Faced with shifting regulations, growing administrative complexity, high-dollar claims, and the looming potential of audits, payment integrity is an increasingly important priority for payers. Payers realize that when they make the correct payments to providers initially, they increase trust, reduce provider abrasion, and lower appeal rates.
Traditionally, many health plans have outsourced payment integrity work to vendors who perform reviews, and then return the results to those health
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Care Coordination| Clinical Communication News, Analysis, Insights - HIT Consultant
17 Executive Hospital/Health System Predictions to Watch in 2023
Vijay Kedar, Co-Founder and CEO at Tomorrow Health
Health systems will realize their challenges are not transitory but systemic: This year saw health systems facing a myriad of compounding threats – from historic inflation exacerbating their cost structures, front-line clinician burnout driving widespread labor shortages, and increased capacity issues that left patients in hospital facilities one full day longer than in the prior year. As the financial markets turned south, many institutions
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20 Executives Share Health IT Predictions to Watch in 2023
We asked several healthcare executives to share their health IT predictions and trends for 2023.
Nate Maslak, the co-founder/CEO of Ribbon Health
Data Personalization: 38% of consumers want more personalized and inclusive healthcare options. In 2023, we’ll see a greater shift towards healthcare enterprises prioritizing this personalization, by innovating their current data infrastructure to show a range of information that lets a patient make an educated care decision based on what
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Omada Health, Intermountain, Castell to Establish Integrated, Virtual Care Option for Diabetes Management and Prevention
What You Should Know:
- Omada Health and Castell, an Intermountain value-based care subsidiary, announced a first-of-its kind partnership – creating a new, integrated virtual care model to reach and help more at-risk patients through proven prevention and Diabetes programs.
The new virtual care model expands the access of Omada’s Diabetes Prevention Program and Diabetes Program to patients and caregivers receiving care from Intermountain Healthcare’s primary care providers
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Monogram Health Secures $375M to Expand In-Home Kidney Care
What You Should Know:
- Monogram Health, a Nashville, TN-based kidney disease benefit management and care delivery company announced a $375M growth funding round that will drive the company’s continued rapid expansion as the leading solution for high-quality, in-home care for polychronic patients living with chronic kidney and end-stage renal disease in the U.S.
- Investors in the round include CVS Health, Cigna, Humana, Memorial Hermann Health System, SCAN, TPG Capital, Frist Cressey
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NuraLogix Unveils Telehealth Platform Performing Continuous Health/Vital Signs During Video Calls
What You Should Know:
- NuraLogix, global pioneers of contactless health monitoring whose technology can take over 30 medical-grade health vitals using any video-enabled device, unveils Anura™ Telehealth, a platform that performs continuous health and vital sign measurements while on a video call.
- This is the latest addition to its AnuraTM platform that uses conventional video cameras to extract facial blood flow information to accurately calculate a host of medical vitals and health
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Ardent Health Services to Deploy AI-Powered, Virtual Nursing Program
What You Should Know:
- Ardent Health Services today announced a partnership with AI-powered ambient monitoring platform care.ai to implement care.ai’s Virtual Nursing solution at Lovelace Medical Center, Ardent’s Albuquerque, New Mexico-based affiliate.
- Ardent, which operates 30 hospitals and nearly 200 sites of care across six states, is among the first of care.ai’s partners to introduce AI-powered nursing.
Virtual Nursing Solution Driving Improved Clinical
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Brightside Health Launches Telehealth Program to Combat Suicide Epidemic
What You Should Know:
- Brightside Health today announced Crisis Care, a telehealth program treating individuals with elevated suicide risk. With the addition of Crisis Care, the company will expand its services to individuals experiencing acute suicidal thoughts and behaviors.
- While telehealth has improved access to mental healthcare, the majority of virtual mental health services only treat patients with low-to-moderately severe conditions. This
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Point32, Wellthy Partner to Offer Members Tech-Enabled Caregiving Support
What You Should Know:
- Point32Health (the combined entity of Harvard Pilgrim and Tufts Health Plan) and Wellthy, the tech-enabled caregiving support company, are launching a new collaboration to support caregivers.
- Through this new program, commercial members of Harvard Pilgrim Health Care and Tufts Health Plan’s fully-insured health plans throughout New England will now have access to Wellthy, the market-leading solution for caregiving. The partnership demonstrates a commitment by
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Baptist Health Taps TytoCare to Enhance Virtual Care to Patients
What You Should Know:
- TytoCare has partnered with Baptist Health, a full-spectrum health system, to bring Tytocare’s virtual care solutions to patients in Kentucky and Indiana.
- As part of the partnership, Baptist Health will integrate TytoCare’s Home Smart Clinic solution into its current telehealth offering, enhancing the health system’s ability to diagnose and treat patients with in-depth, remote physical examinations during virtual visits, including urgent
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