More than 75 million people access comprehensive and cost-effective care through Medicaid, including low-income families, older adults, and individuals with disabilities or chronic conditions.
Given the program’s importance in addressing the health needs of vulnerable populations, optimizing the experiences of Medicaid members and providers is critical. How they interact with the program can impact many outcomes, from member access and care utilization to provider participation and
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Health IT | News, Analysis, Insights - HIT Consultant
Transforming Insurance Verification and Authorizations with AI
Across many healthcare organizations, front-office staff face a significant dilemma: patients seeking help only to be told that their health insurance verification and authorization process could take several days or even months. According to a study by the AMA, more than nine in ten physicians recently surveyed said that prior authorization negatively impacts patient clinical outcomes and, often, leads to treatment abandonment.
This issue mainly arises because current, manual insurance
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Carequality Resolves Dispute Between Particle Health and Epic
What You Should Know:
- Carequality, a non-profit interoperability framework, has successfully resolved a dispute between two of its members, Particle Health and Epic.
- The resolution underscores the strength of Carequality's framework and the community's dedication to upholding trust and responsible data-sharing practices.
Epic-Particle Dispute Resolution Process
The dispute, which centered around allegations of improper data access and exchange practices, underwent a
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Harmony Healthcare IT Acquires Trinisys to Expand Data Management Capabilities
What You Should Know:
- Harmony Healthcare IT, a leading innovator in health data management solutions, has announced the acquisition of Trinisys, a prominent data management company based in Nashville, Tennessee. Financial details of the acquisition were not disclosed.
- The strategic acquisition strengthens Harmony Healthcare IT's position in the market and expands its ability to deliver comprehensive data lifecycle management solutions for healthcare
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Duke Health to Deploy New In-Home Care Model
What You Should Know:
- NTT DATA, a global leader in healthcare IT, and Duke Health, a world-class academic and healthcare system, are collaborating to create a highly interactive and technologically advanced model for augmented home care delivery.
- This new home-care model will integrate multiple technologies, including a GenAI-driven virtual agent from Ellipsis Health, automation, device interoperability, remote patient monitoring and a patient app and portal.
Innovative Care Model
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Nebraska Medicine & CancerIQ Boost Lung Cancer Risk Assessments by 6x
What You Should Know:
- Nebraska Medicine, the clinical partner of the University of Nebraska Medical Center, achieved a nearly 6x increase in lung cancer risk assessment completion through a collaboration with CancerIQ, a best-in-class cancer-focused precision health platform.
- The results of the lung cancer early detection campaign, which focused on risk assessment outside of the clinical setting, will be presented at the upcoming Association of Cancer Care Centers (ACCC) National
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Griffin Health Partners with Vyne Medical to Enhance Patient-Centric Care
What You Should Know:
- Vyne Medical®, a leader in the healthcare industry for improving data and communication process management, announces a partnership with Griffin Health, a 160-bed acute care community hospital serving more than 130,000 residents of the Lower Naugatuck Valley Region in Connecticut.
- To advance its mission of providing consumer-driven healthcare, Griffin Health partnered with Vyne Medical to equip its teams with fast, convenient access to essential patient
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RLDatix Partners with USA Health to Reduce Care Variability
What You Should Know:
- RLDatix, the leading global provider of connected healthcare operations software and services, announced the expansion of its partnership with USA Health, the health system for the University of South Alabama.
- This strategic investment in RLDatix's comprehensive safety suite of solutions will equip USA Health with a 360-degree view of provider performance, empowering the health system to advance its culture of safety and reduce variability in care.
Enhancing
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AthenaHealth Launch athenaOne for Behavioral Health
What You Should Know:
- athenahealth, a leading provider of network-enabled software and services for health care practices and systems nationwide, today announced athenaOne for Behavioral Health, uniquely developed to help Behavioral Health providers deliver coordinated, meaningful, and holistic patient care.
- By seamlessly integrating Behavioral Health and Primary Care into one solution, behavioral health practices can ensure that the patient is at the center of their
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Digital Health Funding in Q3 2024: Strategic Acquisitions and “Tapestry Weaving” Drive Market Evolution
What You Should Know:
- The digital health sector maintained its "small but mighty" trajectory in Q3 2024, characterized by disciplined investments and strategic activities, according to Rock Health’s Q3 Digital Health Funding report.
- While deal counts decreased compared to previous quarters, average investment sizes remained steady, indicating a shift towards more focused funding. This trend, coupled with strategic acquisitions and a focus on enhanced
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