Of the many complexities within the healthcare industry, medical necessity determinations can be the most challenging – and pose one of the greatest barriers to efficient revenue cycle processes and appropriate reimbursement. Complex medical necessity policies that differ between payer, diagnosis, and presentation have muddled utilization review (UR) and revenue cycle processes for years, driving waste and friction between providers and payers that has only intensified since the pandemic.
In
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Health IT | News, Analysis, Insights - HIT Consultant
Making Informed Decisions: What You Need to Know Before Hiring a Software Expert for a Healthcare Project
Hiring professional software experts is crucial for business owners looking to develop or enhance their software systems. However, finding the right vendor is often a daunting challenge that may lead to long-term consequences.This article provides comprehensive guidelines on what healthcare business owners need to know before choosing the right software vendor. By understanding delivery models, the importance of checking references, and paying attention to the details that differentiate between
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Care Continuity Secures $10M to Turbocharge Patient Navigation
What You Should Know:
- Care Continuity, a leading provider of data-driven patient navigation solutions, has secured $10M in Series A-3 funding, fueling its mission to streamline healthcare journeys and optimize network utilization. The investment, co-led by Empactful Capital & Viewside Capital Partners with participation from Flat Creek Capital and Loop 289 Limited Partners, empowers Care Continuity to further enhance its platform and reach, impacting both providers and patients across
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Ventra and ADVOCATE RCM Merge to Create Revenue Cycle Management Powerhouse
What You Should Know:
- Healthcare industry leaders Ventra Health and ADVOCATE RCM announced a groundbreaking merger today, joining forces to become one of the nation's largest and most advanced providers of end-to-end revenue cycle management (RCM) services.
- This strategic move expands Ventra's reach beyond its core specialties in anesthesia, emergency medicine, and hospital medicine, while ADVOCATE RCM gains access to Ventra's extensive resources and network.
Merger Impact
Ventra
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Socially Determined and Uber Health Partner to Bridge Healthcare and Social Needs
What You Should Know:
- Socially Determined, the leading social risk analytics company, and Uber Health, the healthcare platform for seamless benefit coordination, have announced a partnership to empower individuals and families facing common healthcare challenges.
- The strategic joint effort focuses on connecting vulnerable Medicaid, Medicare Advantage, and commercially insured beneficiaries with critical supplemental benefits like transportation, food delivery, and medication
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Harris Acquires MEDHOST to Expand Healthcare Footprint
What You Should Know:
- Harris, a global vertical market software provider, acquires MEDHOST, Inc., a prominent player in electronic health records (EHR) and healthcare IT solutions to bolster its healthcare offerings.
- The strategic acquisition also encompasses MEDTEAM Solutions, a dedicated service provider specializing in application, revenue cycle, IT, and security management.
Strengthening Community Healthcare
MEDHOST brings to the table a comprehensive suite of clinical and
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GE HealthCare Acquires MIM Software to Enhance Precision Care
What You Should Know:
- In a move poised to reshape the landscape of precision care, GE HealthCare (Nasdaq: GEHC) has announced the acquisition of MIM Software, a provider of medical imaging analysis and AI solutions.
- This strategic acquisition strengthens GE HealthCare's commitment to developing smart, interconnected devices and digital solutions that empower clinicians to deliver more precise, personalized care across various specialties.
Fueling Innovation in Precision
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Nabla’s AI Assistant Gets $24M Boost to Combat Clinician Burnout and Streamline Care
What You Should Know:
- Nabla, a Boston, MA-based ambient AI assistant for healthcare professionals, announced today the initial close of a $24M Series B funding round led by Cathay Innovation, with participation from ZEBOX Ventures.
- The latest round of funding brings Nabla's total funding to over $43M and fuels its mission to revolutionize healthcare delivery by empowering clinicians and improving patient care.
Easing the Burden of EHRs:
Clinicians often cite managing the
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Healthy.io Appoints Geoff Martin as CEO to Drive Commercial Expansion and Global Impact
What You Should Know:
- Healthy.io, the pioneer of smartphone-powered at-home kidney testing, announced Geoff Martin, a seasoned healthcare executive, will take the reins as CEO, while founder Yonatan Adiri transitions to the role of President.
- This move marks a pivotal moment for the company as it enters a new phase of growth, aiming to expand its reach and impact on global healthcare.
Martin's Proven Track Record for Growth
Geoff Martin brings extensive experience in
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Advanced Analytics Can Change the Game for Consumer Healthcare Services
Data has become the lifeblood of healthcare, making it possible to gain granular insights that enable more effective and precise patient-centric care. Yet, we have just scratched the surface of data analytics’ potential impact on optimizing segments of healthcare that need it most, such as the surging arena of consumer health.
Of the four key types of data analytics – descriptive, diagnostic, predictive, and prescriptive – only the first two are effectively used in managing healthcare
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