Insights from the minds at Cognosante

Interoperability Part 2: Data Sharing to Improve Patient Experience

Achieving a fully interoperable healthcare system requires solving complex data challenges. As a founding member of the Da Vinci Project, Cognosante works with industry partners to build the foundation for smooth and safe movement of patient data throughout the healthcare system.   Currently, the Da Vinci Project team is working to enable prior authorization review and approval in […]
Data and Technology, Federal health programs, State health and human services

Interoperability Part 1: Addressing Complex Data Challenges Across the Healthcare System

One of the most complex data challenges in healthcare is interoperability. Data standards can improve the way we experience healthcare, but that means taking numerous stakeholders, multiple data standards, and transmission of large amounts of clinical and administrative data into consideration.  During these emergent times of COVID-19 pandemic management, it’s critical to ensure data moves […]
Data and Technology, Federal health programs, Military and Veterans' health, State health and human services

National provider call center delivers exceptional customer support to provider community

Healthcare providers have been required to enroll in many disparate programs to provide and be reimbursed for services under Federal, state, and commercial healthcare plans. The move to a National Provider Identifier (NPI) and the enactment of legislation like the Health Information Technology for Economic and Clinical Health (HITECH) Act have increased the need for […]
Federal health programs, State health and human services

Cognosante supports launch of FFM agent and broker training program

In preparation for the 2016 open enrollment season, the Centers for Medicare & Medicaid Services (CMS) updated its Federally Facilitated Marketplace (FFM) Agent and Broker training curriculum. Solution: Cognosante developed a comprehensive support plan for MLMS system users based on our extensive call center expertise and our experience serving the broker and agent community. Prior […]
Federal health programs

Modernizing Medicaid managed care

The “mega” Medicaid managed care rule released this spring by the Centers for Medicare and Medicaid Services (CMS) set in motion a long-overdue overhaul of managed care programs in Medicaid and the Children’s Health Insurance Program. As managed care plans oversee larger percentages of enrollees and benefits, the pressure on state Medicaid agencies to ensure […]
Federal health programs, State health and human services

Investing in Medicaid IT

As the nation’s largest public insurance program, Medicaid provides health insurance to 1 out of every 5 Americans. The program supports individuals from birth to end-of-life, paying for approximately 45 percent of births nationwide and more than 50 percent of long-term care services and support, including nursing home care and home and community based services. […]
Federal health programs, State health and human services