What You Should Know:
- Blue Shield of California and Salesforce are joining forces to tackle a major pain point in healthcare: the lengthy and often frustrating process of prior authorizations.
- The new AI-powered platform solution, built on Salesforce Health Cloud, aims to deliver near real-time prior authorization decisions, streamlining healthcare delivery and improving patient experience.
Addressing the Burden of Prior Authorizations
Prior authorizations are a
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Health IT | News, Analysis, Insights - HIT Consultant
Value-Based Care is Growing – Is Your Data Ready?
The famous quote “What gets measured, gets managed” is often incorrectly attributed to business guru Peter Drucker. Although Drucker may not believe that maxim entirely, when it comes to value-based care (VBC), only care quality that can be measured and reported matters.
Whether it is capitated, bundled, pay-for-performance, or hybrid VBC reimbursement models, the Centers for Medicare and Medicaid Services (CMS) and other payers typically have significant demands regarding quantitative data
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The Fine Print of Health Insurance: Why Surprise Bills Are So Common?
Surprise medical bills can be a major headache for anyone, but they can be annoyingly common for those with high-deductible health insurance plans (HDHPs). In fact, half of patients with an HDHP state they have received a surprise medical bill, even though they have insurance coverage.
High-deductible plans typically feature lower monthly premiums but higher out-of-pocket expenses. However, these plans can leave patients on the hook for unexpected medical costs that they may not be able to
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Internal Patient Feedback Benchmarking Metrics Improves Care
Healthcare professionals recognize the power of patient feedback. Many even consider this data to be the lifeline of their organization. In an age where buyer power is in the hands of the patient, staying ahead means constantly improving provider performance and patient outcomes. When patients notice these improvements, they are more likely to leave positive feedback, which, over time, enhances an organization’s reputation.
Collecting patient satisfaction survey responses and benchmarking
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CVS Health Appoints David Joyner as New CEO
What You Should Know:
- CVS Health has announced the appointment of David Joyner as its new President and Chief Executive Officer, effective October 17, 2024.
- Joyner succeeds Karen Lynch, who has stepped down from her position. This leadership transition comes as CVS Health also released preliminary financial results for the third quarter of 2024.
New Leadership at CVS Health
David Joyner brings extensive experience in healthcare and pharmacy benefit management to his
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33% of Patients Delay Diagnostic Tests, 78% Fear Blood Drawn, Survey Reveals
What You Should Know:
- A recent survey by Tasso, Inc., a provider of patient-centric blood collection solutions reveals 33% of patients delay or avoid diagnostic blood tests, with the top reasons being inconvenient testing locations and discomfort during blood collection.
- The survey, Patient Preferences, Perceptions, and the Evolving Challenges of Ensuring Patient Compliance With Diagnostic Healthcare Testing, which polled over 600 adults in the U.S., highlights significant
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Bridging Healthcare’s Digital Divide: The Interoperability Imperative
In today’s intricate healthcare landscape, seamless data exchange across diverse systems has shifted from a convenience to a critical ethical and business imperative. Interoperability has become the foundational element that enables healthcare IT systems to communicate effectively and exchange real-time data across the continuum of care. This capability is vital for optimizing clinical workflows, enhancing patient outcomes, and ensuring compliance with regulatory mandates such as the ONC and CMS
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Google Cloud Report: How Generative AI Can Tackle Administrative Burdens
What You Should Know:
- A new research report from Google Cloud sheds light on the significant administrative burden faced by healthcare professionals and the potential for generative AI (gen AI) to alleviate these challenges.
- The report, "Measuring the administrative burden on U.S. healthcare workers—and how generative AI can help," reveals that clinicians spend a substantial amount of time on administrative tasks, contributing to burnout, staff shortages, and reduced time
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Bluesight Acquires Sectyr to Enhance 340B Compliance and Audit Capabilities
What You Should Know:
- Bluesight, a provider of Medication Intelligence™ solutions for healthcare organizations, has acquired Sectyr, a top-tier compliance and audit management platform. Financial details of the acquisition were not disclosed.
- The strategic acquisition expands Bluesight's offerings to include robust 340B audit and compliance tools, addressing the growing needs of its customers in navigating the complexities of the 340B Drug Pricing Program.
Sectyr:
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Google Research Expands AI-Powered Diabetic Retinopathy Screening to India and Thailand
What You Should Know:
- Google Research is taking a significant step towards reducing preventable blindness by expanding access to its AI-powered diabetic retinopathy screening model in India and Thailand.
- This initiative aims to address the growing need for accessible and efficient screening in regions with limited access to eye care specialists.
The Growing Threat of Diabetic Retinopathy
Diabetes is a global health concern, with an estimated 537 million adults living
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