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Leverage the Power of Compliance-Driven Automation and AI to Streamline Your A&G Processes and Improve Member Experience with Inovaare

Contributed by Inovaare

Does your A&G Department rely on manual, time-consuming A&G processes that result in the inability to scale your operations without adding more and more people?

Our partners at Inovaare’s industry-leading A&G platform — embedded with the latest regulatory rules and logic — will automate the A&G Department’s work and lead to timely resolutions that improve the member experience. The platform has been designed by experienced leadership professionals at large plans so their A&G solution delivers:

  • Industry best practices already configured and used by both national and 5-star plans
  • Accurate CMS and state regulatory submissions with one-click report generation
  • Real-time urgent-case monitoring
  • Unique case-type workflows for CTMs, Appeals and Grievances
  • Proactive regulatory updates to the A&G platform

Are you ready to explore the leading Appeals and Grievances platform to support your A&G people & processes? Contact Inovaare today!

About Inovaare

Inovaare transforms complex compliance processes by designing configurable AI-driven automation solutions so healthcare organizations can collect real-time data across internal and external departments, creating one compliance management system. Inovaare’s comprehensive suite of HIPAA-compliant software solutions features best-practice regulatory processes to help healthcare organizations efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks, and lower overall operating costs.

Inovaare offers highly configurable healthcare compliance automation solutions, which streamline and automate compliance and business processes and help healthcare organizations reduce risk, lower operational costs and increase compliance visibility.

Inovaare’s approach to CMS and state-level compliance is fundamentally different from conventional methods because its systems enable compliance teams to monitor organizational performance at the source, in real-time.

No more time lag. No more reliance on IT to create and deliver the reports you need. No more waiting on operational areas to send you KPIs you haven’t validated. No more wondering where your first-tier, downstream, and related (FDR) delegated entities stand.

Inovaare empowers you with direct access to the operational data you need, in the form and format that meets your requirements — as well as CMS requirements — by delivering accurate, efficient compliance solutions in real-time.

To learn more, visit inovaare.com.

What It Takes to Lead Medical Devices Connectivity with Ascom

Contributed by Ascom

Our partners at Ascom, a global solutions provider focused on healthcare ICT and mobile workflow solutions, received the 2022 Frost & Sullivan Technology Innovation Leadership Award for excellence in best practices in the global medical devices connectivity industry. Profiled in the research report titled “Global Medical Devices Connectivity Industry”, Frost & Sullivan evaluated Ascom against its multi-level criteria for technology leverage and business impact.

Download the report on Ascom’s website to learn more about how Ascom’s medical device integration (MDI) platform addresses client needs.

About Ascom

Ascom is North America‘s leading healthcare Information and Communication Technology (ICT) provider, delivering integrated workflow intelligence via services and applications that connect and mobilize healthcare professionals to improve patient safety and satisfaction. Our research and development yield a broad range of innovative technologies for call systems, medical device integration, and wireless and professional messaging solutions designed to optimize mission-critical processes and boost clinician productivity.

Based in Research Triangle Park, North Carolina, Ascom North America is part of Ascom Wireless Solutions, a division of the Switzerland-based Ascom Group AG.

To learn more, visit ascom.us.

#MillenniumLive: The Data Security Era

Contributed by Dasera

With 4,000 breaches a year, data security is a broken promise. Millennium Live welcomed a partner that’s committed to a higher calling than a typical cybersecurity company. Ani Chaudhuri, Co-Founder and Chef Executive Officer at Dasera joins the podcast to discuss how risks, threats, and hacks continue to rise, and how Dasera’s platform has secured sensitive data so that organizations are able to make better business decisions. A number of companies, especially growing companies may not have a complete 360 view into their data infrastructure, but Dasera guides customers to ensure they have the right data lifecycle and security in place. Ani also talks through automation technologies, and the ways they are helping organizations detect and mitigate potential data misuse or leaks more quickly and efficiently. With a mission to reinvent data security for the way cloud-first organizations use data, Dasera truly helps safeguard their most valuable assets – their data and their people.

Listen on Spotify, Apple, Amazon Music, and Google Podcasts.

About Dasera

Dasera is a comprehensive data security platform empowering businesses to safely leverage the potential of their structured and semi-structured data throughout its lifecycle, whether on-premises or in the cloud. With automated data security and governance controls, Dasera provides continuous visibility, risk detection, and mitigation to align with business goals while ensuring seamless integration, unmatched security, and regulatory compliance. Through its deep understanding of the four data variables – data infrastructure, data attributes, data users, and data usage – Dasera promotes a secure data-driven growth strategy that minimizes risk and maximizes value, giving businesses a competitive edge in today’s rapidly evolving digital landscape.

