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A healthcare provider network is a list of doctors, hospitals, and other providers that an insurance coverage plan associates with to provide medical care to members. Providers who fall into a health plan’s network are called in-network providers and those that don’t are called out-of-network providers. In addition to clinical doctors, a health plan’s in-network providers could also include nurses, therapists, and also home care professionals. The workflow surrounding the growth and day-to-day healthcare provider network management is no small feat. There is an elaborate series of steps to onboard a provider into a network, through a process called credentialing. This is followed by regular, day-to-day activities like data management, analytics, contracting, credentialing pricing, maintenance, configuration, and so forth. Needless to say, it is a complex bureaucratic process that requires dedicated administrative solutions. The push to improve efficiency in managing provider networks

Further consumerization of healthcare payments One of the future challenges of health payment solutions is the consumerism of payment. Patients take on an increasing amount of financial responsibility in the healthcare sector. They expect more and more convenience from healthcare experience. It also increases the demand for more and greater predictability and transparency around the prices and the billing. US healthcare has always been complex and opaque. Amidst this complexity, the healthcare providers and the patients bear the burden and risk. Patients also receive care without knowing the prices for those particular services in advance or unexpected high medical bills.  Moving into the era of real-time payments Technologies that will help streamline and modernize the payment infra can significantly impact the banking and financial services that shore up back-end operations and help improvise digital-analog processes that provide good customer experiences. The healthcare industry is

Patient engagement is widely being touted as an integral aspect of healthcare. So much so that numerous companies have begun pouring money and resources into innovating ways of boosting it. But what is patient engagement? Patient engagement involves all the activities that increase the interaction between doctors and their patients to enable patients to manage their own health better. In other words, there is greater engagement between doctors and patients which goes a long way in educating patients about making the best decisions to improve their own health. Several studies and research have concluded that patient engagement does improve the overall clinical outcomes.  In light of this, many health tech companies have developed patient engagement software in an effort to help boost doctor-patient interaction. Care begins when patients leave the clinic. The actual process of care happens in-between clinical visits. During a consultation, the doctors speak and patients listen and somet

In the constant race to become the best healthcare facility, providers need to improve their services continuously. They seek new ways to revolutionize the organization and maintenance of their data and care management solutions. Mandates like provider network management services pave the way for a better healthcare scenario in different parts of the country.   For providers who are still thinking about whether to choose the provider network management or not, here are a few reasons to increase authenticity on their trust: A healthcare provider network management solution can help offer actionable and functional insights to manage networks in a result-driven manner. This leads to better services, improved coverage benefits, and a higher level of satisfaction. It also results in reducing operational costs and saving time for the staff.  Process automation By offering data analysis and provider contracting details on an accurate level, specific tasks can be resolved. This also leads t

  A healthcare scheduling application is known to simplify workflows and save time for the administrative staff at hospitals. Such a solution helps them do more with the same resources and improve the patient experience. This section elaborates the various benefits that scheduling software brings for hospitals. If you’re wondering why use appointment scheduling system in healthcare, the answer is simple- it’s the best way to include the customers’ (patients) requests. Medical booking software can boost healthcare organizations’ outcomes. Moreover, if you’re still confused about how hospital scheduling software helps providers and patients, here are some top benefits of this software. These benefits will help you understand whether investing in the hospital scheduling software is a wise decision or not.     a. Saves Patients’ Time in Appointment Booking    Earlier, in manual bookings, patients spent hours getting an appointment and then spent more time travelling, waiting, etc. However,

Running a pharmacy is no small feat. A typical pharmacy needs to keep track of its inventory, handle prescriptions accurately, manage billing processes, track the expiration dates of drugs, access patient data, and so on. The larger it gets, greater the volume of medications and patients it needs to handle. A pharmacy management system goes a long way in helping pharmacists streamline day-to-day operations and avoid mistakes. A pharmacy management systems software is a digital platform that stores relevant information and enables efficient functioning of activities at pharmacies. There are multiple companies offering pharmacy management systems, so administrators at pharmacies might have a hard time making a decision. So if you’re looking to invest in pharmacy inventory management software, here are certain factors that you need to consider -  Track Record of the Company It goes without saying that the company making the pharmacy inventory management system needs to know its way arou

  EHR software has already created its spot in healthcare organizations. However, the demand for more convenience and portability of healthcare software has led to mobile applications. Today caregivers prefer mobile apps, as it’s handy and easy to use. Providers favor mobile EHR applications, as it helps doctors and patients access their critical   medical records   whenever they want. Moreover, these mobile EHR apps handle various tasks, from managing emergency care to giving prescriptions.     Take, for example, a doctor who is stuck at some other work and urgently requires information about one of their patients. The doctor can’t go to its clinic or hospital to get that information. So, all he can do is wait. But if he had EHR in his smartphone, he could easily tend to this task. Even if the doctor is at his office, the mobile EHR app comes in handy, and the doctor doesn’t need to refer to his system for the information.     Mobile EHR apps are superbly portable, and these apps can

Technology has taken healthcare to ever greater heights and improved our understanding of the human anatomy. While medical technologies from decades past improved the quality of treatments and enabled newer breakthroughs to be made, technological innovations today are focusing on a different problem entirely. The problem is equitable access to care. In spite of mind-boggling advancements in medical technologies, the benefits mostly remain concentrated in urban regions. This unsettling fact is not only true in the United States, but also true for the rest of the world, developed first-world countries included. The problem was not with the quality of care, but with making that care accessible to people living in remote, non-urban locations. Telehealth is touted as a solution for addressing the challenges of inaccessibility of care. In light of this, mobile healthcare solutions has emerged as the most promising platform to advance telehealth, and enable everyone to access quality care. 

The complexity of the American healthcare industry is no secret. When a patient walks into a clinic, his insurance is verified, after which he gets his consultation. Subsequently, his visit is documented, coded, and a claim is filled out to be sent to insurance payers for reimbursement. The payers process the claim and check if everything is done right. Only after that do the providers get paid. This process is highly complicated and contains lots of red tape. Needless to say, it is prone to errors and even fraudulent activities.  But Innovations in healthcare software product development have rolled out solutions to streamline the entire process of care right from the time a person books an appointment to when the provider gets reimbursed. Software solutions for each of the above mentioned hospital activities have made all healthcare organizations - hospitals as well as smaller clinics - more efficient and productive.   Speed and Convenience Consider this - when a patient wants to bo