Abhinav Aggarwal, Sr. Director, Encounter Submission and Risk Adjustment Solutions at Edifecs
Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter
Read More
3 Trends Driving Healthcare Mergers & Acquisitions (M&A) Activity in 2020
Ryan Buckley, Partner at Livingstone Partners
Livingstone’s
Ryan Buckley shares insights behind the prevalent healthcare M&A trends of
2020 and its impact on U.S healthcare.
The New
Year often brings with it an essence of transformation. This year, U.S.
healthcare’s metamorphosis is now more than a decade old, as it continues to
shed its antiquated legacy systems and siloes to embrace a different kind of entity—one
that hopes to establish weight in value-based care at a scale robust
Read More
Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020
As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020.
Robbie Hughes, Founder, and CEO, Lumeon
“Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
Read More
88% of Hospitals Plan to Invest in Remote Patient Monitoring Solutions to Support Value-Based Care
- 88% of health systems and hospitals surveyed have invested or plan to invest in remote patient monitoring solutions to support their organizational transitions to value-based care, according to the latest Spyglass Consulting Group report. - Healthcare provider investments in RPM solutions are being driven by several underlying market factors including exploding healthcare costs, a rising aging baby boomer population, the increased prevalence of chronic disease, and continuous healthcare
Read More
10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar
Read More
Health Catalyst IPO Journey: Future Opportunities & Challenges to Watch
Libby Greene, NASDAQ
Last week saw Health Catalyst common stock begin trading on the Nasdaq Global Select Market. This marks the culmination of a journey that started 11 years ago and provides a great illustration of a start-up that has maximized the potential of the move in healthcare to value-based care. However, the IPO comes at a time where there is some uncertainty gripping the markets it targets and there are several key challenges for Health Catalyst to overcome in order to drive
Read More
Why Medicare For All Is Not Going to Happen In America
Medicare for All rally in Los Angeles (mollyswork/Flickr)
I am going to make a prediction here. No matter who we elect in 2020, Bernie or Trump or anything in between, Medicare For All is not going to happen in America. One can run an electrifying campaign on the promise of Medicare For All, or indignantly against it, but this is pure theater on both sides. I don’t know if God can make a rock so big and heavy that even He can’t lift it, but I do know that government can make corporations so
Read More
Today’s Behavioral Health Providers are Failing: Why Data Analytics is the Solution
Today, behavioral health is more important than ever. Major news outlets, from The New York Times to The Wall Street Journal, constantly cover the mental health epidemics wracking the nation, be it widespread opioid abuse or the steady, upward creep of suicide and self-harm.Spurred on by the scope and severity of these societal problems (as well as new legislation passed to address them), the behavioral health sector has grown exponentially. Yet this field is not without its problems: despite
Read More
How Millennials Lead the Way to Healthcare Innovation
Editor's Note: Mark Haddad is VP of Consulting for the Microsoft group at SADA Systems, a full-service cloud migration and IT consulting services company, offering cloud solutions, managed services, technical services. Statisticians, researchers and workplace experts love to talk about how different Millennials are than the rest of us as workers and consumers. There have been numerous studies about the potential impact of this group on the healthcare industry, since healthcare defies nearly
Read More
PwC Report: 5 Key Trends Fueled by the Affordable Care Act
In its first five years, the Affordable Care Act (ACA) has already left an indelible mark on the $2.9 trillion health sector. By energizing five fundamental shifts, the law has accelerated the rise of a New Health Economy predicated on value, according to a new report from PwC’s Health Research Institute (HRI), “Five Trends to Watch as the Affordable Care Act Turns Five.”
According to the PwC report, although much groundwork was laid in advance of the law’s enactment, health
Read More
