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CMS| News, Analysis, Insights - HIT Consultant

Waystar Launches Price Transparency Solutions to Meet Consumer Demand

by Jasmine Pennic 03/08/2021 Leave a Comment

Waystar Launches New Text Patient Statements and Offers Price Transparency Solutions to Meet Consumer Demand

What You Should Know:  - Waystar, a provider of healthcare payments software, today announced the addition of the Text Statements feature to its suite of payment tools. This new solution enables patients to easily view and pay medical bills directly from their smartphone, bringing transparency and convenience to the patient financial experience – a long-standing focus for Waystar. - Patients frequently don’t know what they’ll owe weeks, if not months after the point of care, If
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Payers Struggle with Provider Data Management Too

by Eric Demers, CEO of Madaket Health 03/04/2021 Leave a Comment

Payers Struggle with Provider Data Management Too

Provider data management is usually discussed from the provider perspective: the busy staff, the needless paperwork amid a pandemic, the faxing, emailing and uploading of data. In these scenarios, the health plans are often painted as the villains for their bureaucratic processes and unique requirements. But the reality is that health plans aren’t totally to blame. Payers and providers share a common goal: to provide the best quality care for their patients. The amount of data, including
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Untapping the Potential for Virtual Care in a Pandemic and Beyond

by Dr. Sonny Kohli, Practicing Physician in Internal Medicine and Critical Care and Faculty at SingularityU Canada 02/25/2021 Leave a Comment

Untapping the Potential for Virtual Care in a Pandemic and Beyond

Virtual care is everywhere and ubiquitous. But at a time when the world is amid a global pandemic, virtual care is also being underutilized. The technology exists today to help our healthcare system not only more effectively and efficiently manage care during COVID-19, but also exponentially scale capacity in the face of future outbreaks.  Virtual care defined Virtual care is a broad term. It encompasses all the ways healthcare practitioners provide for care remotely. This can mean
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Health Plans Must Go Beyond the ONC Mandate and Prioritize Member Experience

by Minal Patel, CEO of Abacus Insights, Laurent Rotival, SVP, Strategic Technology Solutions & CIO, Cambia Solutions 02/10/2021 Leave a Comment

Health Plans Must Go Beyond the ONC Mandate and Prioritize Member Experience

We are all frustrated when there’s a glitch with our online banking, or if bandwidth problems interfere with streaming the movie we want to watch. Imagine how individuals will react when the results of a cancer screening don’t find their way into Apple Health or Google Health, where such information is supposed to be easy to find. Or worse, if an individual is given the wrong information about a cancer diagnosis.  An individual’s first call about missing health data or claims is going to
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A New System to Fit A New Economy: How Healthcare Can Recover From COVID-19

by Paula Muto, MD, FACS Founder and CEO, UBERDOC, Inc. 01/28/2021 Leave a Comment

A new system to fit a new economy: how healthcare can recover from COVID-19

We are at a watershed moment. The COVID-19 pandemic has forced us to reevaluate our priorities both economically and with regard to public health. Living with a healthcare system that was created in response to an emergency measure during World War II, US consumers have struggled for more than a decade to control and understand the rising cost of healthcare.  Unfortunately, employer-based health insurance and government-subsidized care continue to be  the major drivers of cost and policy. As
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Why CMS Will Lead the 2021 Kidney Care Revolution

by Chris Riopelle, CEO of Strive Health 01/27/2021 Leave a Comment

Why CMS Will Lead the 2021 Kidney Care Revolution

After an unprecedented year, kidney care providers, including nephrologists, dialysis facilities, and care extenders are expecting 2021 to follow suit. We will see an overhaul in reimbursement and major industry shifts, partly led by CMS, that will require providers to advance their capabilities in a way that will usher in more widespread innovation. These new models encourage a shift in treatment approach that will deliver earlier interventions and better outcomes.  The following are
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Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

by Dr. Gary Call, Chief Medical Officer at HMS 01/14/2021 Leave a Comment

Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

As healthcare spending continues to rise, so too does the inherent risk for bad actors to take advantage. Today, the United States is estimated to spend nearly 18 percent of its GDP, or $3.6 trillion, on healthcare, and is expected to increase to one-fifth of GDP within the next decade, according to the latest data. This alone provides ample motivation for fraud and abuse. While the full extent of healthcare fraud is difficult to measure, The National Health Care Anti-Fraud Association
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Xealth’s CEO Shares Impact of Digital Health in 2020 and What’s Ahead in 2021

by Fred Pennic 01/07/2021 Leave a Comment

Xealth’s CEO Shares Impact of Digital Health in 2020 and What’s Ahead in 2021

HIT Consultant sat down with Mike McSherry, CEO, and co-founder of Seattle-based digital prescription platform Xealth to discuss digital health lessons learned in 2020 and what we can expect in 2021. As Xealth’s CEO, Mike also works with Duke Health, UPMC, Atrium Health, and The Froedtert & the Medical College of Wisconsin health network where he uses his background in digital health to connect patients and care teams outside of traditional care settings.  HITC: In 2021, How can digital
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20 COVID-19 Predictions and Trends for 2021 – Executive Roundup

by Fred Pennic 01/05/2021 Leave a Comment

20 COVID-19 Predictions and Trends for 2021 - Executive Roundup

Dr. Justin Graham, Chief Medical Officer, GYANT The rapid development of a COVID-19 vaccine is a monumental achievement, but it does nothing to address our extremely fragmented healthcare system. In 2021, policymakers must create and extend incentives to providers to work together to keep patients healthy rather than maximize profit. The pandemic has devastated the traditional fee-for-service budgets of many healthcare systems, and it isn't clear they will ever be able to catch up without
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12 Telehealth & Virtual Care Predictions and Trends for 2021 Roundup

by Fred Pennic 01/04/2021 Leave a Comment

12 Telehealth & Virtual Care Predictions and Trends for 2021

Dr. Paul Hain, Chief Medical Officer of GoHealth Telehealth is Here to Stay in 2021 Prior to the pandemic, telehealth was a limited ad-hoc service with geographic and provider restrictions. However, with both the pandemic restrictions on face to face interactions and a relaxation of governmental regulations, telehealth utilization has significantly increased from thousands of visits in a week to well over a million in the Medicare population. What we’ve learned is that telehealth allows
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