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CMS| News, Analysis, Insights - HIT Consultant

Healthgrades Acquires Consumer & Physician Engagement Company Evariant

by Fred Pennic 01/07/2020 Leave a Comment

Healthgrades Acquires Consumer & Physician Engagement Company Evariant

- Healthgrades acquires Evariant, a leading healthcare consumer and physician engagement company to create the most comprehensive consumer website to help educate consumers and connect them with a physician.- The acquisition signals a major shift in our industry, where health systems are moving towards a more consumer-centric system of care. Healthgrades, a Denver, CO-based resource that connects consumers, physicians and health systems, today announced it has acquired Evariant, a Farmington,
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Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

by Fred Pennic 12/31/2019 Leave a Comment

Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020. Robbie Hughes, Founder, and CEO, Lumeon “Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
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What Will It Take To Build The Uber of Medical Records? 3 Critical Steps to Consider

by Josh Douglas, Chief Technology Officer, Bridge Connector 12/20/2019 Leave a Comment

What Will It Take To Build the Uber of Medical Records? 3 Critical Steps to Consider

Our healthcare system has struggled with data silos and clumsy, antiquated data sharing practices forever and a variety of stakeholders will need to work together to achieve anything close to an “Uber of medical records.” It’s well documented and understood that the healthcare industry has historically been slow to adopt new technology while other business sectors have welcomed it with ease. For example, while most industries abandoned the fax machine in the 1990s, as recently as 2017, fax
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Bright Health Lands $635M to Expand Medicare Advantage Plans to More Markets

by Fred Pennic 12/18/2019 Leave a Comment

Bright Health Riases $635M to Expand Medicare Advantage Plans to More Markets

- Bright Health, a diversified consumer-focused healthcare company announced it has raised $635M in Series D funding led by NEA. - The funding will be used to support Bright Health's aggressive growth and hiring as the company continues to strategically expand across products, geographies and consumer bases.- With this round, Bright Health has raised over a billion dollars in equity financing since early 2016, reaching "unicorn status" with a valuation of over $1B. Bright Health, a diversified
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Why HCAHPS Is Archaic In Healthcare Today

by Helen Hrdy, SVP, Customer Success at NRC Health 12/13/2019 Leave a Comment

Helen Hrdy, SVP of Customer Success at NRC HealthThe Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey hasn’t changed since its inception in 2006. Healthcare leaders have long wanted to see it reformed. Now, hospital groups are making the case for a major HCAHPS overhaul. The cause for the upheaval of a 13-year-old process is due largely in part to the impact on the complete care journey, specifically the patient experience. In order to incite change in today’s
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5 Key Features of Successful Quality Collaboratives

by Evan Osborne, MPH, Manager at Dacarba LLC 12/12/2019 Leave a Comment

5 Key Features of Successful Quality Collaboratives

Quality collaboratives are comprised of multiple teams working together from different domains within the healthcare industry. Payors and providers have shown success in working together as a collaborative team sharing the same mission, improving healthcare outcomes in patients within the network each team serves. These collaborative efforts bring focus on improving medical services throughout in-network hospitals under contract with payors whose members are receiving care.  Below are five key
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5 Reasons Why A Single, Integrated EHR Will Not Solve Interoperability

by Kimberly Howland, PhD, Chief Product Officer at Diameter Health 12/06/2019 Leave a Comment

Why Interoperability Cannot Be Solved with Homogenous EHRs

A recent survey of health system IT, informatics, business, and clinical staff revealed that less than 40% of healthcare executives believe their organizations successfully share clinical data with external health systems, payers, and other partners. When asked what steps their organizations are taking to address interoperability challenges, 60% of respondents reported their organizations were moving to a single, integrated EHR. In addition to costing tens or hundreds of millions of dollars,
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Can Consumer Price Transparency in Healthcare Live Up to the Hype?

by Meg Koepke, Vice President of Strategy at NovuHealth 11/22/2019 Leave a Comment

Meg Koepke, Vice President of Strategy at NovuHealth

There has been a lot of discussion in recent weeks and months about price transparency in healthcare. The idea is simple—payers and providers reveal the rates they pay or charge for health services in order to help consumers make better choices. Despite the hype surrounding price transparency, it will undoubtedly come with a whole set of realities and limitations—there are a variety of factors that go into setting prices, and in many cases, the prices that get posted don’t reflect the price
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Geisinger, Medial EarlySign Advances to First Stage of CMS AI Health Outcomes Challenge

by Fred Pennic 11/20/2019 Leave a Comment

Clinical Operations Makes Highest Use of Artificial Intelligence, Tufts Study Finds

- Geisinger Health was recently named by the Centers for Medicare & Medicaid Services among the 25 candidates advancing to the first stage of its AI Health Outcomes challenge.- The CMS AI Health Outcomes challenge provides innovators with the opportunity to demonstrate how AI tools may be implemented to predict health outcomes and keep patients healthy in hopes of more AI tools being considered for potential use in CMS Innovation Center payment and service delivery models. Geisinger, an
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Why HCAPHS Is Archaic In Healthcare Today

by Helen Hrdy, SVP of Customer Success at NRC Health 11/20/2019 Leave a Comment

Why HCAPHS is Archaic in Healthcare Today

Hospitals Want HCAHPS revised. Here’s Why.  The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey hasn’t changed since its inception in 2006. Healthcare leaders have long wanted to see it reformed. Now, hospital groups are making the case for a major HCAHPS overhaul.  Here’s what they’re are asking for, and what their requests mean for the future of patient experience. A Useful Tool, But An Outmoded One Leaders at the American Hospital Association, the
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