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CMS| News, Analysis, Insights - HIT Consultant

HHS Issues Strategies & Recommendations to Mitigate EHR-Related Clinician Burden

by Fred Pennic 02/24/2020 Leave a Comment

Physician Burnout_Cognitive Overload Documentation Overload

- HHS issues new report outlining the key sources of EHR-related burden, as well as strategies and recommendations to achieve burden reduction goals for healthcare providers. - The HHS report reflects additional input from the more than 200 comments submitted in response to the draft strategy and recommendations. As part of the ongoing efforts to strengthen the relationship between patients and their doctors, the U.S. Department of Health and Human Services (HHS) issued
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HealthLynked Acquires Cura Health & ACO Health Partners

by Fred Pennic 02/13/2020 Leave a Comment

Roche Acquires Rest of Foundational Medicine for $2.4B to Enhance Precision Medicine

- HealthLynked acquires Cura Health Management and its wholly-owned subsidiary ACO Health Partners LLC for $1.75M. - The acquisition is expected to contribute approximately $2.25M of revenue and $500k in EBITDA in year one, increasing HealthLynked's consolidated revenues by 47% and reducing the company's current annual cash burn by over 50%.HealthLynked Corp, a nationwide healthcare network focused on care management of its members and a provider of healthcare technologies that connect doctors,
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PatientPing’s Network of Next Generation ACO Partners Generates Over $150M in Savings

by Jasmine Pennic 02/04/2020 Leave a Comment

PatientPing's Network of Next Generation ACO Partners Generates Over $150M in Savings

PatientPing’s national network of Next Generation Accountable Care Organizations (ACO) partners generated over $150 million in savings under the CMS Next Generation ACO for the year 2018. PatientPing's national network includes thousands of providers across hospitals, health systems, health plans, post-acute, and other entities, all of which are working together to collaborate with one another on their shared patients.PatientPing, a Boston, MA-based care collaboration platform announced that its
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CareMount Health Solutions ACO Generates $779k in Shared Savings

by Jasmine Pennic 01/30/2020 Leave a Comment

CareMount Health Solutions ACO Generates $779k in Shared Savings in 20189

- CareMount Medical’s next-generation ACOs have saved more than $778,582 in shared savings in 2018. CareMount ACO was one of 38 Next Generation ACOs nationally to achieve earned savings for 2018 Performance Year.- In 2019, CMS awarded CareMount Health Solutions ACO, LLC a perfect score of 61 out of 61 points on its Initial Readiness Review (IRR). CMS conducts IRRs for all ACOs entering the Next Generation ACO Model.Chappaqua, NY-based CareMount Medical announces its next-generation ACOs have
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Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

by Abhinav Aggarwal, Sr. Director, Encounter Submission and Risk Adjustment Solutions at Edifecs 01/27/2020 Leave a Comment

Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter data is used for payment reimbursement and reconciliation between the health plan and the
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Beyond Healthcare Data; Shifting the Focus to Non-Healthcare Data

by Drew Ivan, EVP of Product and Strategy of Rhapsody 01/21/2020 Leave a Comment

Beyond Healthcare Data; Shifting the Focus to Non-Healthcare Data

The recently proposed information blocking rule from the ONC and CMS has thrust interoperability into the spotlight like nothing has in recent years, making it a hot topic for media fodder, and a major concern for organizations — necessitating renewed attention to data-sharing practices.  The conversation surrounding this new rule has implied that information blocking is the result of healthcare organizations intentionally withholding data. However, more often than not, information blocking is a
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Trinity Health ACO Delivers $22.4M in Share Shavings, 98% Quality Performance Score

by Fred Pennic 01/16/2020 Leave a Comment

Next Generation Accountable Care Organization (ACO),

- Trinity Health ACO achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in the performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.- Trinity Health ACO provides coordinated care to patients in Illinois (Loyola Medicine), Michigan (Mercy Health – Michigan), New Jersey (Summit Medical Group) and Ohio (Mount Carmel Health System).Trinity Health ACO, a Next
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MiHIN Partners with CarePort Health to Improve Care Quality Statewide

by Fred Pennic 01/16/2020 Leave a Comment

Kareo Sells Managed Billing Services Business to Health Prime International

- Michigan Health Information Network Shared Services (MiHIN) is partnering with CarePort Health to lower costs of care, improve care quality and outcomes for Michigan’s state-wide patient population through better care coordination. - The partnership allows CarePort to leverage data flowing through MiHIN to provide higher quality data to participating payer and provider organizations, enabling more cost-effective management of patient populations. CarePort Health, a Boston, MA-based provider of
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020

by Tara Vail, Chief Operating Officer, HST Pathways 01/09/2020 Leave a Comment

How Software Solutions Can Help ASCs Maximize the Revenue Cycle

In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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