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Population Health Management (PHM) in Healthcare | News, Analysis, Insights - HIT Consultant

The SDOH Reality Check: Coding, Claims and Value-Based Care

by Michael Pattwell, Principal Business Advisor, Value-Based Care, Edifecs 09/19/2023 Leave a Comment

The SDOH Reality Check: Coding, Claims and Value-Based Care

While the need to address social determinants of health (SDOH) is definitely not new, 2023 marks the first year SDOH is codified into national and statewide value-based payment program mandates. These mandates are designed to hold Managed Care Organizations (MCOs) and Accountable Care Organizations (ACOs) accountable. While the rollout of SDOH code sets across our healthcare ecosystem is one phase, alone it’s not enough. The next phases are even more critical: codes must be collected, used,
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Advancing Health Equity by Addressing The Health Data Desert

by Alok Mandal, Head of Healthcare Consulting, Virtusa 09/15/2023 Leave a Comment

Advancing Health Equity by Addressing The Industry’s “Data Desert”

Massive disparities continue to plague healthcare in the United States. Many Americans do not have access to quality care, leading to higher rates of diseases like diabetes, hypertension, cancer, and obesity. Health equity means ensuring that health resources and services are accessible and affordable for everyone, regardless of gender, sexual orientation, race, geography, ethnicity, or financial circumstances.  Health equity allows people to lead active and productive lives, reduces the
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Applied Behavior Analysis (ABA): Why More Is Not Always Better

by Dana D’Ambrosio, M.S., BCBA, LBA Director, Clinical Development RethinkFutures 09/12/2023 Leave a Comment

Applied Behavior Analysis (ABA): Why More Is Not Always Better

In a society where so many want more—more money, more time off, more adventure—few stop to question the logic of insatiably wanting “more.” Perhaps, no place does the consequence of wanting more negatively impact people than with healthcare treatments. Medication use, for example, shows clear dose-response curves, where over-use can have fatal consequences; negative consequences and death also can result from too much chemotherapy, radiation, antibiotic use, or complications from unnecessary
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It’s Time to Treat Substance Use Disorder Like the Chronic Disease It Is

by Hans Morefield, CEO, CHESS Health 08/25/2023 Leave a Comment

It's Time to Treat Substance Use Disorder Like the Chronic Disease It Is

Far too often, substance use disorder (SUD) is viewed as an “acute condition,” one that can be “cured” with short-term treatment, such as a week-long stay in a detox facility. This could not be further from the truth. The failure to understand the science behind addiction leads individuals who are undertreated or inappropriately treated to return to use again and again. SUD is not a moral failing. It is not a behavioral issue. It is not a choice. The leading health organizations around the
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UnitedHealthcare Donates $2.85M for Direct Service Workers in Indiana

by Jasmine Pennic 08/16/2023 Leave a Comment

UnitedHealthcare Donates $2.85M for Direct Service Workers in Indiana

What You Should Know:  UnitedHealthcare Community Plan of Indiana has provided $2.85M to four organizations working to advance the direct service health workforce in the state. Direct service workers (DSWs) are essential in providing care to long-term services and support recipients who choose to age and live in their homes, especially those in underserved communities and rural areas. DSWs include certified nursing assistants, home health aides, direct support professionals,
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ZeOmega Integrates SDOH Platform w/ Microsoft Cloud for Healthcare

by Jasmine Pennic 08/16/2023 Leave a Comment

ZeOmega Integrates SDOH Platform w/ Microsoft Cloud for Healthcare

What You Should Know:  ZeOmega announced it has integrated its Jiva Population Health Enterprise Management Platform’s SDOH Social Care solution with Microsoft Cloud for Healthcare built for Microsoft Azure. The integration empowers healthcare organizations with Azure to achieve increased access, seamless compatibility, and unmatched administrative efficiency, enabling smoother processes and freeing healthcare professionals to prioritize exceptional patient care. SDOH takes center
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Virgin Pulse Launches Global Loneliness Challenge for Employers

by Fred Pennic 08/16/2023 Leave a Comment

Virgin Pulse Launches Global Loneliness Challenge for Employers

What You Should Know:  Virgin Pulse launches a five-week global loneliness challenge for employers and health plans designed to foster social connections and reverse costly adverse health risks.Social isolation and loneliness is a worldwide problem and is clinically proven to be detrimental to individual and population health. The  Striding for Connection challenge is being offered to all current clients worldwide to empower members to foster new connections while strengthening
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UnitedHealthcare Awards $11.1M in Grants to Expand Care Access

by Fred Pennic 07/25/2023 Leave a Comment

UnitedHealthcare Awards $11.1M in Grants to Expand Access to Care

What You Should Know:  UnitedHealthcare, today announced it is awarding $11.1 million in grants to 66 nonprofit organizations across 12 states through its Empowering Health program. These grants address social determinants of health (SDoH) and help uninsured individuals and underserved communities. Since launching its Empowering Health commitment in 2018, UnitedHealthcare has invested more than $62 million in Empowering Health grants reaching more than 11 million people through
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How the VA Uses Synthetic Data to Predict Veterans’ Suicide Risk

by Josh Rubel, CCO, MDClone 07/25/2023 Leave a Comment

How the VA Uses Synthetic Data to Predict Veterans’ Suicide Risk

Suicide is a major public health crisis in America, resulting in one death every 11 minutes, on average.  In 2020, suicide was among the top 9 leading causes of death for people between 10 and 64 years of age. Each year, suicide and nonfatal self-harm cost the nation nearly $490 billion in medical costs, work-loss costs, the value of statistical life, and quality-of-life costs, according to statistics cited by the U.S. Centers for Disease Control and Prevention.  For America’s
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Unite Us Partners with Healthix and Regional Social Care Networks

by Jasmine Pennic 07/10/2023 Leave a Comment

Unite Us Expands Social Determinants of Health Platform to 6 States

What You Should Know:  Today Unite Us, a leading software company enabling cross-sector collaboration to improve people's health and well-being, announced a partnership with Healthix, the largest public health information exchange (HIE) in the nation serving New York City and Long Island.Healthix and Unite Us will provide technology to enable communication between healthcare systems and social care networks. Together, they aim to address social drives of health such as food, housing,
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