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CMS| News, Analysis, Insights - HIT Consultant

Why Health Systems Need a New Transition Strategy to APMs

by Theresa Hush, CEO and Co-founder of Roji Health Intelligence 09/12/2022 Leave a Comment

Why Health Systems Need a New Transition Strategy to APMs

There is an adage that change in healthcare moves at the speed of tectonic plates.  The slow adoption of Alternative Payment Models (APMs), the central feature of value-based care, is a good example of constraint despite immense pressure to control costs. Data from 2020  demonstrate almost zero change from 2018 in the proportion of straight Fee-for-Service (FFS) reimbursement.  Other results show a slight uptick in APMs with or without downside risk at 34.6 percent. However,
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Why Healthcare Needs Tech-Enabled Human Intervention

by Thomas Ferry, Engooden Health President and CEO 09/06/2022 Leave a Comment

Why Healthcare Needs Tech-Enabled Human Intervention

There's a "perfect storm" facing healthcare today: Chronic disease prevalence, physician shortages, and a growing population aging into Medicare are set to overwhelm our healthcare system if action isn't taken. Over 133 million Americans have at least one chronic disease, and as that number continues to rise, delivering adequate care to these patients has never been more challenging. It's widely understood that factors beyond the clinic primarily influence health. Yet the expectation remains
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Glytec and CPS Integrate to Provide Evidence-Based Glycemic Management

by Syed Hamza Sohail 08/24/2022 Leave a Comment

Glytec and CPS Integrate to Provide Evidence-Based Glycemic Management

What You Should Know: - Glytec recently announced that it has been selected by CPS Solutions, LLC (CPS), a leading provider of enterprise pharmacy solutions to hospitals and health systems, to serve as an insulin management technology resource for CPS’ more than 2,200 pharmacy professionals across 800-plus healthcare facilities nationwide. - Through this collaboration, CPS client facilities may contract for Glytec’s eGlycemic Management System® (eGMS) and Glytec’s technical resources to be
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Health-Tech C2Q:22 Preview: 5 Key Driving Factors to Watch

by Syed Hamza Sohail 08/23/2022 Leave a Comment

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

What You Should Know: - David Larsen, healthcare IT and digital health analyst at BTIG published a note highlighting his preview for health-tech Q2 earnings. - Given high inflation rates, costs for traveling nurses, and light volumes in 2Q:22, he is cautious on stocks that sell into the acute care market in the near term. An Overview According to the report, there are many macro headwinds that continue to affect the HCIT sector and the broader market, including inflationary pricing
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SDoH: Today’s Health Systems Are Ill-Equipped to Meet SDOH Demands

by Gary Druckenmiller Jr., General Manager of PRM at Innovaccer 08/23/2022 Leave a Comment

SDoH: Today’s Health Systems Are Ill-Equipped to Meet SDOH Demands

Today’s youth understand the role SDoH plays in their health outcomes. But health systems are woefully ill-equipped to meet this growing demand. That needs to change. And with the right technology, it can. A true social revolution began on August 1, 1981. That’s the day teens and tweens everywhere started telling their parents, “I want my MTV!” Music Television (MTV)—streamed via satellite and a proprietary set-top box 14 years before the Internet was a glimmer in the consumer’s
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How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

by Ashish Kachru, CEO, DataLink 08/16/2022 Leave a Comment

How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 billion in 2028, with spending per enrollee reaching $20,751.  Key trends are influencing this growth, including: - An aging population - Continued increase in overall Medicare costs - Government support and benefit flexibility (e.g.,
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Healthcare & Life Science M&A Activity Plummets 1H’22

by Syed Hamza Sohail 08/05/2022 Leave a Comment

Healthcare & Life Science M&A Activity Plummets 1H’22

What You Should Know: - The index of Healthcare & Life Science equities tracked by Stout was down 16.8% in Q2 2022, which was in line with the S&P 500 decline of 16.4%. - Healthcare & Life Science M&A activity plummeted to 338 deals in Q2 2022 versus 535 in Q2 2021 and a record 565 deals in Q4 2021. The report reveals credit markets likely to tighten, but a healthy level of M&A is expected to continue in the growing and defensive healthcare sector. Key Trends and
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Our Nursing Home Industry – A National Scandal

by David Chess, MD, Chief Health & Policy Officer & Chairman of the Board / Founder, Tapestry Health 08/04/2022 Leave a Comment

Our Nursing Home Industry - A National Scandal

A society defines itself by how it cares for its most vulnerable, and especially its seniors. As a Board-Certified Internist and Geriatrician with over 35 years of providing care in nursing facilities, this sentiment has guided me throughout my career. It has led me to found Tapestry Health, a multispecialty medical practice that focuses on providing medical infrastructure in skilled nursing facilities (SNFs), as well as Project Patient Care, a patient advocacy organization based in Chicago,
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Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

by Sanjula Jain, PhD., Chief Research Officer, Trilliant Health 07/25/2022 Leave a Comment

Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

Driven by headlines and incomplete, misleading data that favor a telehealth narrative, health systems and healthcare investors must start asking "who" is actually supporting waning demand. The healthcare industry is no stranger to the 80/20 rule. The principle says 80% of an effect is driven by 20% of a cause, and in healthcare, it usually refers to there being a specific cohort of the population (e.g., the chronically ill) driving the majority of care utilization and costs. More recently,
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The Infrastructure Needed to Meet Health Interoperability Needs

by Kristen Ballantine, VP of Government Relations at Gainwell 07/21/2022 Leave a Comment

The Infrastructure Needed to Meet Health Interoperability Needs

For most patients, it has always been extremely difficult to their personal health and medical data electronically. However, with the CMS Interoperability and Patient Access Final Rule, consumers, specifically Medicaid members, there is a greater push to give access to, and ownership of, this data.  With this move towards interoperability comes new requirements healthcare organizations must meet and adhere to under the rule. To meet many of these federal interoperability requirements,
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