What You Should Know: Strategies employed by payers, provider-sponsored health plans, and provider organizations are starting to become more proactive, and the need for solutions with prospective, predictive capabilities is rising. Additionally, amid rising healthcare costs and economic uncertainty, organizations are looking for solutions that deliver more for less.A new KLAS report examines risk adjustment vendors’ abilities to drive outcomes and value, their prospective capabilities,
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Apixio
Apixio Launches EHR-Integrated Post-Visit Solution
What You Should Know: - Apixio, a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers. With the Centers for Medicare & Medicaid Services' recent Medicare Advantage Risk Adjustment Data Validation Final Rule, healthcare organizations need to have complete diagnosis capture and accurate documentation for reimbursement to ensure compliance. - The new Post-Visit
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Prior Authorization Reforms Don’t Address the Real Problem. Here’s How AI Can Help.
After waiting weeks for an open appointment, John finally gets in to see the orthopedic surgeon to evaluate his acute knee pain. He’s already been off work for over two months and has barely been able to leave the house, popping anti-inflammatory and pain medicine to manage the pain every day. Suspecting a torn meniscus, the doctor orders an MRI to verify the diagnosis and plan his treatment approach. The nurse begins the process by calling John’s insurance carrier to verify coverage,
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Apixio Launches Real-Time Health Data Management Solution
What You Should Know: - Apixio, today, announced the launch of Apicare ChartSpace™, a health data management solution that provides real-time data access to centralized medical charts, accelerated chart and audit file retrieval, and enables the surfacing of actionable insights across value-based care programs. - Apicare ChartSpace centralizes health data, improves security and efficiency of data sharing across departments and external partners, and powers Apixio’s AI-Driven
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M&A: Centene to Acquire AI Healthcare Analytics Platform Apixio
What You Should Know: - Centene Corporation acquires AI healthcare analytics platform Apixio to additional data and AI capability to technology portfolio. - Apixio will remain an operationally independent entity as part of Centene's Health Care Enterprises group to continue bringing value to its clients and the industry. Centene Corporation, today announced it has signed a definitive agreement to acquire Apixio Inc., an AI healthcare analytics company offering Artificial
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How Machine Learning Can Support Early Intervention for High-Risk Patients
U.S. healthcare costs have skyrocketed over the last decade and show no sign of slowing down. We currently spend $3.5 trillion a year on healthcare—about $11,000 per person, more than twice the average per-person spending in other developed countries. And healthcare costs are expected to nearly double to $6 trillion by 2027, further adding to the financial burden on patients, plans, and providers. Healthcare organizations are exploring a wide range of options to help contain costs while ensuring
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Apixio Launches AI-Powered Solution to Advance Personalized Medicine
- Quality Identifier uses Apixio’s proprietary AI algorithms to analyze electronic medical record notes, scanned charts, and other patient documents to identify evidence of measure compliance. - Algorithm results and supporting evidence are then presented to clinical abstractors for review in a secure web-based application. - The future of quality measurement in healthcare will be outcomes-oriented, prioritizing quality measures that require patient data from medical documents to
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Apixio Unveils AI-Powered Risk Adjustment Auditing Solution for Plans & Providers
Apixio Inc., the data science company for healthcare, today announced availability of the first-ever AI-powered solution to help health plans and provider organizations to undertake internal audits of their risk adjustment payment data with increased accuracy and in far less time than traditional methods. Medicare is increasing the frequency of health plans audits offering Medicare Advantage (MA) products to ensure correct payments. Given the potential revenue impact, it typically takes health
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Apixio Launches AI-Driven Code Compliance Auditor App for Health Plans
Apixio, a data science company for healthcare has announced the launch of Compliance Auditor, a first-of-its-kind software platform that uses AI to help health plans audit 100% of their coding work in a fraction of the time. Compliance Auditor makes it possible for insurers to validate the accuracy and compliance of their risk adjustment chart coding efforts, paving the way toward fair and complete reimbursement. Powered by Apixio’s Artificial Intelligence (AI) platform, Compliance Auditor
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Apixio Unveils Risk Adjustment Solution to Strengthen Plans in Health Insurance Exchanges
Apixio Inc., the data science company for healthcare has unveiled its HCC Profiler for Commercial Risk, for more accurate and complete risk coding for health plans on the federal and state health insurance exchanges. Insurance exchanges are one aspect of the Affordable Care Act that has struggled with several large insurers including Aetna and Oscar opting to leave in 2017. Two key issues driving this are that exchanges are attracting individuals who are sicker than expected. And, insurers
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