To learn more, Dasera.com

Optimization Starts Here: AI-Driven Compliance Automation with Inovaare

Contributed by Inovaare

Effective oversight and management of Appeals & Grievances (A&G) can be challenging. Whether a Medicare, Medicaid, MMP, Marketplace or commercial healthcare provider, health plans must ensure their compliance procedures—as well as those of their delegated entities—are updated and ready for audit.

Our partners at Inovaare’s industry-leading Appeals and Grievances software empowers compliance teams with end-to-end visibility of real-time data for accurate monitoring, better decision making and expedited resolutions. The platform also allows for Appeals and Grievances software configuration to meet rapidly evolving business and regulatory requirements.

 

About Inovaare

Inovaare transforms complex compliance processes by designing configurable AI-driven automation solutions so healthcare organizations can collect real-time data across internal and external departments, creating one compliance management system. Inovaare’s comprehensive suite of HIPAA-compliant software solutions features best-practice regulatory processes to help healthcare organizations efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks, and lower overall operating costs.

Inovaare offers highly configurable healthcare compliance automation solutions, which streamline and automate compliance and business processes and help healthcare organizations reduce risk, lower operational costs and increase compliance visibility.

Inovaare’s approach to CMS and state-level compliance is fundamentally different from conventional methods because its systems enable compliance teams to monitor organizational performance at the source, in real-time.

No more time lag. No more reliance on IT to create and deliver the reports you need. No more waiting on operational areas to send you KPIs you haven’t validated. No more wondering where your first-tier, downstream, and related (FDR) delegated entities stand.

Inovaare empowers you with direct access to the operational data you need, in the form and format that meets your requirements — as well as CMS requirements — by delivering accurate, efficient compliance solutions in real-time.

To learn more, visit inovaare.com.

Driving ROI: The Business Case for an Early Warning Scoring / Predictive Analytics Solution with Ascom

Contributed by Ascom

This whitepaper from our partners at Ascom examines ROI that can be realized with an early warning scoring (EWS) / predictive analytics solution. Hobson & Company, a research firm focused on Return on Investment (ROI) studies, conducted in-depth, one-hour interviews with existing Ascom customers, testing and confirming the sources of value generated by an Ascom solution, and collecting data points to quantify the impact post-Ascom implementation.

After applying Ascom solutions, customers revealed their resulting data with these Early Warning Scoring / Predictive Analytics. They found a reduction in the time spent on early warning scoring calculations, the number of unplanned ICU admissions, preventable codes, readmissions as well as a reduction in the length of stay. Additionally, they reported consolidation of multi-vendor tools and integration efforts and increased patient throughput/bed utilization.

Download the report on Ascom’s website to learn more.

About Ascom

Ascom is North America‘s leading healthcare Information and Communication Technology (ICT) provider, delivering integrated workflow intelligence via services and applications that connect and mobilize healthcare professionals to improve patient safety and satisfaction. Our research and development yield a broad range of innovative technologies for call systems, medical device integration, and wireless and professional messaging solutions designed to optimize mission-critical processes and boost clinician productivity.

Based in Research Triangle Park, North Carolina, Ascom North America is part of Ascom Wireless Solutions, a division of the Switzerland-based Ascom Group AG.

To learn more, visit ascom.us.

Automating Care Management Operations with Memora Health

Contributed by Memora Health

What is intelligent care enablement? And how can a digital health platform use conversational AI to automate routine tasks to increase care team capacity and enable top-of-license care?

Read the full whitepaper here.

 

About Memora Health

Memora Health, the leading intelligent care enablement platform, helps clinicians focus on top-of-license practice while proactively engaging patients along complex care journeys. Memora partners with leading health systems, health plans, and digital health companies to transform the care delivery process for care teams and patients. Our platform digitizes and automates high-touch clinical workflows, supercharging care teams by intelligently triaging patient-reported concerns and data to appropriate care team members and providing patients with proactive, two-way communication and support.

To learn more about Memora’s vision to make care more actionable, accessible and always-on, visit memorahealth.com.

