Healthcare on Overdrive: Why an Enterprise Provider Data Strategy is a Must for Health Plans
In the ever-evolving landscape of healthcare, where labor costs intensify and regulatory complexities surround provider networks and directories, health plans find themselves at a crucial juncture. The need to reimagine their approach to working with providers has never been more apparent. Fragmented engagement, siloed data, and disparate systems are becoming obsolete and unmanageable. To navigate […]
Why Provider Network Management Is Important For Health Plans
Before founding Virsys12, I started my career as a software developer in healthcare and ultimately held roles as a CTO and CIO. It was evident to me that there was room for improvement in the automation of business processes in healthcare to eliminate waste and improve efficiencies. We believe there is no better place to […]
Why We Should Embrace Digital Healthcare
It’s a truism that the pandemic dramatically sped up the digitizing of our lives, with the ubiquity of teleconferencing today being the most obvious manifestation of this trend. But that’s just the tip of the iceberg. Perhaps the most dramatic change has been the rise of digital healthcare–and this is good news for all of […]
How Building Behavioral Health Networks Can Help Solve the Mental Health Crisis
Almost one in five American adults live with a mental illness, up to 51.5 million people in 2019, according to Mental Health America. Depression is one of the leading causes of disability, and people with severe mental health diagnoses die two decades prematurely. The mental health crisis is even more dire for young adults in […]
Virsys12 + Becker’s Hospital Review Webinar
The success of payer-provider partnerships depends on a new level of collaboration. Keeping up with the expectations of members and patients regarding how they access, engage and experience healthcare requires a new type of partnership. At Virsys12, we believe clean, accurate provider data plays a critical role in transforming the business of healthcare. This webinar […]
Keep Your Providers in Network Happy
When it comes to building and managing a provider directory in healthcare, the provider network can be complicated, especially because it must be kept compliant and up to date. Your provider onboarding and credentialing team try their best to juggle it all, but it can be easy for them to fall short. This is largely […]
What ACOs Need to Know to Meet the Demands of ACO REACH and Unlock its Benefits
In an effort to lower healthcare costs and improve quality of care and access to care, the Centers for Medicare and Medicaid Services (CMS) Innovation Center recently cancelled the Geographic Direct Contracting Model and is phasing out the Global and Professional Direct Contracting Models (GPDC) at the end of 2022. Participants that meet requirements will […]
Virsys12 + ProviderTrust Webinar
Executive leadership from ProviderTrust and Virsys12 discuss managing the complexities of provider data and network management for providers and payers. From onboarding and recruiting to contract negotiations to setup of reimbursement models for claims payments, we explore the challenges that face payers and providers across the provider lifecycle and how best to manage in 2022 […]
Accelerating Healthcare Innovation With Cloud Data Analytics
Accelerating Healthcare Innovation With Cloud Data Analytics Cloud technology, machine learning, and in-depth analytics across the healthcare industry are redefining patient care, patient experience, provider experience, and innovation. Learn about the latest trends in healthcare cloud solutions and analytics and how they’re fueling the next wave of healthcare innovation. 3 Ways Cloud Computing Will Redefine […]
Improve Claims Payment Integrity and Reduce Provider Burnout
Why Is Accurate Provider Claims Payment Difficult for Healthcare Payers? Claims processing for payers is a complex process with combination of value based and fee for service models, market expansions, and acquisitions. This process also often requires multiple disparate systems. After layering on the constant changes to provider data and the process to onboard, credential, […]
How Healthcare Companies are Taking Advantage of Intelligent Automation
Healthcare Companies are Taking Advantage of Intelligent Automation One thing that healthcare has an abundance of data… tons of datea. It seems as though every time you make any change to your provider network data a new form is required. And they payer may ask you to fill out the same stack of forms again […]
Get More From Digital Engagement in Healthcare
Is Digital 360 worth the hype? The short answer is “absolutely”. Virsys12 has been in the technology industry for nearly 10 years, and during that time we’ve completed almost 1,000 projects focused primarily on the healthcare industry. Our clients are always looking for better ways to keep healthcare consumers engaged and up to date. From […]
Complex Relationships with Providers in Healthcare
Healthcare organizations have complex relationships with their providers and there are solutions to help with tracking all the steps in Provider Lifecycle Management. Cloud-based technology is available to automate the process of onboarding providers, streamline documentation associated with credentialing and contracting. V12 Network is the digital solution every healthcare organization needs for more productive days […]
Solving the Healthcare Provider Directory Challenge
$2.76 billion annually. Nearly a thousand dollars a month (per provider). That’s how much provider directory maintenance is now costing physician practices nationwide, according to a new survey by the Council for Affordable Quality Healthcare (CAQH). As practices work with more providers and contracts, that tab only gets higher. On the other side of the […]
5 Change Management Practices for Healthcare Transformation Success
The move to value-based care means healthcare leaders today are being tasked with guiding their organizations through massive strategic transformations to improve quality, efficiency and effectiveness. These initiatives involve implementing new systems and processes that affect everything from financing to service delivery to the need for increased connections and collaboration with other entities and providers. […]
Virsys12 Launches a New Podcast to Highlight Healthcare Transformation
How I Transformed This spotlights successful industry leaders. Long before cloud solutions were widely adopted in the healthcare industry, Virsys12 was transforming the business of value-based care with Salesforce. With the increasing speed of change and the complexities in new reimbursement and business models, our innovative team is focused on transforming how healthcare is consumed […]
Just What the Provider and Payer Ordered – A Prescription for V12 Network
One of the most powerful changes in healthcare is taking place as the market moves toward reimbursement changes, whether fee for service or value-based care. There is a blend of payers and providers working together, striving for lower cost and for better outcomes for patients. This new unlikely marriage of previously distant participants in healthcare […]
5.1 Reasons Cloud Technology Projects Succeed
Why do technical project implementations fail? You can search and find a never-ending supply of blog posts and articles describing potential pitfalls and trap doors inherent in any complex implementation, whether you’re working on healthcare technology or any cloud technology project. Wouldn’t it be helpful to know what makes a technical project succeed? Our team […]
Choosing an integration strategy is not a ‘one and done’ activity
We can certainly appreciate this quote from the Data Center Journal article “Data Integration Front Line” highlighting 4 reasons every business should carefully consider how to integrate data for better business. Some strategic technology plans don’t even consider integration. It often comes after the project starts when someone realizes potential for bringing more data in […]