As behavioral health claim volumes continue to increase, there’s a growing need for health plans to be vigilant in spotting fraud, waste and abuse. Today, the complexity and cost of these schemes necessitate a proactive, preventative approach.
Nearly four out of five psychologists say they are seeing increased volumes of patients experiencing anxiety, while two out of three reported an increase in symptom severity in 2022, an American Psychological Association survey shows. High volumes,
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Health IT | News, Analysis, Insights - HIT Consultant
Azalea Health, Particle Health Integrate to Enhance Interoperability for Rural Provider Care Delivery
What You Should Know:
- Azalea Health forms a strategic partnership with Particle Health to foster a seamless interoperability of vital healthcare data, streamline communication, and elevate the standard of patient care for the rural health market.
- By integrating Azalea's state-of-the-art ambulatory and inpatient solutions with Particle's robust data exchange infrastructure, healthcare providers, even those in rural locations, will gain access to a unified platform capable of
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CareFirst BlueCross BlueShield, Ryse Health Partner to Accelerate VBC for Diabetes Patients
What You Should Know:
Today, CareFirst BlueCross BlueShield (CareFirst), the largest not- for-profit health plan in the mid-Atlantic region, and Ryse Health (Ryse), an operator of specialized cardiometabolic health clinics, announced a first of its kind quality improvement partnership serving individuals with uncontrolled type 2 diabetes in CareFirst’s commercial networks.The program will pair Ryse providers with CareFirst members in Washington, D.C., Maryland, and Northern
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Unite Us Launches New, Secure Chat Feature
What You Should Know:
Unite Us, the nation's leading software company enabling cross-sector collaboration to improve people’s health and well-being, launched Unite Us Chat: a new, secure chat feature that further drives the real-time collaboration required for whole-person care.The new functionality, built into the Unite Us Platform, and integrated with providers’ systems of record, allows users to communicate with other organizations in real time to coordinate care for people who need
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M&A: Orbita Acquires Wellbe Assets, Creating Seamless Digital Pathway
What You Should Know:
Orbita today announced it has acquired the assets of Wellbe, a digital health company providing patient navigation for specialty care. The acquisition includes Wellbe’s software, customers and select staff. Financial details of the acquisition were not disclosed.
Acquisition Creates Seamless Digital Pathway for Patient Care
This strategic acquisition will expand Orbita’s impact on healthcare organizations, ranging from general practices to
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Why Healthcare AI Must Maintain Multiple Layers of Specificity
The recent explosion of generative AI has pushed public discourse to a palpable tipping point. Nearly overnight, it seems, we’ve cycled from “must develop and/or adopt new AI applications ASAP” to existential fear, avoidance, and even acrimony.
For those of us who have been working directly in the artificial intelligence space for years, specifically in healthcare, these are both trying and exciting times.
On the “trying” hand, many people, including some AI experts, are raising
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VBC: Improving Healthcare Outcomes With A Strong Payer-Provider Relationship
The last few years have emphasized the need for high-quality healthcare for patients that is accessible and affordable for all. There is tension between stakeholders in the healthcare industry surrounding efforts to keep costs low and increase revenue, while not sacrificing patient experience. Years before the pandemic, the Affordable Care Act (ACA) revolutionized the healthcare industry and encouraged a new approach to balancing all the variables: value-based care (VBC). Whereas providers were
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Why The Time Is Now for Healthcare Provider Cloud Migration
It’s no secret that healthcare is a slow-moving industry. Its hesitancy to change has played out in a number of ways over the years — including its lingering resistance to cloud migration. Organizations holding out on migrating wonder: “Is it really secure? Why take the risk of shifting away from on-prem systems?” Moving to the cloud can feel like a daunting task, but with the right tools and plans in place, organizations can move confidently and securely, finally modernizing today’s digital
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Fluree, Vitality TechNet Partner to Enable Pharma Regulation & Drug Discovery
What You Should Know:
Fluree, which has developed a knowledge graph database and semantic data pipeline toolset for secure and trusted data sharing, today announced a partnership with Vitality TechNet to build a semantic data infrastructure for pharmaceutical organizations looking to enable digital Regulatory Information Management and accelerate drug discovery.Fluree — which recently closed its $10M Series A funding round — provides data infrastructure technology to
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UnitedHealthcare Donates $2.85M for Direct Service Workers in Indiana
What You Should Know:
UnitedHealthcare Community Plan of Indiana has provided $2.85M to four organizations working to advance the direct service health workforce in the state. Direct service workers (DSWs) are essential in providing care to long-term services and support recipients who choose to age and live in their homes, especially those in underserved communities and rural areas. DSWs include certified nursing assistants, home health aides, direct support professionals,
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