What You Should Know: - Flume Health, a healthcare technology company for payer operations launches Flume Relay to systematize the complex solution integration process involved in designing, launching, and administering a health plan. - Flume Relay aims to solve payers’ greatest limitation: the integrations and real-time data exchange with the plethora of vendors and systems that make up a health plan. Health Plan Vendor Fatigue Health plans are experiencing vendor fatigue at an
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health insurance
5 Trends to Look for in Healthcare Cost Transparency
Over two years have passed since the hospital price transparency rule was enacted. Unfortunately, America still struggles with high, painfully opaque pricing across healthcare that hurts employers, workers, patients, and taxpayers. The Centers for Medicare and Medicaid Services recently announced that in 2021, the nation spent $4.3 trillion on healthcare, nearly twice the average of other nations in the developed world. Noncompliance and price gouging still exist in a market where consumers are
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Study Reveals EHR Data Can Identify Patients Who Are Frail
What You Should Know: - AHRQ conducted a study to address the operational gap between CFIs and EFIs. This project focused on validating an established CFI using linked claims-EHR databases of multiple large health systems. The project provides a systematic approach that health systems can use to examine the quality of the EHR data and prepare it for the application of EFI measures. - The findings demonstrated that structured EHR data can be used by healthcare providers to identify frail
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ReKlame Health Joins Cigna In-Network, Reducing Psychiatric Care Barriers for BIPOC Communities
What You Should Know: - ReKlame Health, a provider of culturally competent, affordable and empathetic behavioral healthcare for BIPOC communities, announced that it has joined Cigna as an in-network mental healthcare provider in New York, New Jersey, and Florida. - ReKlame is now in-network with all of the nation’s leading insurance plans, including Optum, United Healthcare, Blue Cross Blue Shield, Aetna, Oxford and Oscar. The Black-founded and Black-led company brings high-quality
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Opkit Launches First Insurance Verification Platform for Telehealth
What You Should Know: - Y Combinator startup Opkit emerges from stealth with an automated health insurance verification platform that is purpose-built for the new telehealth companies and virtual medical clinics that are providing care for a wide range of patients across the United States. The startup has raised more than $1M from Global Founders Capital, Mischief (Plaid founder Zach Perret's fund), Socially Financed, Y Combinator and Rex Salisbury, former partner at Andreessen
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CMS Awards Accenture Federal Services with $628M Contract to Support Healthcare.gov
What You Should Know: - Accenture Federal Services has won a five-year, $628 million recompete of a contract award from the U.S. Centers for Medicare and Medicaid Services (CMS) to continue its work supporting Healthcare.gov. CMS made this award through the Strategic Partners Acquisition Readiness Contract (SPARC) vehicle. - In 2014, Accenture Federal Services was awarded a prime contract to take over management of the Federally-Facilitated Exchange (FFE). FFE is the backbone of
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Consumers Prefer Telehealth to In-Person Visits While Traveling
What You Should Know: - New KeyCare survey finds nearly 7 in 10 (68%) of consumers who needed minor but urgent medical services while traveling in the prior year received care via telehealth visits with their regular physicians or affiliated members of their physicians’ care teams, outpacing all other care-delivery options. - Results are based on a survey of 400 consumers who have previously scheduled and
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Addressing the Diversity Challenge in Clinical Research Through Patient Advocacy
Diversity is paramount to the success of clinical research, both ethically and scientifically. Without adequate representation of racial and ethnic minorities, investigators lack an understanding of the safety and efficacy of novel treatments within those groups. From a scientific standpoint, an incomplete dataset hinders drug delivery and the development of breakthrough therapies – but from an ethical standpoint, underrepresentation creates a barrier to treatment options for populations that
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How and Why Device-as-a-Service Should Be an Employee Benefit
The Great Resignation changed how companies approach attracting and retaining talent. These days, it’s not enough to offer a competitive salary and traditional benefits like health insurance and a 401k. Employees have put an increased focus on flexibility – and the tools that support it. Phones and tablets aren’t the flashiest perk a company can offer. Still, they’re the type of lifestyle benefit that offers clear value for employees – and helps address pain points for companies
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Patient Experience Impacted as More Healthcare Workers Consider Leaving Their Jobs
What You Should Know: - Healthcare ranked last for employee satisfaction with pay compared to 27 other industries studied, according to the 2023 Healthcare Experience Trends Report from Qualtrics (Nasdaq: XM). - The report also found that healthcare employees had lower scores than other industry employees across the core pillars of employee experience – engagement, intent-to-stay and employee experience vs. their expectation. Women reported lower scores than men across the domains.
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