Value-based care and fee-for-service are two kinds of healthcare reimbursement models for pricing healthcare services. While the fee-for-service model is more traditional, the newer value-based care model has been gaining popularity in recent years.Historically, value-based care has been harder to implement in behavioral healthcare due to difficulty measuring outcomes—it isn’t as simple as physical health. But, lately, this has been changing with the help of technology. This has had an impact on
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Health IT | News, Analysis, Insights - HIT Consultant
Revenue Cycle: 3 Reasons Why Waiting for AI Adoption is Costly
Few can miss the increasing role of AI in healthcare. In revenue cycle management (RCM), the last few years have seen the emergence of new technologies for coding and billing. These tools take advantage of natural language processing, deep learning, and other advancements that enable results far superior to the rules-based robotic process automation of the prior generation.
For example, take medical coding. Healthcare providers have historically relied on teams of medical coders – people
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Report: Inaccurate Drug Discount Requests Reach Nearly $1B
What You Should Know:
Kalderos, a data infrastructure and analytics company, identified nearly $1B in inaccurate drug discount requests from 2016-Q1 2023 on its drug discount management platform.The report, titled "Mission Critical: Bringing drug discount stakeholders together so patients win," outlines Kalderos' vision for a new paradigm of cooperation among drug discount program stakeholders in which everyone benefits — particularly patients.
Rising Costs of Inaccurate Drug
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M&A: Apixio and ClaimLogiq Merge to Minimize Reimbursement Inaccuracies
What You Should Know:
Apixio announced it has completed its merger with ClaimLogiq, a healthcare technology business that delivers savings for health plans by reducing claim errors prior to payment. Together, the combined entity will be branded as Apixio.Together, the combination of Apixio and ClaimLogiq’s critical infrastructure, artificial intelligence, and proprietary healthcare data will accelerate the shift toward outcomes-based reimbursement models by reducing costs, minimizing
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Combating Hospital Waste to Reduce Greenhouse Gas Emissions
With the growing concern around the current climate crisis, industry leaders everywhere seek new ways to reduce their carbon footprint. The healthcare industry alone accounts for 8.5% of emissions in the United States, with medical devices and products contributing to a significant portion of the 5.9 million tons of healthcare waste each year. However, healthcare leaders are ready to make a change. In 2022, 61 of the largest U.S. hospital and health sector companies joined the Health Sector
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M&A: BurstIQ Acquires Olive AI’s Business Intelligence Platform
What You Should Know:
BurstIQ, a provider of data-driven healthcare solutions announced it has acquired Olive AI's business intelligence solution. The acquired solution, now known as LifeGraph Intelligence, further enhances BurstIQ's offerings, revolutionizing how organizations see and use their data. Financial details of the acquisition were not disclosed. The strategic acquisition expands BurstIQ's portfolio of innovative products, reinforcing its commitment to helping healthcare
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Claroty & Siemens Healthineers Launches End-to-End Cybersecurity Solution
What You Should Know:
Medigate by Claroty announced its strategic partnership with medical technology company, Siemens Healthineers to protect healthcare enterprises from malicious cyberattacks. Through a combination of software, managed services, and medical device security data sharing, the solution will increase reliability for patients by boosting risk management and operational efficiency. Additionally, the two companies will share medical device product security
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Why Innovation Management Matters in Healthcare
When we think of innovation in healthcare, what comes to mind? For many, it may be fancy diagnostic machines or breakthrough drug therapies. But sometimes, it can be as simple as a 3D-printed cover for an insulin pod. A product, or an improved process, that solves a need. While medical settings like hospitals and clinics are good at managing patient care, it can still be challenging to create and manage a culture of innovation.
According to Stanford
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AMN Healthcare Language Services Integrates with Epic EHR
What You Should Know:
AMN Healthcare Language Services, the leading provider of video remote language interpretation services for the healthcare industry, today announced it will offer clients data exchange integration with electronic health record (EHR) systems starting with Epic, a cloud-based EHR solution catering to a broad range of practices, from community hospitals and independent practices to multi-specialty hospital groups and hospice care providers.Healthcare systems can
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MedStar Health Taps Luna to Improve In-Person Outpatient Physical Therapy
What You Should Know:
Luna, the leading provider of in-home, in-person physical therapy, and MedStar Health, the largest healthcare system in Maryland and the Washington, D.C., region, have today announced a partnership to improve access to in-person outpatient physical therapy across Washington, D.C., Baltimore, and Northern Virginia, in collaboration with MedStar Health rehabilitation centers.With this relationship, Luna is now the preferred outpatient in-home, in-person
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