Mark Martin, Director of Payer Solutions for Availity
Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience.
These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Health IT | News, Analysis, Insights - HIT Consultant
Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability
- Change Healthcare unveils industry’s first nationwide solution that allows providers to submit documents and data, like claims attachments, electronically to all health plans in both the Medical and Workers’ Compensation market segments.- This new claim attachments solution also sets the stage for new additional uses of Artificial Intelligence.Today Change Healthcare announced major new enhancements to its medical claim attachments solution. These enhancements will create the industry’s first
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GHX Acquires Lumere to Advance Clinically Integrated Supply Chains
- Global Healthcare Exchange (GHX) announced it has acquired Chicago-based Lumere, a provider of evidence-based data and analytics solutions that enable healthcare organizations to build clinically integrated supply chains and optimize medication formulary management. - As reimbursement models move from fee-for-service to fee-for-value, GHX believes Lumere’s capabilities will extend its value to more directly improve patient outcomes at the lowest cost by empowering customers to make
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R1 RCM Acquires Patient Engagement Company SCI Solutions for $190M in Cash
- R1 RCM announced the expansion of its tech platform capabilities through the acquisition of SCI Solutions, Inc (SCI). This acquisition enables healthcare providers to automate ordering, scheduling and authorization processes.
- SCI’s capabilities integrated into R1’s revenue cycle solution will offer the broadest and deepest tech-enabled patient intake solution available.
R1 RCM Inc, a provider of technology-enabled revenue cycle management (RCM) services to healthcare providers,
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RUSH Taps R1 for End-to-End Revenue Cycle Management, Value-Based Care Innovation Lab
- R1 RCM and Rush University Medical Center (RUSH) announce a new end-to-end revenue cycle management partnership to achieve revenue cycle performance excellence and accelerate innovation in healthcare. - The two will also collaborate to launch an innovation lab that will focus on delivering value-based care, incorporating advanced analytics to help to educate other healthcare institutions and preparing the healthcare workforce of the future. Rush University System for Health (RUSH) has
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Zipnosis, GYANT Launch Holistic Digital Front Door for Healthcare Orgs
- Zipnosis and GYANT join forces to offer a more intuitive and accessible digital patient experience with a digital front door for healthcare organizations.
- The new joint solution combines GYANT’s chat-based AI patient engagement and evaluation capabilities with Zipnosis’ virtual and asynchronous care capabilities to improve the digital patient experience throughout the entire care journey, while simultaneously efficiently utilizing staff resources and improving care.
Zipnosis, a
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020
In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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MTBC Acquires Cloud-based EHR Platform CareCloud
- MTBC acquires cloud-based, practice management EHR platform CareCloud on a cash-free, debt-free basis. - Founded in 2009, CareCloud’s integrated clinical and financial platform technology and its suite of solutions enables clients to increase profitability, streamline workflow and improve patient care outcomes nationwide.MTBC, Inc., a leading provider of cloud-based healthcare IT and revenue cycle management solutions, today announced the closing of its acquisition of CareCloud which provides
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Personal Genome Diagnostics, Mayo Clinic Partner to Enhance Patient Care in Oncology
- Together, PGDx and Mayo Clinic will focus on technology optimization and clinical utility studies for liquid biopsy and tissue-based genomic applications.- The shared vision and overall goal for PGDx and Mayo Clinic is to improve patient care by advancing the capabilities of oncology diagnostics testing. Personal Genome Diagnostics Inc. (PGDx), a leader in cancer genomics, today announced a strategic collaboration with Mayo Clinic to enhance the development of clinical diagnostic solutions for
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Kyruus Lands $42M to Expand Patient-Providing Matching Solutions for Health Systems
- Kyruus, a provider search and scheduling solutions company raises $42 million in a Series D round led by Venrock and Highland Capital Partners, with financing from other VCs such as Providence Ventures and Salesforce Ventures. - Kyruus will tap into the new funds to enhance its product suite for health systems and forge partnerships with payers and large employers, as consumers also seek providers via those entities.Kyruus, a Boston, MA-based suite of patient-provider matching solutions for
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