The healthcare system is undergoing a transformation to restore the patient to the center of their care and to provide all patients with the highest quality care at the lowest possible price and with the best possible experience. Frequently the patient’s health journey is fragmented between multiple providers, an issue which must be addressed as a key part of any successful value-based care model.
Population health management (PHM) is an umbrella term that incorporates the multitude of payment
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CMS| News, Analysis, Insights - HIT Consultant
Survey: 83% of Consumers Are Interested in Receiving Virtual Care, But Only 17% Have Access To It
Virtual care received an essential boost in November 2018 when CMS Administrator Seema Verma addressed the Alliance for Connected Care Telehealth Policy Forum for Health Systems. Verma told the audience, "Telehealth is changing the very face of healthcare.” This shift is apparent in the behaviors of healthcare consumers. While consumers may love the idea of virtual care, a new study shows few are taking advantage of it.Patients Hungry for Virtual CareThat’s the core message coming out of a
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HHS Should Be Careful Not To Go Too Far Too Fast on New EHR Rules
Senate health committee Chairman Lamar Alexander (R-Tenn.) on Wednesday said, “The administration should not move too far, too fast on implementing new rules on electronic health information.”Improving the access, use, and exchange of electronic health information is important to this committee,” Alexander said. “In March, the Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid Services (CMS) issued two proposed rules to implement
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Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies
Vericred, an NYC-based data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling InsurTech and digital health companies to build innovative solutions that serve the fast-growing Medicare-eligible population.Growth of Medicare Advantage PlansMedicare Advantage – also known as Medicare Part C – is a program in which individuals who qualify for Medicare enroll in certified health plans offered by
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Physician Practices Strategy to Developing A Strong Chronic Care Management (CCM) Program
More than three years have passed since the Centers for Medicare & Medicaid Services (CMS) introduced its separately billable non-face-to-face Chronic Care Management (CCM) service. This was intended to help more than two-thirds of individuals on Medicare who suffer from multiple conditions receive more coordinated, regular primary care. The hope was that a focus on managing chronic conditions would contribute to better outcomes for overall population health, improve individual access to
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CMS Approves Livongo As An Enrolled Provider for Medicare Advantage Members
Livongo, the leading Applied Health Signals company announced that it has been approved by the Centers for Medicare and Medicaid Services (CMS) as an enrolled provider for Medicare Advantage members. In addition, starting in June, the Livongo for Diabetes program will be available to Medicare Advantage members of Cambia Health Solutions' regional health plans.Empowering America's Senior PopulationCambia reaches nearly 70 million Americans nationwide, including more than two million people in the
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AzHHA Taps PatientPing to Improve Care Coordination Across State of Arizona
The Arizona Hospital and Healthcare Association (AzHHA) announced a new partnership with PatientPing, a comprehensive care coordination platform, to improve patient care outcomes across the state of Arizona. The statewide partnership, coordinated through AzHHA's Affiliated Partners Program, will connect all of AzHHA's member hospitals and participating providers. Participants will have access to real-time patient information and insights from care events across the entire continuum, enabling
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Why 2018 May Have Been A High-Water Mark for Digital Health Funding
Notwithstanding the quite significant stock market turmoil for publicly traded healthcare companies in recent months, the level of private investment activity continued to be quite strong this past quarter. According to Rock Health, 1Q19 registered just under $1.0 billion of investments made in 61 healthcare technology companies, which while below the trailing two year quarterly average of $1.4 billion, still suggests an annual investment pace running toward $4.0 billion. StartUp Health, which
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CMS Primary Cares Initiative With 2 New Payment Models Launches
On Monday, CMS Secretary Alex M. Azar II announced the launch of CMS Primary Cares—an initiative with two sets of new payment models that will enroll a quarter or more of traditional Medicare beneficiaries and a quarter of providers in arrangements that pay for keeping patients healthy, rather than ordering procedures.New Primary Care Payment Models1. The Primary Care First path will allow smaller primary care practices to be paid a simple, flat stream of revenue for each patient. When a patient
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How Can Health System Command Centers Reduce Cost Growth?
Scott Newton, DNP, RN, MHA, EMT-P, VP of Care Model Solutions at Teletracking In our decentralized care landscape, health system command centers (HSCC) are coordinating high-quality care through complex and integrated delivery networks (IDN). Recently, command centers were recognized by KLAS and Gartner as a new model of care delivery with the potential to impact clinical, financial, and operational outcomes. That means in addition to improving routine health system operations—and increasing
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