Around the world, millions of times a day, clinicians, hospitals and pharmacies submit claims to healthcare plans. In the U.S. alone, nearly $3.2 trillion dollars in payments flow from public and private payers to providers annually. These payers are under constant pressure to process and pay claims quickly, leaving little time for complex analyses of large numbers of claims. While most reimbursements are straightforward, some should not be paid because they are erroneous, inflated or even fraudulent. More...

Today, many affiliate the word “smart” with technology – smart phones, smart TVs, smart homes, etc. - but is infusing the latest technology in all aspects of life necessarily the smart thing to do? Not always. What is smart is to understand what your highest priorities are and invest in those areas to make improvements that produce maximum results. When you then incorporate technology, it is smart to do it in a way that allows you to leverage it for other purposes. More...

Digital transformation success requires anticipating and accommodating change in every area of the organization, including the architecting of IT solutions that run the business and drive digitalization. In fact, evolution is part of the definition of architecture in the ISO/IEC 42010:2011 standard. Change also is a predominant concept in modern software development approaches such as agile and DevOps. More...

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