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Technology

Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

by Dr. Gary Call, Chief Medical Officer at HMS 01/14/2021 Leave a Comment

Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

As healthcare spending continues to rise, so too does the inherent risk for bad actors to take advantage. Today, the United States is estimated to spend nearly 18 percent of its GDP, or $3.6 trillion, on healthcare, and is expected to increase to one-fifth of GDP within the next decade, according to the latest data. This alone provides ample motivation for fraud and abuse. While the full extent of healthcare fraud is difficult to measure, The National Health Care Anti-Fraud Association
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Behavioral Health Services Fueled Telehealth Adoption During Pandemic, Study Finds

by Jasmine Pennic 01/11/2021 Leave a Comment

Behavioral Health Services Fueled Telehealth Adoption During Pandemic, Study Finds

What You Should Know: - Telehealth adoption for behavioral health services jumped sharply during the first months of the COVID-19 pandemic shutdown, according to a new RAND Corporation study. Telehealth adoption increased sharply during the first months of the COVID-19 pandemic shutdown, with the approach being used more often for behavioral health services than for medical care, according to a new RAND Corporation study. Prior to the
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CareSource, Healthify Partner to Address Social Determinants of Health in Ohio

by Jasmine Pennic 01/07/2021 Leave a Comment

Healthify, Ride Health Partner to Offer SDOH-Driven Transportation to Vulnerable Populations

What You Should Know: - Healthify and CareSource are teaming up to build a statewide network of community-based organizations in Ohio. - This new network will provide social services to CareSource’s members throughout the state of Ohio with referrals to address Social Determinants of Health (SDoH). CareSource, a nonprofit multi-state managed care plan has partnered with Healthify to build a statewide network of
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Is Your Connected Community of Care Truly Making a Difference?

by Dr. Keith Kosel, VP at Parkland Center for Clinical Innovation (PCCI) 01/07/2021 Leave a Comment

Is Your Community Ready to be Connected?

Connected Communities of Care Definition: An innovative method for effective population health management using social determinants of health. A way to streamline effective coordination between medical, government, and community-based organizations. We ask this type of question every day. For example, we may ask― “Is this product that I purchased making a difference?” or “Is this advanced training that I completed making a difference?” Implicit in this common question is the
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12 Telehealth & Virtual Care Predictions and Trends for 2021 Roundup

by Fred Pennic 01/04/2021 Leave a Comment

12 Telehealth & Virtual Care Predictions and Trends for 2021

Dr. Paul Hain, Chief Medical Officer of GoHealth Telehealth is Here to Stay in 2021 Prior to the pandemic, telehealth was a limited ad-hoc service with geographic and provider restrictions. However, with both the pandemic restrictions on face to face interactions and a relaxation of governmental regulations, telehealth utilization has significantly increased from thousands of visits in a week to well over a million in the Medicare population. What we’ve learned is that telehealth allows
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6 Mental Health & Teletherapy Predictions & Trends to Watch in 2021

by Fred Pennic 12/30/2020 Leave a Comment

6 Mental Health & Teletherapy Predictions & Trends to Watch in 2021

The executive team at AbleTo, a technology-enabled provider of behavioral healthcare shares six mental health and teletherapy predictions and trends to watch in 2021. Trip Hofer, CEO at AbleTo 1. Measurement and Outcomes “The healthcare industry has made progress toward increasing access to mental health care and defining what quality care looks like. Now in 2021, the industry needs to focus on how we measure that quality. With mental health becoming an incredibly hot market and so
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Patient-First Model: High Tech Meets High Touch for Individuals with Rare Disorders

by Donovan Quill, President and CEO, Optime Care 12/30/2020 Leave a Comment

Patient-First Model: High Tech Meets High Touch to Optimize Data, Inform Health Care Decisions, Enhance Population Health Management for Individuals with Rare Disorders

Industry experts state that orphan drugs will be a major trend to watch in the years ahead, accounting for almost 40% of the Food and Drug Administration approvals this year. This market has become more competitive in the past few years, increasing the potential for reduced costs and broader patient accessibility. Currently, these products are often expensive because they target specific conditions and cost on average $147,000 or more per year, making commercialization
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Highmark Inks 6-Year Partnership with Google Cloud to Power Living Health Model

by Fred Pennic 12/18/2020 Leave a Comment

Highmark Health Inks 6-Year Partnership with Google Cloud to Power Living Health Model

What You Should Know: - Highmark Health signs six-year strategic partnership agreement with Google Cloud to transform the health experience for patients and caregivers through the development of Highmark Health's new Living Health Model - The Living Health model is designed to eliminate the fragmentation in health care by re-engineering the healthcare delivery model with a more coordinated, personalized, technology-enabled experience. Highmark Health and Google Cloud today announced
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Is Broadband Access The Missing Key to Improving Rural Healthcare?

by Irv Lichtenwald CEO, Medsphere Systems Corporation 12/17/2020 Leave a Comment

rural healthcare broadband access

The plain truth is that rural America has always had a market failure problem.  In the 1930s, the problem manifests as woefully inadequate telephone and electrical service. The spaces were just too wide open, the potential customers too few, for companies to invest in America’s in-between places.  In response to this market inefficiency, a federal government led by Franklin Roosevelt stepped in and created the Rural Electrification Administration (REA). Within 20 years, phone
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OHSU to Deploy Virtual ICU Across 8 Sites to Extend Care to Patients in Rural Communities

by Fred Pennic 12/16/2020 Leave a Comment

OHSU to Deploy Virtual ICU Across 8 Sites to Extend Care to Patients in Rural Communities

What You Should Know: - With ICU beds near capacity across the United States, GE Healthcare announced a strategic partnership with Oregon Health and Science University (OHSU) that will allow OHSU to oversee and help provide care to ICU patients across eight hospital sites via a “Virtual ICU” (VICU), using the GE Healthcare Mural Virtual Care Solution. - The VICU provides critical care specialists at OHSU with digital tools to deploy hospital defined care protocols to remotely identify
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