Certain practices of pharmacy benefit managers (PBMs) have helped jack up drug prices to the point where many people can no longer afford their medications. For example, PBMs charge health plans considerably more for a drug than they pay pharmacies for the same medication. This “ingredient spread,” which generates much of the PBMs’ profits, results in health plans placing drugs into a higher-price tier. As a result, members’ copayments go up. Sometimes they’re higher than the cash prices for
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Health IT | News, Analysis, Insights - HIT Consultant
Anthem to Acquire Community-based Palliative Care Provider Aspire Health
Anthem, Inc., the country's second largest health insurer, today announced that the company has entered into an agreement to acquire Aspire Health, the nation’s largest non-hospice, community-based palliative care provider. Financial terms of the acquisition were not disclosed and is expected to close in the third quarter of 2018. Founded in 2013 by former U.S. Senator and physician William Frist and Brad Smith, Aspire Health utilizes proprietary predictive clinical and claims-based patient
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M*Modal Unveils Enhancements to I-Powered Clinical Documentation Integrity (CDI) Solutions
M*Modal, a provider of clinical documentation and Speech Understanding solutions, today announced further enhancements to its artificial intelligence (AI) powered and outcomes-driven CDI solutions. Integrated with over 150 EHRs, M*Modal CDI solutions provide physicians and clinical documentation improvement specialists (CDIS) with a unified and more efficient workflow that closes the loop between physician and CDIS documentation processes. Going beyond traditional inpatient CDI, M*Modal supports
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Iora Health Lands $100M for Relationship-Driven Primary Care Model
Iora Health, a Boston, MA-based value-based primary care provider focused on Medicare has raised $100 million in Series E funding from global investors including .406 Ventures, Devonshire Investors, F-Prime Capital, Flare Capital Partners, GE Ventures, Humana, Khosla Ventures, Polaris Partners and Temasek. The company plans to utilize the funding to expand operations and invest further development of its proprietary collaborative care IT platform, Chirp that enables Iora's teams to care for
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Columbus Regional Healthcare to Implement Cerner Integrated EHR Across Acute & Ambulatory Facilities
Columbus Regional Healthcare System in Whiteville, North Carolina has signed an agreement with Cerner Corporation to implement Cerner's integrated electronic health record (EHR) and revenue cycle solutions across its acute and ambulatory facilities. CRHS is a community owned and controlled not-for-profit organization that includes Columbus Regional (hospital), Columbus Regional Physician Network with six medical practices, Donayre Cancer Care Center, The Wound Care Center and offers advanced
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DAS Health Lands $6M to Accelerate Company Acquisition Strategy
DAS Health, a Tampa, FL-based provider of health IT and management solutions, has secured a $6 million in facility financing through Fifth Third Bank to be used primarily for future acquisitions and growth. DAS recently completed its fifth acquisition in a three-year time span, each using only DAS’ own internal operating cashflow. DAS Health’s excellent track record of success in integrating services and staff has led to continued expansion, allowing the company to provide existing clients with
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Luma Health Raises $6.33M for Patient-Provider Communications Platform
Luma Health, a San Francisco, CA-based smart patient-provider communications platform, today announced it has completed a $6.33 Million round of Series A funding led by U.S. Venture Partners along with continued participation from the Stanford-StartX Fund and existing investors. Luma Health plans to used the latest round of funding to extend its go-to-market operation, including sales and marketing, while also expanding its engineering team to support the company’s growing product roadmap. The
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CareCloud MIPS Guarantee Program Earns Perfect Score for Clinicians
CareCloud, the platform for high-performance medical groups, announced today that one-hundred percent of the clinicians submitting data through the company’s MIPS Success Guarantee Program will avoid penalties and are eligible for bonuses based on preliminary performance feedback provided by The Centers for Medicare and Medicaid Services (CMS). Additionally, 45% of the providers that submitted data through the CareCloud program earned scores placing them above the exceptional bonus threshold
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DrChrono Offers Discounted EHR Pricing for Current Practice Fusion Customers
DrChrono, today announced a new a new offer for current Practice Fusion customers that want to move their data from their current system to the DrChrono cloud-based EHR platform. Current Practice Fusion customers that want to sign up for this new plan from DrChrono receive special discounted pricing, a free iPad and data importing.Practice Fusion, after being acquired by Allscripts for $100M, recently announced to their users that their EHR would no longer be free. Their users, by continuing to
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TriNetX Launches Research Analytics Solutions for Use with Its Clinical & Genomic Data
TriNetX, the global health research network, today announced the availability of TriNetX Research, a suite of analytics solutions to leverage real-world data when conducting observational and outcomes research. TriNetX Research combines longitudinal clinical and genomic data from its global network with powerful, state-of-the-art analytics on a single self-service platform. Researchers will now have access to the fastest and easiest method to create real-world evidence (RWE) and enable
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