What You Should Know:
- Elevate Health, a Washington-based nonprofit Accountable Community for Health (ACH) organization, has partnered with us to leverage the Innovaccer Health Cloud to strengthen care management and improve patient outcomes. It was challenged to integrate data from disparate sources and close gaps for hundreds of patient records.
- With the Innovaccer Health Cloud, Elevate Health saved $6M in care costs and redefined its care management
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Technology
Innovaccer Unveils Health Plan Analytics Tool to Give a Comprehensive View of Over 700 Medicare Advantage Plans
What You Should Know:
-Innovaccer Inc., a leading healthcare technology company, recently launched its Health Plan Analytics tool, which provides a comprehensive view of health plan performance across the country.
-With this tool, payers can identify the quality parameters where they lag and determine the performance threshold to attain satisfactory ratings and enrollment. In addition, the tool generates state-by-state market insights to develop strategies to increase
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Wolters Kluwer Launches Telemedicine Value Sets for Health Insurance Claims
What You Should Know:
- Wolters KluwerHealth released telehealth-specific value sets for use in health insurance claims processing, coordination of care, and benefits systems.
- The company developed the value sets to meet the needs of payers and providers that are working to develop and refine long-term virtual care strategies. The timing for the value sets is crucial as payers and providers alike
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Applying A Hedge Fund Mentality for Investing in Social Determinants of Health
While I am a practicing clinician, I am a firm believer that improvements in healthcare most often come from borrowing the best ideas from other business models. For example, I have sometimes borrowed from software company and payer colleague insights to describe value-based care (VBC) reimbursement as a subscription model. This model would provide more consistent revenue and allow organizations to better weather challenging times like a pandemic. For providers, this would allow freedom from the
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Oregon House Passes Telemedicine Reimbursement Bill to Promote Safe Access to Care
What You Should Know:
Today, the Oregon House passed the HB2508A bill of legislation requiring the Oregon Health Authority (OHA) to reimburse health services delivered via telemedicine if specified criteria are met including reimbursing a provider at the same rate for a health service delivered in person or through telemedicine.
- The passing of HB 2508A expands coverage of and reimbursement for telemedicine services in Oregon, ultimately promoting equitable and safe access to
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4 Common Pitfalls of Remote Patient Monitoring to Avoid
COVID-19 created a colossal opportunity for health plans and providers to reimagine how they engage with patients. With patients apprehensive about going to the doctor during the pandemic, it became even more vital to keep track of their health in between visits. This is where remote patient monitoring (RPM) becomes critical to every payer and provider’s virtual health strategy. RPM uses digital technologies to collect data about symptoms, medications, treatment, and biometrics from individuals
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The Crucial Role of SDOH Data in Value-Based Care
Roughly $4 trillion is spent on healthcare annually in the U.S. Despite this massive expenditure, roughly 80% of health outcomes are attributed to social, behavioral and environmental factors, known as social determinants of health (SDOH).
What has been far less clear is how providers and payers can fully harness SDOH data to proactively manage the health of patients and members. Technological and cultural barriers have made it difficult for disparate parties such as
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What Population Health Management Providers Need to Know About HITRUST CSF Certification
Healthcare companies continue to implement value-based care and population health management initiatives to coordinate healthcare delivery and improve the quality and value of patient care. These initiatives depend on the ability to access, aggregate, and analyze massive amounts of patient data, often coming from hundreds of source systems. Critical system interoperability and data-sharing agreements enable healthcare organizations to aggregate data and build massive data assets to support their
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Truepill Launches White-Labeled Virtual Pharmacy Platform
What You Should Know:
- Truepill, the digital health platform powering consumer health experiences through diagnostics, telehealth and pharmacy infrastructure, today announced the launch of its Virtual Pharmacy platform.
- The new white label led e-commerce pharmacy solution that enables payers, pharmacy benefit managers (PBMs), health systems and other healthcare entities to reimagine a more modern and consumer-centric pharmacy shopping experience.
- The service is available in all
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Cigna International Taps Teladoc Health to Expand Telehealth Capabilities in India
What You Should Know:
- Cigna International today announced a collaboration with Teladoc Health to support populations in India during the current humanitarian crisis through telehealth solutions.
- In a coordinated approach, Cigna International Markets and Teladoc Health activated local and global telehealth capabilities in less than 24 hours and brought much needed care to many people who desperately need help from the global community.
- Together, both companies delivered an agile
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