What You Should Know:
- Edifecs and HealthEdge, two leading healthcare technology companies, have announced a strategic partnership to natively integrate Edifecs’ EDI Gateway offerings with HealthEdge’s HealthRules Payer claims adjudication system.
- This partnership will enable organizations to confidently navigate complex regulatory landscapes while also laying the foundation for future advancements in healthcare administration.
Enhancing Healthcare Data
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Health IT | News, Analysis, Insights - HIT Consultant
Beyond FHIR: AI’s Potential to Revolutionize Healthcare Data Insights
For decades, one of the most daunting tasks in healthcare has been managing and making sense of the vast amounts of data generated annually. From patient and outcomes data to billing and scheduling data, the list goes on and on.
The predominant challenge lies not just in quantity but like this data: much if not most of it is unstructured, i.e., data that isn’t predefined and searchable on a table, such as text messages, images, videos, audio files, and emails.
Historically, healthcare
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Everise Acquires CGS Healthcare Vertical, Expands US Footprint and Service Offerings
What You Should Know:
- Everise, a global leader in healthcare customer experience (CX), today announced its acquisition of Continuum Global Solutions' (CGS) healthcare vertical from Skyview Capital.
- Everise's acquisition of CGS's healthcare vertical is a strategic move that will significantly enhance its capabilities in the healthcare CX space.
Expanded Footprint and Service Offerings
The acquisition will significantly expand the combined entity's customer base
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PicnicHealth Launches Clinical Services to Enhance Care Management
What You Should Know:
- PicnicHealth, a pioneer in real-world data (RWD) and clinical AI has unveiled its new Clinical Services division, featuring a Virtual Clinic for patients and a Virtual Site for life sciences companies. This innovative approach, supported by a team of in-house providers, aims to enhance care management for patients and streamline observational research for life sciences.
Virtual Clinic: Empowering Patients & Observational Research
PicnicHealth's
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Humana, Interwell Health Expand Value-Based Kidney Care Agreement to Florida
What You Should Know:
- Humana Inc., a health and well-being company, and kidney care management company Interwell Health are expanding their value-based care agreement to include Florida.
- The expansion will provide eligible Humana Medicare Advantage members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Florida with access to Interwell’s comprehensive care and specialized resources.
Value-Based Care for Improved Outcomes
Value-based
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From Chaos to Calm: How ER Scheduling Could Help Fix Emergency Care Challenges
Staffing shortages and rising costs leave ERs in chaos and even force some hospitals to shut down money-losing emergency departments altogether. Chaotic or closed emergency rooms not only cost lives but cut off a pipeline of new patients that provide income for hospitals and jobs for specialist physicians.
The main driver behind ER chaos and expense is a nationwide shortage of trained doctors and nurses. A single nurse often has to care for ten or more patients in the ED simultaneously,
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CareFirst BCBS Community Health Plan Maryland Launches Medicaid Member Program
What You Should Know:
- Wider Circle, which builds peer-driven communities nationwide to help people improve their health and quality of life through trusted connections, announced a partnership with CareFirst BlueCross BlueShield Community Health Plan Maryland (CareFirst CHPMD).
- CareFirst is one of the nation’s largest not-for-profit healthcare organizations. Wider Circle is working with their Medicaid plan to enhance member engagement and improve health outcomes
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Wellsheet, Wolters Kluwer Integrates AI-Powered Clinical Workflows with UpToDate
What You Should Know:
- Wellsheet, an innovative provider of AI-powered clinical workflows, announced a collaboration with Wolters Kluwer Health to integrate evidence-based content from UpToDate, their leading clinical decision support solution (CDS), into Wellsheet’s Smart EHR UI application.
- The integration aims to revolutionize the clinician experience by providing immediate access to crucial clinical information and tools, reducing cognitive overload, and ultimately
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RadiantGraph Launches Integration Platform to Untangle Healthcare Data Chaos
What You Should Know:
- AI has proven effective in enabling health plans to hyper-personalize communications, engage consumers, and enhance outcomes, including CAHPS and star ratings. However, many large healthcare organizations struggle with unstructured and complex "big data," resulting in patients being disconnected from personalized healthcare.
- RadiantGraph now securely integrates with Google Cloud Platform (GCP), Amazon Web Services (AWS), Databricks, and Snowflake, offering
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Particle Health Sues Epic Systems, Alleging Antitrust Violations in EHR Market
What You Should Know:
- Particle Health, a company specializing in aggregating and delivering actionable patient data, has filed a federal antitrust lawsuit against Epic Systems Corporation.
- The lawsuit accuses Epic of abusing its dominant position in the electronic health records (EHR) market to hinder competition in the burgeoning payer platform market.
Epic's Alleged Anti-Competitive Practices
Particle's complaint alleges that Epic is actively thwarting the development of
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