting is still a ‘Wild, Wild West’ in terms of assessing risk, clinical documentation, coding billing and medical record keeping practices. Download this report to discover key targets to improve ambulatory revenue.
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Nuance
Published By: Russell Investments     Published Date: Mar 24, 2016
For a non-profit enterprise seeking to design effective investment portfolios for its asset pools, understanding the role of each of those asset pools is a crucial first step. The organization's goals and exposures can impact all parts of its portfolio construction process, from initial broad decisions on risk tolerance to more targeted decisions on asset-class exposures and investment vehicle preferences.
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Russell Investments
Published By: Zix corp     Published Date: May 11, 2016
Email is the most used communication tool in business. It's so easy to click that seemingly innocent 'Send' button that you may not realize the risk. Find out your next steps to an implementing an effective secure email strategy.
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Zix corp
Published By: Caradigm     Published Date: Feb 16, 2015
Many organizations joined the ACO program with the idea of using it as the first step in the transition to new reimbursement models. It’s a critical time for more ACOs to achieve the milestone of shared savings in order to demonstrate the ability to lower costs for an “at-risk” population. As best practices are emerging from early participants in the ACO program, ACOs have the opportunity to evolve their strategies in order to achieve more success.
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Caradigm
Published By: Gallagher Integrated     Published Date: Jul 10, 2014
Download this whitepaper to learn the following: 1. Background and basis of decreasing payments and increasing risks 2. Challenges and opportunities associated with the trend 3. How to thrive versus simply survive in this new healthcare environment
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Gallagher Integrated
Published By: McKesson     Published Date: May 27, 2015
The shift to value-based care creates a sharp increase in healthcare organizations and networks’ need for data collection, aggregation and analysis. This white paper outlines the challenges involved with performing population-level analyses, developing cost accounting and profitability analyses across care settings, evaluating care episodes and integrating quality data. It explores the limitations of targeted software solutions to provide cross-enterprise insights. Finally, it provides advice for healthcare executives regarding how to approach gathering quality and cost-related data and how to leverage technology and analytical expertise to drive risk-based contract success.
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McKesson
Published By: Privacy Analytics     Published Date: May 11, 2015
There is a growing need for granular de-identified health information, but many organizations are unsure of where to begin. This Privacy Analytics white paper is designed to guide you through the process of risk-based de-identification.
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Privacy Analytics
Published By: TriNet     Published Date: Jan 17, 2013
In this in depth report, readers will learn about the factors driving companies toward a human resources outsourcing model, along with the risks and advantages of outsourcing human resources functions and processes, and the approaches available.
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TriNet
Published By: BeyondTrust     Published Date: Apr 04, 2019
Unix and Linux build the foundation for most business-critical systems. Thus, these present target-rich environments for cyber-attackers. Privileged Access Management (PAM) helps to mitigate such risks. To succeed, organizations must follow an integrated approach, covering both privilege elevation and centralized management of shared account credentials.
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BeyondTrust
Published By: BehavioSec     Published Date: Oct 04, 2019
A Global 2000 bank was evaluating new methods of authentication for their digital clients to protect accounts under constant attack by malware and fraudsters. In evaluating behavior biometric vendors, they selected BehavioSec, for its enterprise grade capabilities to be deployed on-premise and integrate with existing legacy risk management systems.
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BehavioSec
Published By: BehavioSec     Published Date: Oct 04, 2019
In this case study, a large enterprise with an increasing amount of off-site work from both work-related travel and a fast-growing remote workforce, is faced with a unique challenge to ensure their data security is scalable and impenetrable. Their data access policies rely on physical access management provided at the company offices and do not always provide off-site employees with the ability to complete work-critical tasks. Legacy security solutions only add burden to productivity, sometimes causing employees to ignore security protocols in order to simply complete their work. Upon evaluating security vendors for a frictionless solution, they selected BehavioSec for its enterprise-grade capabilities with on-premise deployment and integration with existing legacy risk management systems.
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BehavioSec
Published By: BehavioSec     Published Date: Oct 04, 2019
A well-known global bank was evaluating new ways of strengthening authentication for their High-Net-Worth Individuals (HNWI) to protect their high value accounts. These accounts are under constant attack by sophisticated, targeted fraud attempts. In evaluating behavioral biometric vendors, the bank selected BehavioSec, because of its accuracy and enterprise grade capabilities, to be deployed on-premise and to integrate with its existing security and risk management systems.
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BehavioSec
Published By: BehavioSec     Published Date: Oct 04, 2019
A consortium of Global 2000 companies founded a joint authentication service provider to keep up with innovation at competitive Fintech companies. The new provider developed a mobile authentication app to maintain a high degree of mobile security without losing customers to UX-focused Fintech companies. As peer-to-peer (P2P) transactions grew rapidly, so did the false rejections and need for manual review. In evaluating security vendors for a more cohesive and frictionless solution, the provider selected BehavioSec for its enterprise grade capabilities to be deployed on-premise and integrate with existing legacy risk management systems.
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BehavioSec
Published By: KPMG     Published Date: Jun 06, 2019
Businesses increasingly see cloud as the best route to enhanced agility and digital transformation. But this survey reveals that keeping the lid on cloud costs is far from straightforward. Read this report to discover: • whether businesses are realising the benefits they anticipated from cloud migration • how effective companies are at managing cloud investments • the risks and consequences of getting locked into inefficient architectures.
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KPMG
Published By: KPMG     Published Date: Jun 06, 2019
As businesses start to experiment with true artificial intelligence, safe delivery of AI demands a new risk and control framework. This report, designed for anyone tasked with the safe delivery of AI, proposes an effective solution. Read the report to find out: • the risks associated with AI and the challenge of managing them • a 17-category Risk & Controls framework for AI • in-depth details for key categories, including security management, business continuity and knowledge management • an essential glossary of AI terms.
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KPMG
Published By: KPMG     Published Date: Jun 06, 2019
Many organisations will be using AI sooner than anyone expects. Prepare now to address the risks from these advanced technologies with this comprehensive framework from our risk experts. Download this practical resource to see AI risk description, control topic and control description, COBIT process and COBIT area for 17 different AI risks.
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KPMG
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