A new analysis by Change Healthcare of $3 trillion in medical claims submitted to payers last year revealed 9% of charges, representing $262 billion, were initially denied. For the typical health system, as much as 3.3% of net patient revenue, an average of $4.9 million per hospital, was put at risk due to denials. While 63% of these claims were recoverable on average, reworking each denial costs providers roughly $118 each, or as much as $8.6 billion in appeals-related administrative
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Health IT | News, Analysis, Insights - HIT Consultant
Medtronic, Aetna Form Outcomes-Based Partnership for Diabetic Patients
Medtronic, a medical technology provider has entered into a new outcomes-based, risk-sharing agreement with Aetna for type 1 and type 2 diabetes patients currently on multiple daily insulin injections for their diabetes management. The agreement will measure health outcomes for a patient with diabetes who transition to Medtronic’s insulin pump therapy that constantly self-adjusts to keep patients’ blood sugar levels in range based on their personalized needs.This outcomes-based, risk-sharing
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Why Social Determinants of Health Is The Future of Value-Based Care
Editor’s Note: Abhinav Shashank is the CEO & Co-founder at Innovaccer Inc., a datashop integrating complex data across multiple distributed sources to give healthcare organizations greater insights to provider better care.Race, gender, socioeconomic status have been known to affect a person’s health, access to care, costs incurred, and the outcomes. The defining conditions of how we live, learn, work, and play not only influences our health but goes on to define and impact an entire
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KLAS Report: TeleTracking, Epic Takes Lead in Patient Flow Performance
A recent KLAS report reveals that TeleTracking and Epic are market leaders in managing the patient flow of patients. Managing the flow of patients in an acute care setting is one of the more complicated challenges confronting providers today. Providers who were interviewed by KLAS reveal that TeleTracking leads every vendor in overall satisfaction of the operational and clinical staff, who rely most heavily on patient flow functionality.Providers who have compared the solutions report that
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Infographic: Bridging the Medication Reconciliation Gap
Adverse drug events (ADEs) cost up to $5.6 million each year per hospital, according to the Agency for Healthcare Research and Quality. The same agency estimates that anywhere from 28 percent to 95 percent of ADEs can be prevented by reducing medication errors through computerized monitoring systems.With inpatient medication errors costing hospitals $16.4 billion each year, hospital leaders have turned their attention to identifying proven technologies and processes to help reduce the risk of
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6 Medication Reconciliation Challenges for Hospital Executives to Watch
A new survey released today reveals that hospitals need true partnerships with their technology providers to successfully close any gaps around driving improved medication reconciliation and patient safety. The survey of hospital CIOs, CMIOs, Directors of Informatics and other hospital administrators, conducted by the College of Healthcare Information Management Executives (CHIME) Foundation on behalf of DrFirst identifies key medication reconciliation challenges faced by hospitals
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University of Chicago Medicine, Tempus Partner on Personalized Pancreatic Cancer Project
Pancreatic cancer is the third leading cause of cancer-related death in the United States. It has a five-year survival rate of just nine percent. Lack of effective treatments and early detection methods contribute to this grim prognosis. Personalized approaches to match a patient’s genomic information to therapies have led to improvements in treatment of other cancer types. None of the genetic mutations commonly seen in pancreatic cancer, however, have “druggable” targets.That’s why the
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Carolinas Healthcare System to Implement Cerner’s Population Health Management Platform
Carolinas HealthCare System (CHS) has selected Cerner to implement their HealtheIntent population health management platform. The implementation will coordinate and manage care for its more than 12 million patient interactions each year across its health system and clinically integrated network, Carolinas Physician Alliance (CPA). Additionally, CHS will continue to use the Cerner Millennium® integrated EHR and will also extend its remote hosting relationship with Cerner.
HealtheIntent’s
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Patientco Integrates With Epic’s EHR to Improve Patient Payment Experience
Patientco, a cloud-based patient payment platform for health systems is integrating with Epic’s EHR to improve the patient payment experience. The integration will provide robust payment functionality, automated workflows, and payment processing through Epic solutions, including MyChart. Patientco’s payment platform can be deployed enterprise-wide to help health systems leverage their investment in Epic and streamline payment workflows for revenue cycle teams.Patientco goes beyond basic payment
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Ayasdi Launches New AI Platform That Turns Health Systems Into AI App Incubators
Ayasdi, a provider of machine intelligence software and AI apps, has announced the release of Ayasdi Envision, a new framework enabling health systems to become AI app incubators. Starting today, health systems will be able to easily build their own apps on top of an enterprise-class Artificial Intelligence platform. The Envision framework will enable healthcare organizations to quickly create and consume intelligent apps that are purpose-built to solve a broad array of clinical and business
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