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Health IT | News, Analysis, Insights - HIT Consultant

Innovation Key to Tackling Medicaid Redetermination Challenge

by Chris Oskuie, VP, State & Local Government &Education Sales at Software AG Government Solutions 10/18/2023 Leave a Comment

Innovation Key to Tackling Medicaid Redetermination Challenge

As a result of the Families First Coronavirus Response Act (FFCRA), Medicaid programs were required to keep citizens continuously enrolled through the COVID-19 public health emergency (PHE). These continuous enrollments ended on March 31, 2023, resulting in what many call the unwinding of Medicaid.  In June, the Kaiser Family Foundation (KFF) estimated that between 8 million and 24 million people will lose Medicaid coverage during the unwinding of the continuous enrollment provision. The
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Inovalon & AWS to Develop AI/ML Solutions for Healthcare

by Jasmine Pennic 10/17/2023 Leave a Comment

Inovalon Launches Race & Ethnicity Data Enrichment Offering for Health Plans

What You Should Know:  Amazon Web Services and Inovalon announced a collaboration to develop AI and ML-based solutions for healthcare organizations to improve patient outcomes and cost-savings.  - The collaborated capabilities are being developed for multiple applications across the broader Inovalon ONE® Platform, the Company’s SaaS-based software platform supporting more than 20,000 customer organizations across the healthcare ecosystem. The initial offerings will focus on risk
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No More Surprises: Automation Ensures Compliance, Mitigating Penalties

by Eric Demers, CEO of Madaket Health 10/17/2023 Leave a Comment

No More Surprises: Automation Ensures Compliance, Mitigating Penalties

The No Surprises Act (NSA) is a bipartisan effort to protect patients from unexpected healthcare expenses. This law is good news for patients, with a KFF poll showing that 1 in 3 insured adults between 18 and 64 received an unexpected medical bill in the prior two years. The NSA aims to make the cost of care more transparent and minimize surprise billing, which can cause significant financial burdens through higher out-of-pocket expenses and denied claims. Under the NSA, patients now receive
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Rite Aid Files for Chapter 11 Bankruptcy

by Jasmine Pennic 10/16/2023 Leave a Comment

Rite Aid Bankruptcy Chapter 11

What You Should Know: - Rite Aid filed for Chapter 11 bankruptcy protection on Sunday to address its $4B debt load and legal battles for allegedly filing unlawful opioid prescriptions. - Last Thursday, Rite Aid filed a notice to the US Securities and Exchange Commission (SEC) stating an inability to file its latest quarterly financial report due to exploring “strategic alternatives.” Interim Plans During Bankruptcy To support itself during the bankruptcy process, Rite Aid established
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Embracing a Forward-Thinking Vision to Address the Senior Care Crisis

by Francis LeGasse, Jr., Owner & Managing Partner, Assured Senior Living & Katherine Wells, CEO, Serenity Connect 10/13/2023 Leave a Comment

Embracing a Forward-Thinking Vision to Address the Senior Care Crisis

A demographic shift is looming, and we aren’t as prepared as we think. Colorado has long been revered for its stunning landscapes and outdoor pursuits, earning a reputation as a state with a youthful and active population – but, we are aging. By 2050, Colorado’s number of older adults is expected to more than double to 1.7 million, second only to Alaska in the U.S. for the fastest-growing population of people over 65. Nationwide, the 85 and older population is projected to more than double
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KLAS Unveils 2023 Top 20 Emerging Solutions

by Fred Pennic 10/12/2023 Leave a Comment

KLAS Unveils 2023 Top 20 Emerging Solutions

What You Should Know:  KLAS Research presented the 2023 KLAS Top 20 Emerging Solutions awards at HLTH 2023, highlighting the top 20 emerging healthcare solutions with the greatest potential to disrupt and improve healthcare. Selected by healthcare leaders working with KLAS, the solutions were rated on how well they could advance the “Quadruple Aim of Healthcare” – improve outcomes, reduce the cost of care, improve the patient experience, and improve the clinician
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Mount Sinai, UCSD Awarded $8.5M to Establish Data Integration Hub

by Fred Pennic 10/12/2023 Leave a Comment

Mount Sinai, UCSD Awarded $8.5M to Establish Data Integration Hub

What You Should Know:  - Researchers at the Icahn School of Medicine at Mount Sinai and the University of California San Diego have been awarded an $8.5 million grant to create a data integration hub aimed at accelerating novel therapeutics and cures for diseases within initiatives supported by the National Institutes of Health (NIH) Common Fund. - NIH Common Fund programs are large-scale projects designed to collect cutting-edge biomedical research data from human cells, tissues, and
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Health M&A: Financial Distress Driving Q3 Healthcare Deals

by Fred Pennic 10/12/2023 Leave a Comment

Health M&A: Financial Distress Driving Q3 Healthcare Deals

What You Should Know:  - More than one-third of hospital and health system transactions announced in Q3 2023 involved a  party that cited financial distress as a transaction driver, according to Kaufman Hall’s latest mergers and acquisitions (M&A) report. The reports reveal third quarter M&A activity remained high with 18 announced transactions resulting in $8.2B in total transacted revenue. - Kaufman Hall experts say transaction activity is regaining momentum as hospitals,
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M&A: WellSky’s Acquires Corridor to Expand Medical Coding & RCM Services

by Jasmine Pennic 10/12/2023 Leave a Comment

WellSky’s Acquires Corridor to Expand Medical Coding & RCM Services

What You Should Know:  - WellSky, a health and community care technology company, announced it has acquired Corridor, an end-to-end tech-enabled services platform for the post-acute care industry, from HealthEdge Investment Partners. Financial detials of the acquisition were not disclosed.  - By adding Corridor to its portfolio, WellSky will expand its medical coding and revenue cycle management (RCM) offerings to help care providers increase efficiency and improve performance
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The Role of Qualified Medical Interpreters in Achieving Section 1557 Healthcare Compliance

by Carla Fogaren R.N., Certified ADA Coordinator, Principal Consultant for AMN Healthcare Language Services 10/11/2023 Leave a Comment

The Role of Qualified Medical Interpreters in Achieving Section 1557 Healthcare Compliance

For the last decade, Section 1557 has been at the center of many changes and today, it continues to be as the Biden administration is working to take giant steps towards restoring and strengthening some civil rights protections for people in many health-related programs and activities that receive funding from the federal government. Section 1557, known as the “Health Care Rights Law,” is the main nondiscrimination provision of the Affordable Care Act (ACA). It prohibits discrimination in
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