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Health IT | News, Analysis, Insights - HIT Consultant

Cityblock Expands Access for High-Risk Medicaid Members in Ohio

by Fred Pennic 01/09/2024 Leave a Comment

Cityblock Expands Access for High-Risk Medicaid Members in Ohio

What You Should Know: - Buckeye Health Plan and Cityblock are teaming up to provide integrated, community-based care to approximately 10,000 underserved Medicaid recipients in the Cleveland-Akron-Canton area. - The strategic partnership promises to redefine healthcare delivery for vulnerable communities, prioritizing whole-person health and tackling barriers to access in Ohio. Building Bridges, Improving Outcomes Buckeye is a leading Ohio Medicaid managed care plan serving over
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How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

by Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Sr. Director of Revenue Integrity at XSOLIS 01/09/2024 Leave a Comment

How AI is Changing the Conversation Around Hospital Denials – and Improving Financial Implications in the Process

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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Making Informed Decisions: What You Need to Know Before Hiring a Software Expert for a Healthcare Project

by Marcin Wudarczyk, PhD, CEO of GoSolve 01/09/2024 Leave a Comment

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

by Jasmine Pennic 01/09/2024 Leave a Comment

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

by Jasmine Pennic 01/08/2024 Leave a Comment

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

by Fred Pennic 01/08/2024 Leave a Comment

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

by Fred Pennic 01/08/2024 Leave a Comment

Harris Expands 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

by Fred Pennic 01/08/2024 Leave a Comment

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

by Fred Pennic 01/05/2024 Leave a Comment

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

by Executive Digital Health Hires 01/05/2024 Leave a Comment

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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Digital Health Funding Q3 2025: Choppy Undercurrents Beneath a Steady Surface

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Oracle Confirms Layoffs in Kansas City

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Sutter Health and Epic Launch "Sutter Sync" to Optimize Remote Chronic Care

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