Smile Digital Health
What to Expect on the Digital HEDIS® and Quality Modernization Journey
Payers today are facing increasing pressure to deliver precision higher-quality care at lower cost. Regulations, such as the proposed and final ...
AI for Prior Authorization: The Right Way
Healthcare organizations are increasingly turning to AI-driven solutions to reduce administrative burdens and improve care outcomes across the ...
Unlocking the Power of Scale: Bridging AI and Clinical Intelligence
AI implementation strategies today frequently suffer from a narrow focus, prioritizing speed and cost-reduction for just one or two disjointed ...
Responsible, Reliable and Cost-effective AI at Scale
AI and intelligent automations are frequently presented as a panacea for operational inefficiencies in healthcare today. As adoption ...
Act 6: Quality, Risk Adjustment and Prior Authorization Assessment Guide
Evaluate Current Workflow Fragmentation Across Quality, Risk, and Prior Authorization In last week's video, Dr. Matthew Burton took us through ...
Act 5: Care and Code Correctly the First Time
Quality measurement, risk adjustment, and prior authorization are managed by Payers in silos, by different teams, often using proprietary tools ...
Connected Care Canada: A Vendor Evaluation Checklist for Hospitals
The proposed Connected Care for Canadians Act (Bill S-5) signals a broader shift toward a more connected, interoperable, and patient-centered ...
Act 4: Enterprise Mobilization Readiness Package
At HIMSS ‘26 our CRO Jenifer Baird shared some enlightening stats on the high cost of fragmentation across the industry and the reality (often ...
Act 3: The Human Factor of Data Transformation
Data modernization statistics that challenge healthcare: Approximately 97% of data value is lost when isolated in silos Fragmented healthcare ...