Industry Trends
Patient Health Records can help consumers comprehend core benefit concepts, the choices they can make, and the financial implications of those decisions, resulting in more informed, cost-aware members. Members/consumers are increasingly showing interest for the offerings from health plans which would provide the capability to view and annotate their health records and provide avenues for measuring health and service outcomes overtime.

Industry Trends
Through the past decade, Disease Management has been able to streamline the use of health benefits while reducing claims and absenteeism. This has lead to increased productivity, employee morale and better employee-employer relationship. Now, there are new trends emerging in the industry.

Industry Trends
Although Healthcare Payers have made significant investments in technology and business processes to improve the auto-adjudication or the 'first pass' rate, to minimize intervention by claim analysts, significant percentage of claims still require adjustments and manual adjudication. Moreover high level of auto-adjudication desensitizes claims edits and fails to recognize benefit variations and may result in high amount of claims requiring post payment adjustments.