Faced with shifting regulations, growing administrative complexity, high-dollar claims, and the looming potential of audits, payment integrity is an increasingly important priority for payers. Payers realize that when they make the correct payments to providers initially, they increase trust, reduce provider abrasion, and lower appeal rates.
Traditionally, many health plans have outsourced payment integrity work to vendors who perform reviews, and then return the results to those health
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Health IT | News, Analysis, Insights - HIT Consultant
Transcarent Taps The Clinic by Cleveland Clinic to Offer Employees Expect Second Opinions
What You Should Know:
- Transcarent, a health and care experience company that makes it easy to access high quality, affordable care, and aligns with the companies who pay for care, announced a new collaboration with The Clinic by Cleveland Clinic (The Clinic) that enables Transcarent Members and their families to access The Clinic’s expert second opinions.
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M&A: Alpine Investors Acquires RCM Services Provider Medusind
What You Should Know:
- Alpine Investors, a people-driven private equity fund, announced that it has acquired Medusind, a provider of revenue cycle management services to the healthcare industry.
- Jose Rivero, an Alpine CEO-in-Residence and part of the firm’s PeopleFirst program, has assumed the role of CEO of Medusind. Terms of the private transaction were not disclosed.
Medusind Background
Founded in 2002, Medusind provides deep expertise and powerful revenue cycle
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17 Executive Hospital/Health System Predictions to Watch in 2023
Vijay Kedar, Co-Founder and CEO at Tomorrow Health
Health systems will realize their challenges are not transitory but systemic: This year saw health systems facing a myriad of compounding threats – from historic inflation exacerbating their cost structures, front-line clinician burnout driving widespread labor shortages, and increased capacity issues that left patients in hospital facilities one full day longer than in the prior year. As the financial markets turned south, many institutions
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The Future of Digital Payment Trends in Healthcare to Watch
Staffing shortages, cost of care delivery and reimbursement changes have put more pressure on healthcare practices to do more with less. Recent technology advancements have come to the rescue and enabled healthcare organizations to simplify processes, improve communication efforts and ultimately support staff and patients alike.
Patient payment tools are an example of a technology solution that has been around for years but has not been widely adopted. However, as technology has
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Exec Hires: ModMed Appoints Jody Beaverson as Chief People Officer
What You Should Know:
- Practice-technology leader ModMed appointed Jody Beaverson as its Chief People Officer and will further commit the company to its people as it grows in the healthcare specialty-specific software space.
- As ModMed’s chief people officer, Ms. Beaverson will be a central member of the executive leadership team and she will have responsibility for all aspects of the working experience of ModMed’s employees, including using her strategic leadership skills to champion
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20 Executives Share Health IT Predictions to Watch in 2023
We asked several healthcare executives to share their health IT predictions and trends for 2023.
Nate Maslak, the co-founder/CEO of Ribbon Health
Data Personalization: 38% of consumers want more personalized and inclusive healthcare options. In 2023, we’ll see a greater shift towards healthcare enterprises prioritizing this personalization, by innovating their current data infrastructure to show a range of information that lets a patient make an educated care decision based on what
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The Continuing Rise of AI in the Healthcare Sector in 2023
The announcement in September 2022 that the health tech company Iodine Software was entering into a partnership with the software platform TruCode “to upend clinical administration using artificial intelligence” serves as one of the more recent reminders of AI’s considerable impact on the healthcare sector.
Certainly, it will be felt not just in the administrative realm, but also in the clinical and operational aspects as well. And given the challenges presented by a rapidly aging population,
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Edifecs and 3M Partner on Integrated Value-Based Payment Solution
What You Should Know:
- 3M Health Information Systems and Edifecs (a global health IT solutions provider) announced a collaboration and new unique solution for providers and payers that will accelerate the adoption of value-based payment (VBP) models.
- A new, combined solution that will overcome barriers that have previously prevented rapid adoption of VBP models. This advanced approach will allow payers and providers to quantify the value of preventing negative events and allocate
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MEDITECH International Deal with CloudWave Delivers Expanse EPR Expanse EPR to Over 500k UK Patients
What You Should Know:
- MEDITECH UK has announced they’ve chosen CloudWave’s OpSus Cloud Services to power its MEDITECH Expanse EPR (Electronic Patient Record) and MEDITECH Cloud Hosted offering to East Cheshire NHS Trust and Mid Cheshire Hospitals NHS Foundation Trust. The United Kingdom public-sector trusts are part of the National Health Service (NHS). They will be working with CloudWave and MEDITECH to deploy a cloud-based
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