What You Should Know:
- Healthify's social determinants of health (SDoH) infrastructure will be integrated into Altruista's GuidingCare® platform to support health plans in addressing the social needs of members.
- SDoH such as poverty, housing instability, and food insecurity can significantly impact health outcomes, so it is imperative that they are not overlooked.
Healthify, a
company that works with managed care organizations to integrate social
determinants
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Care Management in Healthcare | News, Analysis, Insights - HIT Consultant
Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy
What You Should Know:
- Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts.
- The solution utilizes Artificial Intelligence (AI) and
Natural Language Processing (NLP) to make risk predictions.
Innovaccer, Inc., a
leading healthcare
technology company, has launched its Risk Adjustment
Solution. Leveraging
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Is Your Community Ready For A Connected Community of Care Model?
Dr. Keith Kosel is a Vice President at Parkland Center for Clinical Innovation (PCCI)
This question initially brings to mind many possibilities such as connection to the latest 5G cellular service, a new super-fast internet provider, or maybe one of the many new energy suppliers jockeying for market share from traditional utility companies. While all of these might represent legitimate opportunities to improve one’s community, here we are talking about a different concept; specifically,
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Getting Beyond the Telehealth ‘Stop-Gap’ Mentality
Roland Therriault, President, InSync Healthcare Solutions
Since COVID-19 emerged as a major health threat, virtual care has taken off. As many as 46% of patients reported in late April that they had used telehealth to replace a canceled healthcare visit in 2020, while 48% of physicians said they had started using telehealth to treat patients.
While a shift in care models was necessary to address business continuity amid the pandemic, these trends also represent positive movements as a
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Accounting for the Social Determinants of Health During the COVID-19 Pandemic
Andy Aroditis, CEO, NextGate
The COVID-19 pandemic is not just a medical crisis. Since the highly contagious disease hit American shores in early 2020, the virus has dramatically changed all sectors of society, negatively impacting everything from food supply chains and sporting events to the nation’s mental and behavioral health.
For some people, work-from-home plans and limited access to entertainment are manageable obstacles. For others, the shuttered schools, lost wages, and social
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How the Simple Telehealth Visit Will Revolutionize Care Delivery and Disease Management
Anthony Pannozzo, Chief Design Officer and Global Healthcare Lead at frog
The impact of COVID-19 on the healthcare industry’s ability to innovate has been stunning. We have seen FDA emergency authorizations and relaxed regulatory guidelines enable the development of radical new ventilator ideas, accelerated timelines for vaccine development, and an extraordinary transition to telehealth services. Many of these actions were a response to the exposure of weak spots in our healthcare system, but
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Humana Taps Salesforce to Power its Enterprise Clinical Operating Model
What You Should Know:
Health insurer Humana has selected Salesforce to deliver
a more connected, personalized healthcare experience for its members.
- Through a new multi-year agreement, Humana will
capitalize on infrastructure and capabilities offered by Salesforce Health
Cloud to create an integrated health experience for its members.
Health insurer Humana has inked a new multi-year agreement with Salesforce to deploy Salesforce Health Cloud to help power its Enterprise Clinical
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Elevate Health Taps Innovaccer to Automate Care Management Processes
What You Should Know:
- Innovaccer has recently partnered with Elevate Health
to strengthen care management in Washington. Innovaccer’s solution set will be
part of a broader population health stratification toolkit Elevate Health is
fashioning to achieve a comprehensive and data-agnostic ecosystem supporting
improved health outcomes.
- Elevate Health’s partnered care coordinators, in both
clinical and social services settings, will be able to use InCare, Innocaccer’s
automated care
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Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management
Vijay Kotte, EVP of Physician Services at R1 RCM
In COVID-19’s wake, providers’ financial recovery will be crucial yet daunting. U.S. hospitals and health systems stand to collectively lose $36.6 billion between March and June 2020 alone. Physician practices also face serious financial challenges as they recoup revenues that declined up to 55 percent and patient volume that decreased 60 percent.
Amid these hardships, telehealth has emerged as a widely accepted vehicle for care delivery –
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Verily Forms New Subsidiary Focused on Employer Stop-Loss Through Precision Risk
What You Should Know:
- Alphabet’s Verily has established a new subsidiary,
Coefficient, with a mission to create value by combining innovative health
technology solutions with new insurance and payment models. Verily is the
majority shareholder and Swiss Re Corporate Solutions, an established player in
the employer stop-loss market, has a minority stake in the new company.
- Coefficient will enter a segment of insurance called
employer stop-loss. Employer stop-loss typically protects
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