In September, the U.S. House of Representatives passed a bill intended to accelerate patient access to care by streamlining prior authorization (PA) processes. The Improving Seniors’ Timely Access to Care Act mandates the adoption of electronic PA for Medicare Advantage (MA) plans and requires plans to offer greater policy transparency, approval rates, and rationale for denials. With considerable bipartisan support, the legislation has won endorsements from notable leading healthcare trade
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Care Management in Healthcare | News, Analysis, Insights - HIT Consultant
Health Gorilla Launches Pharmacy Data, Powered by DrFirst
What You Should Know: - Health Gorilla, a Health Information Network (HIN) and leading interoperability platform launches Pharmacy Data, a new product enabling seamless access to complete medication history data from most major pharmacies. - Pharmacy Data is powered by a new partnership with DrFirst and its MedHx Population Risk Management (PRM) solution to provide deduplicated medication history from local and national data sources, including prescribing data, pharmacy
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Dexcom Ventures Invests in MedCrypt’s Medical Device Cybersecurity Platform
What You Should Know: - MedCrypt, the proactive cybersecurity solution provider for medical devices and manufacturers, will announce the close of a Series B extension round led by Dexcom Ventures, bringing the company's total to date to $36.4M. - With support from three major investors, Johnson & Johnson Innovations, Intuitive Ventures, and Dexcom Ventures, MedCrypt continues to lead the way in developing cybersecurity technologies and infrastructure for life-saving medical
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9 Executive Revenue Cycle Predictions/Trends to Watch in 2023
Nate Maslak, the co-founder/CEO of Ribbon Health Price Transparency: In 2022, we saw CMS’s Transparency in Coverage rule go into effect, requiring non-hospital entities like health plans and providers to publish publicly available rates for care. In 2023, we’ll see this price transparency data become more mainstream as it finally makes its way into the hands of patients, empowering them to find the best care for them, reevaluate their care choices, and shop around for the best possible care
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Evergreen Nephrology Taps Innovaccer to Transform Kidney Care
What You Should Know: - Evergreen Nephrology, a nephrology-focused value-based care organization, has chosen the Innovaccer® Health Cloud and Innovaccer’s full solution suite to accelerate the transformation of kidney care. - Innovaccer’s cloud-native solutions selected by Evergreen include tools to optimize care management, physician engagement, patient engagement, referral management, advanced analytics, and dashboard-driven insights to optimize delivery of value-based specialty
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22 Executive Digital Health Predictions to Watch in 2023
Jon Bloom, MD, CEO and Co-founder of Podimetrics From a digital health perspective, 2022 was a reset year for many and a serious reality check. We went from sky high growth to the sky is falling, and in 2023 I think this market correction movement will continue forward. To me, the biggest surprise of 2022 was that despite the market tanking, digital health companies continued to truck forward with huge deals. This includes massive acquisitions like Amazon and OneMedical, as well as deals like
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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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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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5 Things to Consider Before Implementing a CAPS System in 2023
Core administrative processing systems (CAPS) serve as the center of the healthcare payer architecture and are essential for efficient business operations. These systems are needed to support administrative and transactional processing and are a significant investment in technology. Selecting a CAPS system isn’t a single purchase, but rather an ongoing partnership that requires maintenance to ensure the system remains up to date to support industry and regulatory changes. Last year, 99% of
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Valencell Unveils Calibration-Free, Cuffless Blood Pressure Monitor
What You Should Know: - Valencell, the company whose optical heart rate technology enabled the ability of wearables to accurately measure cardiovascular vitals during exercise, today announced plans to launch its own branded product line in the digital health sector as it concentrates efforts to bring solutions to market to manage chronic diseases. - The company’s first product candidate being showcased at CES is focused on helping people monitor and manage hypertension by combining
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