Jake Smith

Story time! George Brown college is shaping the next generation of business analysis leaders; from AI to health informatics. Learn how how their pioneering programs and partnership with IIBA are preparing graduates to thrive in a rapidly changing world: https://lnkd.in/ggTs8BK2 #BusinessAnalysisLeaders #BusinessAnalysis #HealthInformatics

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Check out Analytica’s latest blog by our SMPIR Deputy Director, Emily Hobbs, MBA, PMP, exploring the impact data transparency is having on Medicaid oversight. This article highlights key trends in the federal health space and how they align with emerging technologies shaping the future of oversight. 🔗 Read the full blog here: https://lnkd.in/gr5c8yik #Analytica #Analytical #FedTech #PublicSector #HealthTech #DataTransparency #Medicaid

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How can state Medicaid agencies use data to improve care and outcomes? A new guide, “From Data to Decisions: Best Practices for Using Data Analysis to Inform Medicaid Policies and Programs,” offers practical strategies for using data to design, evaluate, and strengthen health initiatives. Westat’s Dominick Esposito, PhD, coauthored the guide, which was developed by the Center for Health Care Strategies with support from the Helmsley Charitable Trust. Find out how these insights can help transform Medicaid programs nationwide: https://lnkd.in/eAn9jF8K

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The transition to National Council for Prescription Drug Programs (NCPDP) standards starts now, even though CMS has set a 2028 compliance deadline for state Medicaid agencies. Our latest blog outlines five reasons to start planning early and provides a framework to help Medicaid pharmacy administrators get ahead: https://lnkd.in/gwMjgNZW Modernizing Medicaid pharmacy infrastructure is critical—early migration planning ensures compliance and program integrity.

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The CMS Innovation Center is winding down four payment models — including two focused on primary care. At first glance, it might look like a step back from value-based care. But a closer look reveals a more deliberate strategy taking shape: 🔹 Fewer, more focused models 🔹 Greater emphasis on national, risk-bearing frameworks 🔹 Clearer alignment with long-term system transformation In this article by Gabe Drapos, Pearl Health's Chief Operating & Compliance Officer, and Michael M., VP of ACO Operations & Strategy, we break down why models like Primary Care First and Making Care Primary are ending — and what the continuation of ACO REACH tells us about where value-based care may be headed. 📖 Read the full analysis: https://lnkd.in/dSRp2fRB #valuebasedcare #primarycare #ACOREACH #healthpolicy #healthcareinnovation

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Efficient document management is essential for strong public health operations — but finding the right system can be challenging. In a new resource from ASTHO’s STAR Center, Colton Anderson offers practical guidance to help agencies and organizations assess their needs, compare options, and choose a document management system that best supports efficiency, collaboration, and long-term success. Learn more: https://lnkd.in/e6y5xh7s. Centers for Disease Control and Prevention CDC State, Tribal, Local, & Territorial Support National Network of Public Health Institutes Public Health Accreditation Board

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Abe Sutton joins Duke-Margolis Institute for Health Policy for a deeper dive into the Center’s new strategy. This will be followed by three dynamic panel discussions featuring experts across health policy, health care, academia, and the private sector sharing their perspectives on implementation of the Center’s strategic pillars. Panel 1: Evidence-Based Prevention: From Reducing Risk Factors to Avoiding Unnecessary Complications from Chronic Diseases Panel 2: Empowering Patients and Providers: Understanding the Role of Technology and Data to Drive Engagement Panel 3: Increasing Competition Across Models: Leveraging Accountable Care to Improve Transparency and Improve Affordability Register: https://duke.is/8/krz3  

