Care management programs allow for coordination among practitioners, UM clinicians, care coordinators and customer service representatives. This coordination results in improved outcomes for members and patients.
Corporate wellness programs are delivered by a team that delivers a spectrum of services to its members.
Historically, many health plans, providers, corporate wellness teams and elderly wellness organizations have relied on a set of fragmented information systems for executing on a care or wellness management model. (more…)
Because of the nature of their businesses, Contract Research Organizations (CROs) need tools that allow for reliable revenue forecasting and recognition. Some CROs need to manage hundreds of forecasts at a time.
These revenue forecasts are important for overall planning and for making staffing decisions. When the future month-to-month workload can be reliably forecasted, appropriate management decisions can be made on both the sales and delivery fronts.
The go-to revenue forecasting tool of choice for many CROs is spreadsheets—either Microsoft Excel or Google Sheets. (more…)
Post acute care continues to be a rapidly growing segment within healthcare. The growth has been driven both by economics and by technological innovation.
On the economics front, insurance companies and Medicare have reduce reimbursements for readmissions that occur shortly (10 – 31 days) after a patient has been discharged.
Beginning in October, 2012, the Hospital Readmissions Reduction Program required the Centers for Medicare and Medicaid Services (CMS) to reduce payments to inpatient prospective payment system (IPPS) hospitals with excess readmissions. (more…)
SBIRT (Screening, Brief Intervention, Referral to Treatment) is a public health approach to delivering early intervention to anyone who uses alcohol and/or drugs in unhealthy ways. Proper SBIRT training is key to successful intervention.
SBIRT has proven to be an effective way to identify and curtail potential substance abuse problems. Substance abuse has a major impact on public health.
A report from The National Center on Addiction and Substance Abuse at Columbia University (CASA) states that excessive use of alcohol and other drugs contributes to more than 70 diseases and leads to expensive, long-term health problems. (more…)
Integration Cloud is the most recently announced member of salesforce.com’s cloud-branded offerings.
Before delving into what Integration Cloud is, let’s take a look at the origins of the word “cloud” and the term’s evolution at Salesforce.
According to Wikipedia, the term cloud was used as early as 1993. That year, this cloudy video was made to describe the benefits of General Magic’s handheld devices connection to AT&T’s service. (more…)
A managed care organization (MCO) is an entity that specializes in provider network development, credentialing and contracting. On an ongoing basis, MCOs manage the provider network, claims pre-processing and utilization.
Before we get to the MCO lists, we’ll cover some relevant background information.
State Medicaid Programs and MCOs
Medicaid programs are an area in which U.S. states exercise their autonomy in diverse ways. (more…)
We are often asked what the difference is between Salesforce Health Cloud and EHR software.
While there are some areas where these two systems overlap, the underlying purpose for each differs. We’ll explain the differences by contrasting the vendor environment and product offerings for both EHR and Salesforce Health Cloud.
What is EHR Software?
We’ll use “EHR” to reference both EHR and EMR, even though there are differences between those two categories that warrant a separate comparison. (more…)
All Salesforce orgs include functionality called Web-to-Case. It’s easy for an administrator to generate HTML that can be embedded on a website’s support page.
In many situations, the ability for a customer to attach a screenshot, a log file, a photo or even a short video to a new Case can improve communication and result in faster Case resolution.
However, with the Salesforce Web-to-Case HTML generator, there’s no option for adding an attachment field to a form. (more…)
The FDA’s Title 21 CFR 820 Regulatory Requirement means that manufacturers of medical devices that are subject to FDA regulation need to establish and maintain procedures for implementing corrective and preventive action (CAPA) related to device non-conformity.
These procedures must provide for control and action to be taken on any distributed or not yet distributed devices that are suspected of having potential nonconformities.
According to the FDA, plans with respect to implementing CAPA should include: (more…)
Customer Relationship Management (CRM) software was born and raised in traditional SMBs and enterprises.
Healthcare CRM is a more recent adaptation of traditional CRM, designed to be a fit for organizations within various healthcare sectors, including MCOs.
HMOs, PPOs, POS plans and independent practice associations can now all benefit from deploying CRM technology. But the selected CRM system needs to first have been adapted to the MCO segment’s business model.
Vendors like Salesforce have heavily adapted their core platforms to the needs of managed care organizations and other healthcare organizations. (more…)