Productive Edge Blog
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Productive Edge is a Digital Consultancy leveraging global talent and a metrics-driven approach to turn business opportunities into software solutions. Follow their Productive Edge Blog and Explore their latest insights including free articles, guides, blogs, research, videos, and more.
Productive Edge Blog
2w ago
The healthcare industry is on the cusp of a transformative era, with technology integration at its core, poised to improve patient outcomes and operational efficiencies dramatically. A cornerstone of this transformation is the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), enacted on January 17, 2024. This groundbreaking rule is set to revolutionize the electronic exchange of healthcare data and refine the processes surrounding prior authorization. It significantly impacts a diverse group of stakeholders, including Medicare Advantage (MA) organizations, state Medicaid f ..read more
Productive Edge Blog
2w ago
AI That Takes Action - Not Just Orders
Artificial Intelligence (AI) is no longer just a tool you use—it’s evolving into something much more with Agentic AI. Unlike traditional systems that only follow instructions, Agentic AI acts independently: orchestrating tasks, making decisions, and adapting in real-time ..read more
Productive Edge Blog
3w ago
The healthcare payer industry is navigating ongoing disruptions from economic pressures, workforce reductions, and Medicare Advantage restructuring. Mounting operational costs, tighter margins, and shifting regulations require swift adaptation in 2024. For example, Blue Shield of California recently laid off 61 employees in October, following 140 cuts earlier this year, while also ending its reliance on CVS Caremark and pivoting to a multi-partner model to reduce drug expenses by $500 million annually.  ..read more
Productive Edge Blog
2M ago
In the complex world of healthcare, the ability to share and access information seamlessly and securely across a broad range of systems and platforms is not just an advantage - it’s a necessity. To help achieve this, the 21st Century Act spearheaded by the Office of the National Coordinator for Health Information Technology (ONC) created the Trusted Exchange Framework and Common Agreement, or TEFCA, to facilitate a standardized approach to data exchange, with the goal to create a unified framework that enables every player - provider, payer, and patient - to effortlessly exchange health data ..read more
Productive Edge Blog
2M ago
Leaders need insight into their businesses so they can act with confidence. There is no crystal ball, but you can position your company to thrive by making use of the data that is already within your reach and combining it with AI and machine learning. Data is so critical that 93% of companies indicate that they plan to continue to increase investments in the area of modern data and analytics ..read more
Productive Edge Blog
2M ago
Imagine a world where healthcare isn't confined to sterile rooms and waiting areas, but instead, it comes to you—right into the comfort of your own home. No more scheduling hassles, long drives to the clinic, or sitting in a waiting room full of other patients. This isn’t a distant dream; it’s the reality of today’s healthcare landscape, powered by telehealth, which gained its tremendous popularity during the COVID-19 pandemic with an increase from 0.1% in 2019 to about 17% of all patient visits in 2023.  ..read more
Productive Edge Blog
3M ago
Integrating preventive care into health plans is a daunting challenge for many organizations. Despite its proven benefits in advancing population health management and reducing costs, effectively implementing these strategies remains a significant hurdle.
Imagine watching healthcare costs skyrocket while preventable conditions continue to burden your health plan. The frustration of knowing that with the right approach, these issues could be mitigated, yet the complexity of integration leaves your plans floundering. The stakes are high: without effective preventive care, patient outcome ..read more
Productive Edge Blog
3M ago
In recent years, the global healthcare sector has faced a pressing challenge: a growing shortage of healthcare professionals, including doctors, nurses, and specialists. Recent projections, such as those from the National Health Workforce Analysis, anticipate a shortage of 68,020 primary care physicians and 337,970 registered nurses. These shortages pose severe risks to the quality of patient care, accessibility of services, and the overall sustainability of health systems. However, amidst these challenges, telemedicine has surfaced as a transformative solution, redefining the reach and effic ..read more
Productive Edge Blog
4M ago
The shift from traditional fee-for-service to value-based care represents a profound change in healthcare, focusing on delivering high-quality care while managing costs effectively. This transition is challenging but deeply rewarding, particularly through the lens of the STEEEP framework. Originally developed by Baylor Scott & White Health and trademarked by Baylor Health Care System in 2001, STEEEP stands for Safe, Timely, Effective, Efficient, Equitable, and Patient-centered care—each element vital to improving healthcare standards ..read more
Productive Edge Blog
4M ago
The healthcare industry is experiencing a profound transformation, one that resonates deeply with those of us committed to enhancing patient care. As we navigate through the adoption of value-based contracts, it's becoming increasingly clear that the focus is shifting from the volume of services provided to the quality of outcomes achieved. This change promises not only to improve patient care but also to reduce costs significantly ..read more