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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

Medicare Advantage Plans Struggle With Internal Challenges to Keep Pace With Growth

by Fred Pennic 08/01/2019 Leave a Comment

Medicare Advantage Plans Struggle With Internal Challenges to Keep Pace With Growth

Many Medicare Advantage health plans (35%) struggle with internal challenges in keeping pace with growth, including technology and infrastructure limitations, according to results of its latest Voice of the Market Survey. In addition, 33.8% struggle with a lack of IT staff or resources to make necessary changes and 29.4% lack the in-house Medicare experts necessary to implement adjustments in response to business fluctuation.The survey was commissioned by HealthEdge and conducted by Survata, an
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D2 Consulting Acquires Patient Engagement Company WorkUp

by Fred Pennic 07/22/2019 Leave a Comment

D2 Consulting Acquires Patient Engagement Company WorkUp

Life sciences consulting firm D2 Consulting, today announced it has acquired Brooklyn, NY-based patient engagement company WorkUp, Inc. The acquisition expands D2’s existing technology solutions, providing value-added support for clients, including manufacturers, specialty pharmacies, HUBs, payers, pharmacy benefit managers and integrated delivery networks.Founded in 2013 to support high maintenance patients, WorkUp’s patient engagement solution, Status improves operational efficiencies and
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3 Ways On-Demand Care Can Improve the Patient Experience

by Matthew Blosl, Chief Revenue Officer, DocuTAP 07/15/2019 Leave a Comment

3 Ways On-Demand Care Can Improve the Patient Experience

In the increasingly competitive healthcare space, establishing loyalty and improving the patient experience has become a priority for providers. In no area is this truer than the highly competitive, consumer-driven on-demand care space. In fact, a recent survey revealed that patients are five times more likely to select a practice because they’ve had a positive experience there rather than traditional marketing tools, highlighting a key driver of patient loyalty. Patients are increasingly
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ACO Investment Model Reduced CMS Expenditures by $48M

by Fred Pennic 07/15/2019 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care

by Fred Pennic 07/09/2019 Leave a Comment

Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care

A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
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5 Things Patients Are Looking For On Your Physician Practice’s Website

by Sahil Saini, Founder of AKOS 06/18/2019 Leave a Comment

5 Things Patients Are Looking For On Your Physician Practice’s Website

Patients have taken a more active role in their healthcare journey, and with more digital options than ever before, their expectations have significantly shifted. More are taking their healthcare-related searches online –– an estimated 80 percent according to a recent report by Doctor.com –– and adopting a consumer-like approach, comparing and contrasting providers to find a practice that fits their needs to a tee. With patient consumerism on the rise, it’s become imperative for providers to
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Why An Integrated Healthcare CRM Is Critical to Patient Engagement

by Sawad Thotathil, MD MCE MHM and AVP, Persistent Systems 06/04/2019 Leave a Comment

Why An Integrated Healthcare CRM Is Critical to Patient Engagement

Customer Relationship Management (CRM) is the well-known backbone of commercial sales forces across the globe. But what many don’t realize is that CRM has a utility that extends far beyond relationship-building in a traditional business setting. CRM systems are now engaging more than customers. They’re engaging patients in a healthcare setting far more complex than any retail or B2B enterprise. CRM applications are used to engage patients by providing them with a superior experience from their
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Innovaccer, Launches InAPI to Aggregate Healthcare Data for Providers, Payers, and Vendors

by Jasmine Pennic 06/03/2019 Leave a Comment

Innovaccer, Launches InAPI to Aggregate Healthcare Data for Providers, Payers, and Vendors

Healthcare organizations are riding the wave of digital disruption with increased adoption of applications to power patient centric-care, communications, and collaboration with peer organizations in the network. With this objective, they are seeking to integrate crucial information across the care continuum and establish interoperability among complex and disparate data systems- including legacy systems.Existing Interoperability ChallengesThere are over 200 EHRs in the US healthcare space,
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Cerner Launches Social Determinants Innovation Collaborative with Over 30 Health Systems

by Fred Pennic 05/30/2019 Leave a Comment

Social determinants of health

This week, Cerner announced the launch of the Social Determinants Innovation Collaborative (SDIC), a group of over 30 health systems that come together to share best practices and steps forward in addressing social determinants of health.The Impact of Social Determinants of Health DataThe CDC defines “social determinants of health” as the circumstances in which people are born, grow up, live, work, and age. Social, environmental and economic factors – such as transportation, housing, nutrition,
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You Want Patient Engagement? Make The System Navigable

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 05/30/2019 Leave a Comment

Medsphere CEO Talks Affordable Healthcare IT and Future of EHRs

Last month, New York Times reporter Robert Pear died at age 69 from complications of a stroke. The name was unfamiliar to me, and I guess that’s to be expected, given what I’ve learned of the man since. Turns out Robert Pear was a thoughtful, unassuming reporter who wanted the accuracy and validity of his work to speak for him. This approach engendered much respect among his peers in the 40 years that he primarily covered healthcare policy. “Robert was an exacting reporter,” writes
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