What You Should Know: Strategies employed by payers, provider-sponsored health plans, and provider organizations are starting to become more proactive, and the need for solutions with prospective, predictive capabilities is rising. Additionally, amid rising healthcare costs and economic uncertainty, organizations are looking for solutions that deliver more for less.A new KLAS report examines risk adjustment vendors’ abilities to drive outcomes and value, their prospective capabilities,
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Health Fidelity
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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Edifecs Acquires Risk Adjustment Solution Health Fidelity – M&A
What You Should Know: - Today, global health IT company, Edifecs announced it has entered a definitive agreement to acquire Health Fidelity, a San Francisco-based tech provider. Together, the companies will offer health plans and provider customers with the most complete risk adjustment solution in healthcare. Edifecs, Inc., a health information technology solutions company, announced today that it has signed a definitive agreement to acquire Health Fidelity, a
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Change Healthcare, Health Fidelity Collaborate to Offer NLP-Driven Risk Adjustment Solution
Change Healthcare today announced that it is collaborating with Health Fidelity to offer a risk adjustment solution that embeds natural language processing (NLP) and machine learning technology into its risk adjustment coding offering to help Medicare Advantage, ACA commercial, and Medicaid payers increase claim accuracy and better address compliance obligations.How AI Can Transform Risk AdjustmentIn today’s value-based environment, health plans are under mounting pressure to submit
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Health Fidelity Launches NLP-Powered Provider Risk Adjustment Solution
Health Fidelity, a UPMC-funded startup developing innovative solutions for value-based care has announced the launch of NLP-powered risk adjustment solution for providers. The solution, HF360 Risk Adjustment for Providers empowers risk-bearing providers with the technology and support needed to succeed in implementing value-based care models.To ensure optimal implementation and ROI, Health Fidelity also offers HF360 Blueprint, a consultative service that helps providers benchmark their current
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Health Fidelity Launches AI-Powered EHR Data Acquisition Platform for Providers & Health Plans
One of the main battles to efficient healthcare is complicated and incompatible medical records systems. Health Fidelity, a health IT startup funded by UPMC, has developed a vendor-neutral tool to solve the data acquisition problem called HF360 Data Acquisition. HF360 Data Acquisition is a flexible platform that healthcare providers and health plans can use to retrieve medical records and other patient data in the most efficient and cost-effective manner.The platform can acquire both structured
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