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Final Rule

Boost Operational, Clinical and Financial Performance with Good Data

by Pete Nelson, Vice President and General Manager, Global Alliances, GHX 04/01/2021 Leave a Comment

There’s an old adage that every challenge is merely an opportunity in disguise. COVID-19 highlighted the healthcare industry’s ongoing challenge with producing clean, standardized data. As the industry looks to rebound from the severe financial impact of the pandemic, there’s a renewed urgency among hospitals and health networks to improve operational efficiency.  The push toward greater operational efficiency – in a time of constrained budgets and resources – has accelerated
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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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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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For Better Patient Care Coordination, We Need Seamless Digital Communications

by Catherine Thomas, VP of Customer Experience & Dr. Peter S. Tippett, Founder and CEO of careMESH 12/22/2020 Leave a Comment

For Better Patient Care Coordination, We Need Seamless Digital Communications

A recent Advisory Board briefing examined the annual Centers for Medicare & Medicaid Services (CMS) Readmission penalties.  Of the 3,080 hospitals CMS evaluated, 83% received a penalty for payments to be made in 2021, based on expected outcomes for a wide variety of treated conditions. While CMS indicated that some of these penalties might be waived or delayed due to the impacts of the Covid pandemic on hospital procedure volumes and revenue, they are indicative of a much larger
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HHS Extends Compliance Dates for Information Blocking Requirements

by Fred Pennic 10/29/2020 Leave a Comment

What You Should Know: - HHS released an interim final rule to extend compliance dates and timeframes to meet information blocking beyond those identified in April 21, 2020, enforcement discretion announcement and establishes new future applicability dates for information blocking provisions. - The interim final rule also adopts updated standards and makes technical corrections and clarifications to the ONC Cures Act Final Rule. Today the U.S. Department of Health and Human Services’
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Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

by Jasmine Pennic 10/28/2020 Leave a Comment

Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

What You Should Know: -  Innovaccer launches member engagement solution for healthcare payers to drive improvement in healthcare cost and quality boosts member satisfaction and enhances member enrollment and retention. - Innovaccer's solution create member-oriented care plans, enhance connectivity with care managers, and drive interventions for social determinants of health risks through the solution. Innovaccer, Inc., a leading healthcare technology company, has launched its
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How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

by Jay Desai, CEO & Co-Founder, PatientPing 07/27/2020 Leave a Comment

Why E-Notifications Are More Important Than Ever Amidst the COVID-19 Pandemic

As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves.  During this period, sharing real-time information about patients’ care encounters across provider types and care settings matter more than ever. In particular, hospitals sharing admission, discharge, and transfer (ADT) events with COVID-19 patients’ community-based providers is critical to ensure the best treatment course and
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Inovalon Launches FHIR-Based Solution for Health Plan Compliance

by Jasmine Pennic 05/22/2020 Leave a Comment

Big Data Firm Inovalon Files First Digital Health IPO of 2015

What You Should Know: - Inovalon announced the availability of its Cloud-Based “Consumer Health Gateway” Module, alleviating the need for health plans to build their own Patient Access API to comply with the new requirement of the 21st Century Cures Act. - The Consumer Health Gateway is a consumer portal allowing the FHIR®-based exchange of a patient’s claims and clinical data securely with authorized third-party applications. It consists of a robust patient consent and authentication
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Coding in Age of COVID-19: Deciphering Coding Nuances, Best Practices

by Jennifer Bishop CCS, CCS-P, CIRCC Vice President, Product Content Vitalware 05/01/2020 Leave a Comment

Coding in Age of COVID-19: Deciphering Coding Nuances, Best Practices

Without much warning, the novel Coronavirus, or COVID-19, has taken over our healthcare system. It has taxed our healthcare workers, our national stockpiles of PPE, and affected millions of Americans nationwide. In addition to healthcare workers on the front lines, the pandemic has also impacted the healthcare revenue cycle, causing major confusion, questions, and inconsistencies as coding specialists learn the latest COVID-19 codes and guidelines at warp speed. With cases rising by the tens of
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Apervita Launches Deep Encryption Tech to Stop Payer, Provider Cyber Threats

by Jasmine Pennic 03/27/2020 Leave a Comment

Apervita Launches Deep Encryption Tech to Stop Payer, Provider Cyber Threats

What You Should Know: - Apervita establishes first cloud-based healthcare platform for payers and providers to offer deep encryption of health data. - Additionally, Apervita’s Deep Encryption feature meets requirements of the Office of the National Coordinator’s (ONC) recent Information Blocking final rule, which calls for granular, PHI field-level privacy to support data segmentation, while still allowing for data to be accessible. Apervita, the leading platform for value-based
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