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Maximizing Returns on Your Claims Auto-Adjudication Efforts: A Step-by-Step Guide for TPAs

Maximizing Returns on Your Claims Auto-Adjudication Efforts: A Step-by-Step Guide for TPAs

by Gaine Solutions | Jan 26, 2022 | Healthcare

Maximizing Returns on Your Claims Auto-Adjudication Efforts: A Step-by-Step Guide for TPAs The percentage of businesses that turn to third-party administrator (TPA) services grows every year. A TPA usually serves as an intermediary between the employer who covers the...
The Importance of Using MDM for the Health Insurance Industry

The Importance of Using MDM for the Health Insurance Industry

by Gaine Solutions | Jan 19, 2022 | Healthcare

The Importance of Using MDM for the Health Insurance Industry Master data management (MDM) for the health insurance industry unifies the different tiers of governance while protecting both public and private data. MDM is essential for your insurance agency’s...
No Surprises Act Means Heightened Regulatory Risk for Network Adequacy

No Surprises Act Means Heightened Regulatory Risk for Network Adequacy

by Gaine Solutions | Jul 7, 2021 | Healthcare

No Surprises Act Means Heightened Regulatory Risk for Network Adequacy The pressure is on. Health plans are under heightened regulatory risk around network adequacy with the passing of the No Surprises Act in December 2020. Here’s what you need to know. The act brings...
Interoperability, Blockchain, and Other Dark Arts of Healthcare Data

Interoperability, Blockchain, and Other Dark Arts of Healthcare Data

by Gaine Solutions | Jun 7, 2021 | Healthcare, Life Sciences

Interoperability, Blockchain, and Other Dark Arts of Healthcare Data A blockchain is essentially a peer-to-peer network with a unique security protocol that makes interference with the data practically impossible. It’s no wonder that banking is the poster child of...
Ecosystem Master Data Management for Healthcare QA with Gaine CEO Martin Dunn

Ecosystem Master Data Management for Healthcare QA with Gaine CEO Martin Dunn

by Gaine Solutions | May 24, 2021 | Healthcare, Life Sciences

Ecosystem Master Data Management for Healthcare QA with Gaine CEO Martin Dunn We recently sat down with Gaine CEO and co-founder, Martin Dunn, to learn more about Ecosystem Master Data Management (E-MDM) and Health Data Exchanges (HDX). We explore how these approaches...
  • How to DIY Master Data Management for Healthcare and Life Sciences
  • How to Deal with Unstructured Healthcare Data
  • The Quick Guide to Data Integration in Healthcare
 

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