In a time of unprecedented transformation in the healthcare industry, staying informed and inspired is not just a benefit — it’s a necessity. That’s why Elligint Health is proud to bring you Sparking Change, our monthly e-newsletter designed especially for our clients and partners. More than just an update, Sparking Change is your strategic companion — offering insights into innovation, performance, and the people driving progress across healthcare.
3 Things Payers Must Fix Before CMS-0057-F Goes Live
For payer organizations, the new CMS prior authorization final rule isn’t a simple compliance checkbox. It’s a real-time audit of your operational readiness, digital infrastructure, and member-facing workflows. The deadline may be regulatory, but the pressure is strategic. And while the rule becomes enforceable in 2026, your clock starts now. Here’s what you need to understand—and fix—before the lights come on.
July 2025 Edition: Sparking Change Newsletter
In a time of unprecedented transformation in the healthcare industry, staying informed and inspired is not just a benefit — it’s a necessity. That’s why Elligint Health is proud to bring you Sparking Change, our monthly e-newsletter designed especially for our clients and partners. More than just an update, Sparking Change is your strategic companion — offering insights into innovation, performance, and the people driving progress across healthcare.
June 2025 Edition: Sparking Change Newsletter
In a time of unprecedented transformation in the healthcare industry, staying informed and inspired is not just a benefit — it’s a necessity. That’s why Elligint Health is proud to bring you Sparking Change, our monthly e-newsletter designed especially for our clients and partners. More than just an update, Sparking Change is your strategic companion — offering insights into innovation, performance, and the people driving progress across healthcare.
Optimizing Care Management with Automated Workflows
In today’s complex healthcare landscape, effective care management requires seamless coordination across multiple disciplines, including care management, utilization management, care coordination, disease management, and population health management. Automated solutions enhance efficiency, but without well-structured workflows, even the most sophisticated technology can fall short of delivering optimal outcomes.
Medicare Advantage: Can At-Risk Models Deliver Better Care?
A recent study published in JAMA Network Open suggests that physician groups operating under at-risk Medicare Advantage (MA) payment models (2-sided risk) may be delivering higher-quality, more efficient care than their fee-for-service (FFS) counterparts.
Leading and Managing Medicare Shared Savings Programs in a Time of Transition
For healthcare organizations and providers involved in a Medicare Shared Savings Program (MSSP), 2025 is truly a time of transition and a little uncertainty. When colleagues recently asked for my thoughts on MSSP this year, the old saying “May you live in interesting times” kept coming to mind.
Data-Driven Impact in Healthcare: A Success Story
At HealthEC, we know that healthcare isn’t just about data—it’s about lives. That’s why we approach our work with empathy and humility, understanding that behind every metric are real people. This approach, combined with robust data insights, leads to meaningful change.
FHIR’s Impact on Patient Outcomes & Engagement: HL7 and VirtualHealth Experts Chat
FHIR has gotten a lot of attention in recent months due to the push for FHIR-based APIs under the new CMS-0057-F ruling in January for prior authorization and interoperability. Specifically, this pushed for greater data transparency and sharing for providers, payers, and patients, with the singular goal of making healthcare more efficient, accurate, affordable, and collaborative. Recently, our Director of Solutions Architecture and resident FHIR expert Huthaifa Khan sat down with Daniel Bach, Community Manager at HL7. During their conversation, Khan and Bach looked at the critical impact of FHIR on patient outcomes and engagement. Below these two experts dive...
Future of Care Chat: Episode 12 – Key Measures of Successful Project Management
When it comes to the successful implementation and management of a medical management platform project, there are a lot of elements to consider. We recently sat down with Tracy Styles, Senior Director of Program Management, who walked us through the key considerations, best practices, and pitfalls to avoid. She’ll also share what makes VirtualHealth’s project approach unique. Check out Future of Care Chat – Episode 12: Key Measures of Successful Project Management below. + Watch Video Here Key Considerations of a Medical Management Platform Project Scope: Ensure all planned work is delivered, meeting defined objectives and requirements. Scope management...