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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CMS| News, Analysis, Insights - HIT Consultant
Getting Beyond the Telehealth ‘Stop-Gap’ Mentality
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 growing body of evidence supports the real-life benefits of
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How Low-Code Solutions Reduce Headaches for Healthcare CIOs
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 the provider community, we have a habit of either sourcing our
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Accounting for the Social Determinants of Health During the COVID-19 Pandemic
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 isolation spell disaster –
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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
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 is the need to support member health. During an
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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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Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management
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 – providing a way for healthcare organizations to
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