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Payer
Humana’s Low-Code Partnership Approach to Rapid Digital Innovation
Jul 15th, 2022In an era of rapid digital healthcare innovation, Humana, the third largest health insurance company in the U.S. faced several challenges within its digital channels unit to rapidly bring new solutions to market. It was laden with complex architecture, which meant IT had to tread carefully, given the importance of safeguarding personal health information for […]
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Insights
Moving Forward with the No Surprise Billing Requirements
Nov 23rd, 2021In the first rule, Part I of the no surprise billing requirements, health plans were required to implement protections against balance billing and out-of-network cost sharing for emergency services, non-emergency services rendered by non-participating providers at specific facilities, and air-ambulance services by non-participating providers. This rule, Part II, does not change that but offers clarification […]
Case Studies
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Insights
Clinical Data Acquisition & Integrations
Jul 17th, 2021By introducing a consulting-led approach, an emids project team designed a highly scalable FHIR-based interoperability solution hosted on the AWS platform to overcome multiple P2P connections, hence reducing effort and saving on operational costs.
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Healthcare from Everywhere
Feb 3rd, 2021Delivering context-aware, technology-enabled healthcare in 2021 2020 brought seismic changes that left observers with few words but “unprecedented” to describe the movements that shifted many aspects of everyday life for a majority of the populace. The global pandemic birthed a global demand — an expectation, even — for context-aware, technology-enabled healthcare when and where people […]
Case Studies
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Insights
Enhancing the Overpayment Recovery Process to Result in Savings
Aug 30th, 2019Overview The Emids client is a pharmacy benefit manager and care services group with over $100 billion in revenue. They have three main businesses, all of which strive to deliver transformational healthcare solutions and improve outcomes while lowering costs. We have partnered with the client for over 10 years, during which time they have provided […]
Case Studies
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Insights
Scaling ServiceNow
May 21st, 2019Overview Our client is a Fortune 500 payer and is a leading provider of traditional and consumer-directed healthcare insurance plans and related services. This includes medical, pharmaceutical, dental, behavioral health, long-term care and disability plans, provided primarily through employer-paid (fully or partly) insurance and benefit programs and Medicare. The organization’s network includes 22.1 million medical […]
Case Studies
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Insights
How a Large National Payer Reaped the Benefits of Strategic DevOps
Jun 14th, 2018How a Large National Payer Reaped the Benefits of Strategic DevOps Modern software and IT organizations are defined these days by Agile and DevOps. The goals are to increase efficiency, accelerate time-to-market for new applications and services and be more responsive to customer needs. In 2017, Forrester Research reported that 50 percent of enterprises are […]
Case Studies
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Insights
Advancing Population Health Management and Automating Coding Through NLP
Aug 10th, 2017Global Leader of Healthcare Coding Software Brings Enterprise Technologies to Fruition Overview The client is a global leader in coding, classification, grouping and performance management software and consulting services for 7,500 hospitals in more than 20 countries worldwide. The company provides intelligent software, data analytics and strategic expertise to help providers as well as government […]