What You Should Know: - One of the nation’s largest real-time health information networks Availity announced an agreement to acquire Diameter Health, a national leader in clinical data quality and interoperability. - This strategic deal expands Availity’s clinical portfolio to deliver the strongest integrated clinical and claims data network and interoperability platforms in healthcare. Streamlining Clinical Data Interoperability Founded in 2013, Diameter
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Executive Roundtable: Can Innovation Alleviate Clinician Burnout?
The U.S. Surgeon General’s recent advisory about clinician burnout cited numerous societal, cultural, structural, and organizational causes—including excessive workloads, administrative burden, and lack of organizational support. The potential fallout of this trajectory is alarming: The advisory cites the Association of American Medical Colleges’ estimate on clinician demand outpacing supply, with an anticipated shortage of between
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4 Quick Tips for Getting COVID-19 Claims Paid Promptly
As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point. We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, in less-fortunate scenarios, comfort patients in their last moments as they were quarantined from loved ones. What has been less recognized is the work and sacrifice
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Open APIs in Healthcare: The Future of Data Integration Report
What You Should Know: - The latest Chilmark Research report examines how data-oriented APIs are contributing to development and integration efforts across healthcare from the perspective of the developer. - Reeling from the impact of the COVID-19 pandemic and
seeking more effective ways to implement new functionality, healthcare
enterprises of all kinds are looking to alternatives for prevailing development
and integration practices. Unlocking value
from the data scattered across
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Why Outsourcing is the Best Approach to Prior Authorizations
Doctors didn’t attend medical school to spend their waking hours managing or waiting for prior authorizations (PA), but these days it feels like that’s all they are doing. A recent American Medical Association survey found that 90 percent of responding physicians believe that the “administrative burden related to PA requests has risen in the last five years, with most saying it has ‘increased significantly.’” As healthcare continues its acceleration toward value-based reimbursement models,
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Social Distancing: Addiction Recovery Programs Go Virtual for COVID-19
We have been following the social distancing guidelines for two weeks now with more weeks to go. One population that truly needs and is literally prescribed social interaction is that of Substance Use Disorder (SUD). In fact, the 12 step (recovery approach) community, relies on being social wherein attending group meetings to share experience, strength, and hope is a part of the proven philosophy. Turns out, social distancing while helpful with the COVID-19 crisis is creating another one;
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How Multi-Payer Portals Incent Providers to Better Manage Their Data
Mark Martin, Director of Payer Solutions for Availity
Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience.
These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Holon Solutions Appoints Jon Zimmerman As New CEO
- Healthcare IT leader Jon Zimmerman has been named CEO of Holon Solutions to accelerate their transition to value-based care through the adoption of purpose-built technology that solves their biggest challenges.
- Value-based care executive selected for his nearly 30 years’ experience in enhancing healthcare interoperability and proven track record in scaling growth-stage companies.
Holon Solutions, an Atlanta-based healthcare IT company that liberates healthcare data, today announced it has
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Facing the Revenue Cycle’s Biggest Challenges in 2019
Hospital revenue cycle departments have gained greater visibility in recent years as a significant driver of revenue streams. Yet many of these departments continue to face serious challenges in several areas, including workforce, interoperability, and EHR optimization.Taking revenue cycle management to the next level by harnessing technology and data analytics can help hospitals and health systems track costs and identify opportunities for cost savings, gain efficiencies, and optimize financial
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3 Key Areas An Automated Prior Authorization Solution Must Address
Editor's Note: Co-written by Scott Herbst, Senior Vice President and General Manager of Provider Solutions and Ryan Miller, Senior Vice President of Strategy & Corporate Development at Availity.Prior authorizations may be as popular among providers as ants at a picnic, but they have become a common and necessary part of the reimbursement process. As a result, being able to manage prior authorizations efficiently is critical to maintaining a healthy revenue cycle and avoiding issues such as
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