The new healthcare realm of value-based care (VBC), designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided, presents both opportunities and challenges for all stakeholders. This fundamental shift in reimbursement is intended to become part of the larger quality strategy in reforming how healthcare is delivered and compensated: better care for individuals, better health for populations
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Health IT | News, Analysis, Insights - HIT Consultant
AGS Acquires Offshore Patient Access BPO Unit from Availity
What You Should Know:
- AGS Health, a provider for tech-enabled revenue cycle management (RCM) solutions announces the acquisition of the India-based patient access outsourcing business unit of the Florida-based healthcare technology company Availity.
- With more than half of U.S. hospitals anticipating a year of negative margins, achieving full and accurate reimbursement for services has never been more critical. With this expansion, AGS Health is positioned to provide faster, more
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Leveraging Technology to Bridge Gaps in Compliance
American health systems, hospitals and post-acute care providers are required to comply with hundreds of regulatory requirements. Facilitating this compliance comes with a high cost. According to the American Hospital Association, the average-sized community hospital spends nearly $7.6 million annually on administrative activities to support regulatory compliance. With the impending end of the COVID-19 public health emergency set to shake up healthcare regulations, ongoing healthcare labor
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Q/A: Oatmeal Health Co-Founder Talks AI-Enabled Cancer Screening for the Underserved
Today, cancer is the second leading cause of death in the United States. Sadly, cancer disparities exist, with racial/ethnic minority, low-income, and uninsured populations suffering the greatest burden. That’s why routine cancer screening is critical to addressing cancer disparities as they have the potential to greatly reduce both incidence and mortality rates. To address this, Federally qualified health centers (FQHCs) are funded by the Health Resources and Services Administration to provide
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HTA to Offer Cognoa’s Canvas Dx Diagnostic Device for Autism to Member Organizations
What You Should Know:
- Health Transformation Alliance (HTA), a cooperative of nearly 60 of America’s largest employers, has partnered with Cognoa, a pediatric behavioral health company, to offer the company’s Canvas Dx diagnostic device for autism to all HTA Member organizations and their employees.
- HTA will offer its member organizations – some of the most influential and significant brands in the U.S. – the opportunity to add Canvas Dx to their benefit design.
Expanding Horizons By
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Home Healthcare Market is Expected to Reach $340.2B
What You Should Know:
- Home Healthcare market in terms of revenue was estimated to be worth $226 Billion in 2022 and is poised to reach $340.2 billion by 2027, growing at a CAGR of 8.5% from 2022 to 2027 according to a latest report published by MarketsandMarkets™.
- The report reveals growth in this market is mainly driven by rapid growth in the elderly population, and the rising incidence of chronic diseases.
Rising Demand for Home-Health Services & Solutions
The home
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Centura Health Acquires Utah Care Sites from Steward Health Care
What You Should Know:
Centura Health, one of its two joint operating sponsors, CommonSpirit Health, and Steward Health Care today announced an asset purchase agreement (APA) for CommonSpirit Health to acquire Steward’s Utah care sites, which include five hospitals, more than 35 medical group clinics, and a clinically integrated network of care providers.
As part of the acquisition, Centura Health will manage the five hospitals and their affiliated clinics which includes Davis Hospital and
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Experian Health Launches AI-Driven Predictive Denials Management
What You Should Know:
- Experian Health launches a new AI-Powered solution, AI Advantage that will help providers recoup the billions in lost dollars due to insurance claim denials.
- These new solutions leverage AI and help healthcare providers prioritize their claims reimbursement process and decrease denials overall, saving time and money across the entire healthcare value chain and ultimately improving care and service for patient consumers.
AI Advantage
One of the top
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KLAS: What Impact Do Automated Prior Authorization Solutions Provide?
What You Should Know:
- Prior authorization is mandated by payers to ensure that certain clinical procedures and medications being ordered are necessary. To alleviate the heavy administrative burden this requirement causes, healthcare organizations have adopted automated prior authorization solutions.
- For this report, KLAS interviewed 30 respondents from 26 unique organizations to understand their experiences using these solutions and what outcomes they have seen.
Understanding
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Hurdle, CloudLIMS Partner to Augment Diagnostic Lab Capabilities
What You Should Know:
- Hurdle (a Chronomics Inc. brand), a global bio-infrastructure platform that powers end-to-end diagnostics for life sciences, labs and healthcare providers, and CloudLIMS, a leading SOC 2 compliant and ISO 9001:2015 certified lab informatics provider, announced today that the companies have entered into a strategic partnership marking the first integration between a Diagnostic as a Service (DaaS) platform and a Software-as-a-Service (SaaS) LIMS provider.
- The
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