Bain-Capital-backed revenue cycle management company Waystar is acquiring Digitize.AI, an artificial intelligence firm, to enable faster and smarter prior authorizations in healthcare – one of the largest pain points for both providers and consumers.Financial Impact of Prior AuthorizationsPrior authorizations, the process by which insurance companies and payers determine if they will cover a prescribed procedure or medication, are meant to help patients avoid surprise bills and unexpected
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Medsphere Integrates CloudMedx AI Engine With CareVue EHR Platform
Medsphere Systems Corporation, the leading provider of affordable and interoperable healthcare information technology (IT) solutions and services, announced the integration of Artificial Intelligence (AI) capabilities to the company’s comprehensive CareVue electronic health record (EHR) platform. CareVue’s complete clinical and financial suite of applications now include an AI engine developed by CloudMedx that gives clinicians and administrators the power to pull meaningful and actionable
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Atrium Health Taps Prenatal App Babyscripts for Remote Pregnancy Care
Babyscripts, the leading virtual care platform for managing obstetrics, announced today that they are teaming up with Atrium Health, one of the nation’s most highly integrated not-for-profit healthcare systems based in Charlotte, N.C. The collaboration provides pregnant patients who receive care at Atrium Health access to the Babyscripts app during the entirety of their prenatal journey and beyond.The Babyscripts mobile app provides access to education on pregnancy, content about baby
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Cigna Leads $23M Series D in Specialized AI Company, GNS Healthcare
Today, Cigna Ventures (CV), the corporate venture fund of global health service company Cigna, announced that it’s leading a $23M Series D round of funding in GNS Healthcare (GNS), a highly specialized AI company that turns millions of data streams into personalized insights that precisely match the appropriate clinical care/treatment intervention to the right patient at the right time.Cigna joins other leading carriers and health plans and GNS investors, including Cambia Health Solutions, Echo
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care
A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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AI in Healthcare: Enhancing Risk Models to Predict the Future Cost of Care
Traditionally, providers and health systems have relied on claims-based risk models, such as the CMS-HCC, ACG, and DxCG, which were built to forecast the risk of populations, but not at an individual level. While these models give a fairly good estimation of the risk of the population, they exhibit unsatisfactory estimation if used to predict the risk at an individual level.Innovaccer Inc., a healthcare data activation company, has taken a major step towards revolutionizing the way we identify
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Providence St. Joseph Health & Microsoft Form Alliance to Deliver Healthcare Innovations
Providence St. Joseph Health (PSJH), one of the nation’s largest health systems, announced today that it will enter into a multi-year strategic alliance with Microsoft that will enable PSJH to bring new solutions to the market to address clinical and operational needs, which will ultimately streamline and improve the patient and caregiver experience. This alliance will result in an innovative facility that will showcase cloud technology, AI and data, and analytics to increase the chances of more
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Cerner Appoints Tracy Platt As New EVP & Chief Human Resources Officer
Cerner announced today the appointment of Tracy Platt as its new Executive Vice President and Chief Human Resources Officer, effective July 15th. Under her leadership, she will be responsible for leading the company’s global Human Resources (HR) function, including organization development, integrated talent management, leadership development , and culture. Platt has more than 20 years of experience and joins Cerner after spending nearly 10 years in executive HR roles at Medtronic, a global
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KLAS: Are Revenue Cycle Outsourced Services Worth The Investment?
One-third of providers have buyer’s remorse when it comes to purchasing revenue cycle outsourcing services, according to a recent KLAS report. Provider organizations investing in outsourced revenue cycle services to relieve cost and resource burdens need their firms to take true ownership of the complex revenue cycle and deliver accordingly.For the report, KLAS spoke to 140 provider organizations using RCO or EBOS to determine which firms are delivering and which are falling behind. The KLAS
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Physician Launches Orsini Way to Bring Compassion to Medical Communication
Dr. Anthony Orsini has announced the launch of his new company, The Orsini Way, a groundbreaking program and digital platform that shows healthcare professionals a completely new way to communicate, dramatically enhance patient satisfaction and improve outcomes. Anthony Orsini, a Board-Certified Neonatologist for more than 20 years, developed the program to help professionals practice compassion when interacting with patients.Originally founded as BBN, The Orsini Way’s initial goal was to help
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