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AI Can Eliminate Surprise Bills, Improve Payment Integrity

by Michael Kim, Senior Vice President/CIO, MultiPlan 05/25/2023 Leave a Comment

How AI Can Eliminate Surprise Bills, Improve Payment Integrity

Anyone who receives a hospital, medical imaging, or outpatient surgery bill is usually surprised at the cost.  No matter the cost, how do they know the bill is correct? They don’t.  Incorrect medical bills have become so prevalent that organizations have started applying technologies like artificial intelligence (AI) and machine learning to reduce drastically high healthcare costs.  Consider what organizations as diverse as the Office of the Inspector General, Harvard
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M&A: Florence Acquires Virtual Care Solution Zipnosis

by Syed Hamza Sohail 05/24/2023 Leave a Comment

M&A: Florence Acquires Virtual Care Solution Zipnosis

What You Should Know: Florence,  an innovator in healthcare enablement software, announced today its acquisition of Zipnosis, an asynchronous-first virtual care solution that creates efficiency for clinicians while making quality care more accessible and affordable for patients. Through this acquisition, Florence will broaden its product offerings with synchronous and asynchronous virtual care and further their mission to create a consumer-centric interface that
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Denials Management Named Most Time-Consuming Task in RCM

by Fred Pennic 05/24/2023 Leave a Comment

Denials Management Named Most Time-Consuming Task in RCM

What You Should Know: A new HFMA survey commissioned by AKASA highlights the revenue cycle tasks requiring the most subject matter expertise, according to responses from over 550 CFOs and revenue cycle leaders at hospitals and health systems across the U.S.Denials management not only requires the most subject matter expertise, but it’s also the most time-consuming task within revenue cycle management (RCM) — followed by prior authorization and insurance
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Why Adopting Value-Based Care Models for Autism Care Is Imperative

by Daniel Etra, CEO and Co-founder, RethinkFirst 05/24/2023 Leave a Comment

Adopting Value-Based Care Models for Autism Care Is Imperative

We all know the stark reality: rates of mental illness, substance use, and developmental disorders continue to rise in the U.S. and estimates show that 1 in 44 children are diagnosed with autism spectrum disorder (ASD).  Add to that the ongoing efforts to reduce stigma and it’s no surprise that the increased demand is overwhelming existing resources.  Improvements in both the efficiency and effectiveness of care and treatment are critical in addressing the crisis. Doing so
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Vanderbilt University Medical Center Taps Philips to Reduce Carbon Footprint

by Jasmine Pennic 05/23/2023 Leave a Comment

What You Should Know: Vanderbilt University Medical Center (VUMC) and Philips announced a collaboration to reduce the health system’s carbon footprint with a project focused on measuring and addressing energy consumption in the radiology department. Radiology is an especially high contributor to the CO2  emissions responsible for climate change with its heavy energy, equipment, and supply usage. Philips and VUMC will analyze radiology energy consumption data from VUMC’s diagnostic imaging
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Q/A: IQVIA’s Global Lead Talks Unlocking AI for Drug Repurposing

by Fred Pennic 05/23/2023 Leave a Comment

In an interview with HIT Consultant, Nathan Sommerford, Global Lead for Drug Discovery and Development, IQVIA talks how unlocking artificial intelligence (AI) in drug repurposing is transforming pharma and biotech companies. What are some of the challenges and problems associated with drug discovery “from scratch”?  Nathan Sommerford, Global Lead for Drug Discovery and Development, IQVIA: In the traditional drug discovery and development paradigm, it can cost up to $1.8 billion and
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5 Executives Weigh in on VBC Impact on Kaiser/Geisinger Deal

by Executive Insights 05/22/2023 Leave a Comment

M&A: Kaiser Acquires Geisinger, Forms Risant Health

We recently asked five digital health executives to share their insights on the recent Kaiser's recent acquisition of Geisinger Health and it's impact to accelerate value-based care. Andy Flanagan, CEO of Iris Telehealth This acquisition presents a significant upside for the industry's move to improve access to quality, affordable care. Kaiser and Geisinger are two of the premier organizations in our country driving towards value-based care at scale for their communities. The creation
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Digital Health Executive Hires & Departures: Ed Marx Departure, Particle Health CEO, Rhapsody CFO, Others

by Recent Digital Health Executive Hires & Departures 05/19/2023 Leave a Comment

Digital Health Executive Hires & Departures

Health IT veteran Ed Marx announces his departure as CEO at Divurgent to launch his advisory company, Marx Advisory focused on helping healthcare executives & organizations achieve objectives and key results. Particle Health appointed Jason Prestinario as its next CEO, effective today. Troy Bannister, founder and current CEO, will continue with Particle as Chief Strategy Officer, where he will spearhead product innovation. Rhapsody names Jeff Chiumiento as the company’s new
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Catalyst by Wellstar Launches $100M Digital Health Venture Fund

by Fred Pennic 05/18/2023 Leave a Comment

Catalyst by Wellstar Launches $100M Digital Health Venture Fund

What You Should Know: Catalyst by Wellstar, an innovation company and venture firm created by one of the largest health systems in Georgia launches a $100M digital health venture fund to shape the future of healthcare by creating better care and market value.The venture fund aims to make more than 50 direct investments in early-stage digital health startups, Pre-seed to Series A, over the next five years and invest indirectly in 150+ startups through limited partner investments with venture
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M&A: MultiPlan Acquires Benefits Science LLC for $160M

by Fred Pennic 05/09/2023 Leave a Comment

M&A: MultiPlan Acquires Benefits Science LLC for $160M

What You Should Know: MultiPlan, a provider of data-enabled cost management, payment, and revenue integrity solutions for 700+ healthcare payors announced the acquisition of Benefits Science LLC (BST) for $160M in cash and stock.BST was founded in 2012 by a group of MIT-trained experts in data science, including Dimitris Bertsimas, Ph.D., who is recognized as an early pioneer in healthcare analytics and who serves as the company’s chief data scientist. Dr. Bertsimas will continue with BST
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Abbott to Integrate FreeStyle Libre Glucose Data with Epic EHR

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