technology

The most recent social media trend has been the 10-year challenge, when an individual posts a picture on a social media platform like Facebook, Instagram, Snapchat or Twitter, and compares a picture of themselves from 2009 to 2019. Which typically sparks a conversation between followers and friends of how so much has changed within the 10-year time span.  

2009 to today has brought many changes in most of our personal and day to day lives. Let’s think back to 2009 and see what technologies were being used or just beginning. Uber was just getting started since it was founded in 2009. Apple released the iPhone 3GS, Airbnb was only around for a year, Lyft, Instagram, Uber Eats, Postmates, Doordash all haven’t even been founded yet. Nor have most companies that have been integrated into most of our lives or are at least accessible with a few taps on our phones. 

Now, lets think about your professional career. Has a lot changed from a stand point of the systems or applications that you use at your job from 2009? Or are you still stuck using the same antiquated system because “That is how we have always done it” or because “It still works…”. Still using Access database that was designed over 10 years ago by someone who has left the company or might retire soon? Still just tracking information in spreadsheets on file directories with no history or what changes have been made? Still using a homegrown system that hasn’t been updated in years? Unfortunately, businesses don’t seem to move as fast and have a harder time keeping up. A few big-name corporations have been making a big splash in the space, but still businesses are slow moving and don’t adapt, even though they are probably well over due. 

I see this all to often when working with customers in the healthcare payer space. Departments using old school access databases to track and manage their Appeals and Grievances process. Using homegrown applications that are not adaptable to an ever-changing and ever-growing environment. Using spreadsheets to manage Commercial A&G plans with no history of the changes being made. Businesses need to re-evaluate the tools being used to manage this data and processes and step into the current day and level 2009 in the past. 

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The 10-Year Challenge

The most recent social media trend has been the 10-year challenge, when an individual posts a picture on a social media platform like Facebook, Instagram, Snapchat or Twitter, and compares a picture of themselves from 2009 to 2019. Which typically sparks a conversation between followers and friends of how so much has changed within the 10-year time span.   2009 to today has […]

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Don’t listen to what they say – GO SEE.

Greetings and welcome to 2019!   As you begin planning your new year and accomplishing goals, we wanted to share with you some upcoming healthcare related conferences we will be supporting in February, March and April. First we’re looking forward to getting out of the Cleveland winter and heading to at HIMSS19 in Orlando, Florida.  Seema Verma and Alex Azar will […]

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Submit or Not to Submit? That is the AOR question.

Appointment of Representative, (aka the AOR) always seems to be a topic of conversation in the healthcare payer space. Every show we attend, every customer we talk with and every industry function we attend, there are intense conversations and differing opinions on what is required by CMS. Do you only submit an AOR once? Do you need to submit a […]

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New CMS Guidance

  As part of an initiative to streamline the Medicare Advantage and Prescription Drug appeals and grievance processes, CMS has consolidated Chapter 13 of the Medicare Managed Care Manual and Chapter 18 of the Prescription Drug Benefit Manual into one comprehensive guidance document. They are doing this to better align and provider a more defined, straightforward and non-repetitive understanding of […]

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March 11, 2019

The 10-Year Challenge

The most recent social media trend has been the 10-year challenge, when an individual posts a picture on a social media platform like Facebook, Instagram, Snapchat or Twitter, and compares a picture of themselves from 2009 to 2019. Which typically sparks a conversation between followers and friends of how so much has changed within the 10-year time span.   2009 to today has […]
May 22, 2018

Building a Strong Network: It Takes an Empowered Team

Life is full of different experiences. Take a moment to think about the last really good experience you had. What was it about the experience that made it so positive? Now think about the last horrible experience you had. What was it that made the experience so poor? I’m betting that the factors behind why your experience was positive or […]
May 22, 2018

The Secret to Improving Member Experience? Hint: It’s Probably Not What You Think.

Life is full of different experiences. Take a moment to think about the last really good experience you had. What was it about the experience that made it so positive? Now think about the last horrible experience you had. What was it that made the experience so poor? I’m betting the factors behind why the experience was positive or negative […]
March 27, 2018

Bad Data Is No Different Than No Data.

Imagine if each time you entered an address into your GPS you only had a 50% shot that you would arrive at your correct location. You would be pretty upset if you weren’t in the 50% that made it to their destination. That is precisely what CMS has uncovered during round two of the online provider directory review. The average […]