#MillenniumLive: The Toolbox for Digitalizing Clinical Workflows

Contributed by Ascom

This panel-style podcast episode brings the toolbox for digitalizing clinical workflows straight to our healthcare audience, as we have one of Millennium’s great partners and top healthcare consulting company Ascom. Their vision is to close digital information gaps allowing for the best possible decisions—anytime and anywhere. Ascom Americas serves more than 2,000 acute care hospitals, and their products are used by more than 400 customers in enterprise markets. To share their thoughts on the podcast about adopting clinical workflow technologies are Kelly Feist, Robert Wittwer, and Michael Augusti. Dive into episode 213 of the Millennium Live podcast partner series to learn about the factors shaping the “hospital of the future”, workflow technology enabling this transformation, and the changes that must be made to allow this hospital of the future to become reality.

About the panelists:

Kelly Feist serves as Managing Director for Ascom Americas and also serves on Ascom’s extended Executive Committee. She joins Ascom from Philips Healthcare USA, where she served as the head of customer service in North America. Prior, she was the region’s first business leader for patient care and monitoring solutions. In both roles, Feist helped transform Philips from a capital equipment business model to a solutions-based and recurring revenue business model focusing on software, hardware and a growing business services offer. Feist has significant experience in Healthcare information technology (IT) solutions across several functions including sales, marketing, product management and customer care. She earned an MBA from Vanderbilt University and an executive certificate from the Harvard School of Public Health.

Robert Wittwer is an active Registered Nurse who serves as Senior Vice President of Professional Services for Ascom Americas. Wittwer joined Ascom in July 2021 with the mission to define and scale the company’s project management office and launch a consulting practice. These operations are a strategic part of the company’s transformation to a full-scale healthcare communications workflow solution provider. Prior to Ascom, Wittwer ran his own regional consulting business for five years where he coached executives and organizations, architected sales strategies and business models to grow sales, and managed development of prototypes for pre-FDA validation studies. An accomplished sales executive, Wittwer held roles at OBIX and Philips. At Philips he managed the $1 Billion monitoring portfolio for 25 percent of the U.S. market in High Acuity, General Care, and Fetal patient care environments.

Michael Augusti has spent the last 25 years in various roles within healthcare, currently serving as Head of Market Innovation for Ascom. Joining Ascom in 2020 Augusti has successfully led efforts to put Ascom solutions on GPO contract, grow Ascom’s government business and dramatically improve and expand strategic alliances. Currently, Augusti leads Product Management and Product Marketing efforts to ensure the continuing, state-of-the-art, evolution of Ascom’s patient-centric solutions that contribute to the health of every patient through integrated clinical practice.

Prior to Ascom, Augusti spent 2 years with Masimo and 16 years with Philips in various roles around patient monitoring, cardiac resuscitation, medical device integration and communication technologies.

With a BS in Finance from George Mason University and an International MBA in Marketing, from SDA Bocconi in Milan Italy, Augusti has developed a sales and marketing career where he has earned several awards and launched software solutions designed to improve patient outcomes. His wife of 25 years is a Nurse and their two sons have developing careers in transportation and professional sports. Outside of work, Augusti is an active Private Pilot and enjoys boating.

Listen on Spotify, Apple, Amazon Music, and Google Podcasts.

About Ascom

Ascom is North America‘s leading healthcare Information and Communication Technology (ICT) provider, delivering integrated workflow intelligence via services and applications that connect and mobilize healthcare professionals to improve patient safety and satisfaction. Our research and development yield a broad range of innovative technologies for call systems, medical device integration, and wireless and professional messaging solutions designed to optimize mission-critical processes and boost clinician productivity.

Based in Research Triangle Park, North Carolina, Ascom North America is part of Ascom Wireless Solutions, a division of the Switzerland-based Ascom Group AG.

To learn more, visit ascom.us.

Universes Are Not Just for CMS Audits Anymore with Inovaare

Contributed by Inovaare

Practice, Practice, Practice. CMS stresses that practice is critical to produce accurate universes and achieve a successful CMS Program Audit. But what about ongoing monitoring, mock audits and TMP audits? What about leveraging your different departments to ensure quality data validation and produce better overall compliance?

Regardless of your Medicare Advantage and/or MMP plan size — whether you have 80 or 8,000,000 members — our partners at Inovaare deliver scalable, cloud-based automation solutions to fit your regulatory compliance requirements, starting with their Universe Management System.

Experience the ultimate solution that provides continuous oversight of your operational areas and FDRs. Whether you are preparing for a CMS Program Audit, running a Scheduled Mock Audit or conducting routine monitoring, Universe Management System has you covered. Outliers are highlighted with detailed information, based on latest CMS protocols, which allows you to fix issues rather than spend time searching for them.

