The conversation around whether a healthcare startup should build a data platform or buy one isn’t anything new. In fact, this has been a debate since cloud-based technologies rose to popularity—we’re just now seeing more startups enter the space and opt to build their platforms internally.
Startups choose to build their data platforms for several compelling reasons. For example, it could give them greater control over their data security and architecture or they feel they know their data
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FHIR - Health Data Interoperability | News, Analysis, Insights - HIT Consultant
M&A: Smile Digital Health Acquires Alphora
What You Should Know:
- Smile Digital Health, a FHIR® health data fabric and exchange solutions provider, announced that it has acquired Alphora, a market leader in Clinical Quality Language (CQL) that provides tooling and services to unlock clinical reasoning, decision support and other quality metrics capabilities.
- As a result of the acquisition, Smile Digital Health customers now have access to Smile Alphora, the company's new clinical reasoning capability that leverages its Fast
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Healthfirst and MediSys Launch FHIR Platform, Hyphen
What You Should Know:
- Healthfirst and The MediSys Health Network announced today they are using Hyphen to connect longitudinal data from claims, quality measures and electronic health records (EHRs) to identify gaps in care, making it easier for clinicians to address patient needs in real-time.
- Hyphen is a cloud-based platform that uses Fast Healthcare Interoperability Resource (FHIR) standards to share member data directly into provider or hospital EHR systems, along with patient- and
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Digital Fax Solutions Alleviate Administrative Burden and Reduce Costs
At the LeadingAge Illinois 2022 Annual Meeting, Elizabeth McLaren, VP of Reimbursement and Community-Based Services, along with Steven Wermuth, MPA at Strategic Health Care, presented their analysis on the top billing mistakes. What did they find? Within long-term care providers, 8-10% of Medicare Advantage claims were denied. Shockingly, the 10% denial rate impacted revenue by $200 million! They also found that 80% of denied claims are due to missing or incorrect information used during intake
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MEDITECH Expands Collaborative Environments
What You Should Know:
- MEDITECH announced today the expansion of MEDITECH Greenfield, now providing two collaborative environments that fuel innovation: Greenfield Alliance and Greenfield Workspace.
- Greenfield Alliance is a new partner engagement initiative for organizations with proven, interoperable products that complement, enhance, or extend the Expanse EHR.
- Greenfield Workspace - an established development ecosystem that enables our API
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Edifecs Launches Solution to Automate Prior Authorization at the Point of Care
What You Should Know:
- The full automation of prior authorization at the point of care leads to improved member experiences, enhanced outcomes, ongoing compliance, and reduced administrative burden. Edifecs’ automated prior authorization solution integrates with electronic health records (EHR) and leverages artificial intelligence (AI), natural language processing (NLP), and industry standards such as FHIR to instantly deliver authorization.
- This innovation comes on the heels of
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ONC and HRSA Launches USCDI+ Initiative to Support UDS Modernization
What You Should Know:
- ONC and HRSA launches a new USCDI+ collaboration to support HRSA’s Uniform Data System (UDS) reporting through the UDS Modernization Initiative.
- Last October ONC announced USCDI+, an initiative to support the identification and establishment of domain or program-specific datasets that will operate as extensions to the existing USCDI. In particular, ONC envisioned USCDI+ as a service that ONC would provide to federal partners who have a
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Apixio Launches Real-Time Health Data Management Solution
What You Should Know:
- Apixio, today, announced the launch of Apicare ChartSpace™, a health data management solution that provides real-time data access to centralized medical charts, accelerated chart and audit file retrieval, and enables the surfacing of actionable insights across value-based care programs.
- Apicare ChartSpace centralizes health data, improves security and efficiency of data sharing across departments and external partners, and powers Apixio’s AI-Driven
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Lyniate Acquires CareCom to Expand Semantic Interop Capabilities
What You Should Know:
- Lyniate, a global leader in healthcare data interoperability acquires CareCom, a provider of semantic interoperability. This acquisition builds on Lyniate’s recent merger with NextGate, a longtime leader in patient identity management.
- The combined organization will better support healthcare organizations in converting unstructured content into standardized data to help them assemble and manage more complete and accurate patient
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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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