Medicaid plays a vital role in the American healthcare system, providing coverage for millions of vulnerable individuals. To gain a deeper understanding of the program's evolving landscape, its unique strengths, and the challenges it faces, we spoke with Gary Jessee, Senior Vice President, National Consulting. With extensive experience on both the payer and provider sides, Jessee offers valuable insights into Medicaid's role in addressing critical needs, from long-term services and supports to
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Health IT | News, Analysis, Insights - HIT Consultant
Beyond the EHR: Achieving a 360-Degree View of the Patient
It took so many years and so much effort to digitize health records and build the modern EHR that it can be tempting to think that the hard work of collecting and sharing necessary information about patients is done.
The bad news is that the work isn’t over – not even close. The good news is that, thanks to advancements in technology, the task of assembling a complete picture of patients will not take nearly as long as the digitization of health records did. The even better news is that when
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Ascertain Secures $10M to Scale AI-Powered Case Management Solution
What You Should Know:
- Ascertain, a healthcare technology company focused on empowering care teams with artificial intelligence (AI) raises $10M in Series A funding round led by Deerfield Management, featuring strategic participation from Northwell Health.
- The investment will be used to accelerate Ascertain's growth trajectory and expand access to its innovative AI-powered solutions across the healthcare ecosystem.
- The company aims to enable higher quality patient care,
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Lyric Acquires ClaimShark to Bolster AI-Powered Payment Accuracy Platform
What You Should Know:
- Lyric, a recognized leader in solutions for healthcare payment accuracy and integrity, has officially announced its acquisition of ClaimShark. ClaimShark is known for its innovative technology platform designed to enhance integration, transparency, and precision in payment integrity for health plans.
- The strategic move will see ClaimShark's solutions integrated into the Lyric 42 Platform, Lyric's flagship AI-driven offering, significantly advancing Lyric's
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John Snow Labs Unveils New AI-Powered HCC Coding Engine
What You Should Know:
- John Snow Labs, a company specializing in artificial intelligence for healthcare, today announced the launch of its new, end-to-end Hierarchical Condition Category (HCC) coding engine.
- Introduced during the company’s annual Healthcare NLP Summit, this solution is engineered to assist healthcare providers and payers in significantly improving risk adjustment accuracy and strengthening revenue integrity.
Addressing Critical Gaps in Risk
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Leidos to Invest $10M in University of Pittsburgh for AI Disease Detection
What You Should Know:
- Leidos is committing $10M to a five-year collaboration with the University of Pittsburgh's Computational Pathology and AI Center of Excellence (CPACE) to accelerate the development and use of artificial intelligence (AI) in detecting and managing diseases.
- The partnership aims to create AI-powered tools for quicker disease detection, including heart disease and cancer, reduce diagnostic turnaround times, and enable earlier, more effective care
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Hidden Healthcare Crisis: Healthcare Dollars Buy Patient Harm
Everyone in America has felt the effects of uncoordinated healthcare, from the hassle of medical records lost between providers to devastating stories of medical errors that caused patient harm or a loss of life, uncoordinated care in medicine leaves no one behind. Uncoordinated care in the US directly contributes to out-of-control healthcare costs by adding roughly $340 billion annually in wasted resources – surpassing heart
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KLAS Report: Global Healthcare IT Investments and Trends for 2025
What You Should Know:
- A recent report by KLAS Research highlights the key trends shaping healthcare IT investments across the globe in 2025.
- The study, which involved interviews with 174 healthcare organizations across 39 countries and territories (excluding the US), reveals a significant shift in priorities, with AI and analytics taking center stage. The findings also shed light on the increasing adoption of cloud technologies and the evolving role of consulting firms in
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Protecting Margins in Home-Based Care with Smarter Revenue Cycle Management
Healthcare providers are heading into another year where financial uncertainty remains a top concern. While many for-profit and nonprofit organizations reported improved margins in 2024, industry analysts warn that rising expenses and process inefficiencies could put those gains at risk. Home-based care agencies, in particular, continue to face workforce shortages, changing reimbursement structures and administrative challenges – making revenue cycle management (RCM) a critical tool for
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Commonwealth Healthcare Corporation to Deploy MEDITECH Expanse EHR
What You Should Know:
- The Commonwealth Healthcare Corporation (CHCC) in Saipan, CNMI, has chosen MEDITECH Expanse as its new Electronic Health Record (EHR) system platform.
- CHCC's adoption of Expanse aligns with its strategic goal of establishing a patient-centered healthcare model that emphasizes individual patient needs and strengthens care coordination throughout its network
Advance Patient-Centered Care with MEDITECH Expanse EHR
MEDITECH Expanse will provide CHCC
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