Inovaare’s Universe Management System is an end-to-end solution comprised of three standalone modules that can be seamlessly integrated to ensure health plans submit CMS-compliant reports with the touch of a button.

 

About Inovaare

Inovaare transforms complex compliance processes by designing configurable AI-driven automation solutions so healthcare organizations can collect real-time data across internal and external departments, creating one compliance management system. Inovaare’s comprehensive suite of HIPAA-compliant software solutions features best-practice regulatory processes to help healthcare organizations efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks, and lower overall operating costs.

Inovaare offers highly configurable healthcare compliance automation solutions, which streamline and automate compliance and business processes and help healthcare organizations reduce risk, lower operational costs and increase compliance visibility.

Inovaare’s approach to CMS and state-level compliance is fundamentally different from conventional methods because its systems enable compliance teams to monitor organizational performance at the source, in real-time.

No more time lag. No more reliance on IT to create and deliver the reports you need. No more waiting on operational areas to send you KPIs you haven’t validated. No more wondering where your first-tier, downstream, and related (FDR) delegated entities stand.

Inovaare empowers you with direct access to the operational data you need, in the form and format that meets your requirements — as well as CMS requirements — by delivering accurate, efficient compliance solutions in real-time.

To learn more, visit inovaare.com.

#MillenniumLive: Next-Generation Healthcare with Inovaare

The Millennium Live podcast is dedicated to bringing our members and partners cutting-edge content to transform the digital enterprise. In this week’s episode, we are meeting at the corner of inspiration and innovation with an industry leader in digital transformation within health plans. Pravat Rout, Co-Founder & Chief Executive Officer at Inovaare, joins the podcast to explain why he chose to exclusively address the compliance needs of payers in the healthcare industry. Pravat discusses how ensuring and monitoring compliance drives growth and improves member experience, as well as some specific challenges payers currently facing. Under Pravat’s leadership, Inovaare has emerged as a trusted partner for healthcare organizations seeking to navigate the digital landscape while prioritizing regulatory compliance and exceptional member experience.

Listen on Spotify, Apple, Amazon Music, and Google Podcasts.

About Inovaare

Inovaare transforms complex compliance processes by designing configurable AI-driven automation solutions so healthcare organizations can collect real-time data across internal and external departments, creating one compliance management system. Inovaare’s comprehensive suite of HIPAA-compliant software solutions features best-practice regulatory processes to help healthcare organizations efficiently meet their unique business requirements, sustain audit readiness, reduce non-compliance risks, and lower overall operating costs.

Inovaare offers highly configurable healthcare compliance automation solutions, which streamline and automate compliance and business processes and help healthcare organizations reduce risk, lower operational costs and increase compliance visibility.

Inovaare’s approach to CMS and state-level compliance is fundamentally different from conventional methods because its systems enable compliance teams to monitor organizational performance at the source, in real-time.

No more time lag. No more reliance on IT to create and deliver the reports you need. No more waiting on operational areas to send you KPIs you haven’t validated. No more wondering where your first-tier, downstream, and related (FDR) delegated entities stand.

Inovaare empowers you with direct access to the operational data you need, in the form and format that meets your requirements — as well as CMS requirements — by delivering accurate, efficient compliance solutions in real-time.

To learn more, visit inovaare.com.

#MillenniumLive: Measuring the Success of Customer Service Investments

We are delighted to welcome a great partner with mission to end bad customer service by empowering enterprises with a modern AI-powered contact center platform to improve customer experiences, increase efficiency, and grow revenue. Shannon Flanagan, VP & GM of Retail & Consumer Goods at Talkdesk, joins the podcast with a passion and a ton of experience multifaceted aspects of the retail industry. Shannon is very familiar in delivering exceptional customer experiences and how to develop an operating model to make happen. She discusses the many ways Talkdesk helps organizations deliver modern customer service that drives business growth and improves the bottom line. Tune into this episode learn more about how modern customer service is the edge your business needs.

 

Listen on Spotify, Apple, Amazon Music, and Google Podcasts.

About Talkdesk

Talkdesk® is a global cloud contact center leader for customer-obsessed companies. Their automation-first customer experience solutions optimize their customers’ most critical customer service processes. Talkdesk’s speed of innovation, vertical expertise, and global footprint reflect their commitment to ensuring that businesses can deliver better experiences across any industry and through any channel, resulting in higher customer satisfaction and accelerated business outcomes.

To learn more visit www.talkdesk.com.