What You Should Know:
- Humana Inc. and Fresenius Medical Care North America
(FMCNA) today announced an agreement to broaden their collaboration toward
improving the health of eligible Humana Medicare Advantage members
- The
agreement between Humana and Fresenius Medical Care North America goes into
effect Jan. 1, 2021.
Humana Inc. and leading renal care company Fresenius Medical Care North America (FMCNA) announced an agreement to broaden their collaboration toward improving the
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CMS| 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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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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How Low-Code Solutions Reduce Headaches for Healthcare CIOs
Ruby Raley, VP of Healthcare and Life Sciences at Axway
Twenty years ago, technology consultants started advising CIOs to build less. That’s when the movement towards Commercial Off the Shelf (COTS) began.
Today, there are many shops, especially those in small and medium-sized organizations, with few programmers who build new applications from scratch.
Yes, they have programmers who configure, script, and integrate various applications but very little is built. For
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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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Centene Becomes First Payer to Join AVIA’s Medicaid Transformation Project
What You Should Know:
- AVIA announces that Centene Corporation has become the first payer to join the Medicaid Transformation Project (MTP), which aims to transform healthcare and related social needs for vulnerable populations through digitally-enabled care models and new technology solutions
- Led by AVIA and
former CMS chief Andy Slavitt. Collaboration among Centene, 30 health systems,
and provider-sponsored health plans in MTP will enable these stakeholders to
improve outcomes
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The COVID-19 Data Challenges Facing Payers
Dr. Chris Hobson, Chief Medical Officer, Orion Health
Both payers and providers can benefit from the same or similar high-quality data and can work together to provide the best possible services to patients with COVID-19 while avoiding overloading the healthcare system. The key is to use combined payer, clinical, and social data plus technology such as telehealth and artificial intelligence (AI).
Payer Perspective on COVID-19
The overriding concern for payers during the COVID-19 crisis
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Designating Ownership of Provider Data Will Improve Care Coordination, Study Finds
What You Should Know:
- New LexisNexis Risk Solutions Health Care survey reveals
that 63% of respondents believe designating ownership of provider data will
improve care coordination, yet only 18% of organizations report having a
dedicated data governance department
- The survey results are based on over 100 qualified
responses from organizations across the industry, including independent
hospitals, teaching hospitals, independent physician groups, and federally
qualified health
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M&A: Provation Acquires Perioperative Care Coordination Platform ePreop
What You Should Know:
- Provation announces the acquisition of ePreop, a comprehensive perioperative care coordination, and quality reporting solutions for an undisclosed sum.
- Acquisition creates a comprehensive clinical productivity SaaS platform, streamlining workflows, and documentation from patient intake and pre-op through recovery and follow-up.
Provation, a
software provider of procedure documentation and clinical decision support
solutions, backed by Clearlake Capital
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Collaborative Health Systems’ ACOs Delivers $335M in Medicare Savings
Collaborative
Health Systems (CHS) announced today that its Medicare Shared Savings
Program (MSSP) Accountable
Care Organizations (ACOs) delivered $335 million in total savings to
Medicare and $183 million in shared savings since 2012, according to figures
released by the Centers for Medicare & Medicaid Services (CMS).
Defining Medicare ACOs
Medicare ACOs are groups of doctors, hospitals, and other
healthcare providers who come together voluntarily to provide coordinated,
high-quality
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