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Blues IM Symposium around the corner
It’s September again and the Blue Cross Blue Shield Information Management (IM) Symposium is upon us September 25-28 in Dallas. This year’s conference will bring 140+ IM executives together to explore...
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ACOs and aggregated data: Payer analytics comes to ACOs
I was reading through the the 42 CFR 425 Medicare Program: Medicare Shared Savings Program: Accountable Care Organizations yesterday in response to a client asking us about our Managed Services....
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Thomas Kuhn, Steven J. Gould and Why Data Governance is the New Pink
I was sharing an “October” beer with John Bair (our CTO) last night and I was struck by a few thoughts in our conversation. Back in college, I always enjoyed reading books by Thomas Kuhn. In 1962, Kuhn...
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Big data technologies in healthcare insurance (payers): nosql and MDM–part 1
We were working with a client around Fraud, Waste and Abuse (FWA) recently and we needed to clean up the client’s Provider data to help us track longitudinal changes in fraud behavior. Some of the...
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Blog: Clay Christensen and Healthcare Payer Analytics
I was fortunate to make it down to SAS’s Health & Life Sciences Conference in Cary, NC last week. One of the keynote speakers, Clay Christensen explained his thinking on how to improve care and...
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Tableau and Visualization
Recently for a client, we hooked up Tableau to their financial dataset. We had used Tableau before with other data analysis tasks so we thought it was appropriate for this task. The dataset was mostly...
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What’s Hot in Payer Today
Anyone in healthcare knows that Payers are juggling a daunting list of challenges, opportunities and priorities. Working with a number of Payer clients allows us to support their information worlds as...
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Biggest Payer Pains
Last week, I posted a few key trends and opportunities shaping the Payer industry in “What’s Hot in Payer Today.” But what are some of the complex situations that can shrink the gap between profits...
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Managing Collaboration and Financial Risk with your Partners using CrossPoint
Over the past few years, I have noticed our clients struggle with the increasing demands of collaboration. Many healthcare clients today collaborate with a wide variety of partners including: Other...
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CrossPoint Perspective: Audit, Quality & Control for Security and Compliance
We were chatting with a few clients recently about CrossPoint. A number of security professionals asked us about how it solves some of their issues. While CrossPoint was designed to solve a variety of...
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