Articles by Industry Expert

What is HEDIS? The Basics, Objectives and Significance

By Amit Shah – HEDIS is a measurement set used to determine the efficacy of a payer to care for its members. The performance data collected through HEDIS assists payers in identifying areas for improvement as well as tracking successes through a measurement set that allows them to be compared to other payers.




Effectively Managing DRG Downgrades with Technology

By Dana Finnegan – DRG downgrades pose a significant challenge for healthcare organizations, directly impacting revenue and creating compliance risks. Effectively managing DRG downgrades is key to maintaining financial health and compliance, and technology plays a critical role in simplifying and optimizing this process.




The Future of Behavioral Health Delivery

By Dr. Tom Milam – A projected shortage of nearly 20k physicians by 2050 signals that traditional models of behavioral health care delivery no longer meet the expanding needs of the U.S. population. In fact, they create barriers to timely, affordable treatment for many Americans through extended wait times, high costs, and limited availability.


Securing Healthcare: The Urgent Need for Cyber Resilience

By Chuck Suitor – Picture a hospital where the power is out, patient records are inaccessible, and life-saving equipment has stopped functioning. This scenario could become a reality if we don’t take immediate action. Cyberattacks have evolved beyond mere data theft; they now pose a direct threat to patient safety and the integrity of our healthcare system.