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Modernizing EDI is no longer optional for healthcare payers—it’s a game-changer. In today’s data-driven healthcare landscape, legacy EDI systems struggle with high costs, limited visibility, and scalability challenges. Prolifics’ EDI Modernization for Healthcare (EM4H) is here to transform that reality. With an open, scalable, and fully customizable solution, EM4H empowers payers to streamline operations, ensure 100% HIPAA compliance, and process 10X the transaction volume of traditional systems—all while reducing TCO. From real-time transaction tracking to seamless cloud integration, EM4H delivers unmatched efficiency and transparency. Why it matters: ✅ Lower costs, no vendor lock-in ✅ Advanced X12 & HIPAA validation without coding ✅ Extreme throughput with in-memory orchestration ✅ Infinite integration with AI, FHIR, and BI tools Ready to revolutionize your EDI processes? Contact Prolifics for a free consultation and download our whitepaper, Revolutionizing Healthcare: Prolifics’ Game-Changing EDI X12 Integration Solution, to learn how EM4H drives innovation and interoperability. ➡️https://lnkd.in/gU39WNCm #HealthcareInnovation #EDIModernization #DigitalTransformation #Prolifics #HealthcarePayers"

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State Medicaid Agencies used to wait months for performance data, but real-time analytics now provide instant visibility into enrollment patterns, MCO performance, and budget variances. H.R. 1's new transparency requirements make integrated data systems essential infrastructure for state agencies. ⚡Our latest blog examines how centralized platforms help states track population health risks and turn compliance monitoring into proactive intervention. Curious to know more? 📍Meet our team at the MESC booth #604 to discuss real-time analytics for Medicaid modernization. 🚀 Read the blog: https://lnkd.in/gUm7k5mp #MESC2025 #MedicaidAnalytics

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With an expanding IT project portfolio and inconsistent oversight, a large health system required stronger governance and a clearer delivery framework. Explore how a PMO‑as‑a‑Service model provided the structure needed to manage execution and adapt to shifting priorities.

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Improving health care and government programs isn’t about politics. It’s about good data, smart evaluations, and building a system that works better for everyone. Our new slideshow explains how deep staffing cuts at ASPE, a key office within HHS, threaten the work of making government more efficient — and why that should matter to all of us.

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New research from MERGE! We analyzed 13 leading health plan portals and uncovered a significant opportunity to differentiate: Nearly one-third of portals fail to meet basic usability standards. Get access to the full findings: https://okt.to/AohWSD. Our CEO, Stephanie Trunzo, shares, "The organizations that win will be those that see their portal not as a digital tool, but as a living relationship that honors the individual through empathetic, intentional experience design.” Nasim Afsar, MD MBA MHM, Health Tech Executive adds, “In a world where the consumer has choice, they're going to choose the engagement where they feel seen and receive value." Turn this gap into your greatest opportunity for growth.

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Easily summarize project data and narrative reports with the new Amp Impact Agentforce extension—now available on the Salesforce AppExchange. 🤖 Simply ask a question in plain language, and an AI agent provides clear summaries of your project and program data, saving you time and simplifying decision-making. As the first nonprofit-focused Agentforce app on the AppExchange, this solution brings AI-powered insights tailored to the needs of social impact organizations. Here’s how it works: ✅ Quickly generate summaries of Amp Impact Projects and related records with Agentforce Prompts ✅ Provide funders with real-time insights and impact summaries to strengthen transparency and accountability ✅ Configure workflows to meet your organization’s specific needs—delivering tailored insights with Agentforce and Amp Impact Explore the AppExchange listing to see how we can support your work: https://ow.ly/B8x650Vf4Ao #Salesforce #TechForGood #SocialImpact

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On Tuesday 04/29: At the Healthcare IT Connect Bootcamp, we’re diving into one of the most pressing conversations in Medicaid at the moment ▶️ Responsible AI Join us for the session featuring Michael Barabe, Emma Liebman, Sean Harrison, and Verlon Johnson at “Ensuring Trust in AI-Driven Prior Authorization: A Team Approach to the Future of Medicaid.” Expect real-world prior authorization use cases, alongside insights into the federal landscape from MACPAC and Washington State Health Care Authority's approach to AI readiness. Additionally, learn how Acentra Health is integrating responsible AI to improve operational efficiency and free providers to focus on patient care. #medicaidinnovation #AIinhealthcare #priorauthorization #responsibleAI #medicaidIT #medicaidAI #smartmedicaid

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