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Crucial Role Payers Play in Healthcare Quality Transparency

Welcome to the latest #DataRX Report, a weekly digest of interesting news and trending topics in the healthcare industry. Every Friday we're pulling together the best articles and insights to keep payors and providers informed, engaged and up to date on the headlines that are impacting the industry.  

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Payers Play Crucial Role in Healthcare Quality Transparency
Many healthcare experts believe payors need to take the lead in transparency to improve patient safety and lower costs. An obvious starting point is in helping consumers make informed choices on the best possible healthcare provider for his or her specific needs. Get details and additional info about possible strategies here.


Prescription for Payors

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31% of Beneficiaries Face Social Isolation, More Health Risks
Humana found that almost one-third of beneficiaries over 65 years old experience social isolation causing an increase in their likelihood of other health risks. Find out more about what payors can learn from the study.


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Beating Back Member Churn with Big Data
One in five Americans changed their health insurance in 2016. In the post ACA era, the rapid expansion of the individual insurance market has increased the risk of member churn as members who bear personal costs of their policy have proven to be understandably more price-conscious and therefore more susceptible to churning. Read how we helped one client lower member churn and increase profitability.

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Top Health Plans Excel in Preventive Care, Chronic Disease Management
The National Committee on Quality Assurance (NCQA) ranks health plans in three major performance domains including preventive care, chronic disease management and consumer satisfaction. See which health plans made the list here.

Prescription for Providers

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Focus on innovation: 3 charts explain where healthcare is headed
Where is technology innovation most needed in healthcare? Interoperability leads among the most needed realms for innovation, which isn’t really surprising, but what is getting in the way? Find out here.

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Making Sense of MACRA
With the clock already ticking on 2019 reimbursement, providers need to act now to build a solid strategy for managing MACRA. Download our free guide to MACRA implementation and the data infrastructure needed to support your practice’s success.


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Hospitals Seek Non-Acute, Supplier Partners for Value-Based Care
Value-based care is here to stay, so hospital leaders are looking for deeper and more impactful partnerships to help address their fundamental needs, pain points and priorities in addition to extending their footprint across the care continuum. Learn more about what hospitals are doing right now to prepare.

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