How do you solve a persistent and growing problem like claims denials?
It’s been a hot topic for revenue cycle management professionals for years that’s only getting hotter with the increasing pressures of staffing shortages, challenges with staff turnover and training and ever-changing policies and protocols at the government and payer levels.
On the macro-economic level, denials contribute mightily to the growing problem of uncompensated care in America, currently estimated at $43
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Health Systems| Integrated Delivery Network (IDN) | News, Analysis, Insights - HIT Consultant
Are Hospitals Ready for Alzheimer’s Treatment Approval?
The FDA’s recent accelerated approval of Leqembi was welcome news across the Alzheimer’s community. However, few health systems, medical practices, or providers are prepared for the extraordinary public interest in a treatment for Alzheimer’s disease – especially not one targeting mild cognitive impairment (MCI) and early dementia due to Alzheimer’s disease – that is likely headed their way soon. The unprecedented scale of the public health and marketing campaigns, the high prevalence of MCI in
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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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Maribel Health Raises $25M to Create the Future of Advanced Care at Home
What You Should Know:
- Maribel Health, a turnkey partner for health systems looking to design, build, and operate a full continuum of advanced home and community services, announced today the completion of a $25 million Series A funding round led by General Catalyst.
- The new funding will be used to accelerate growth with Maribel's initial partners, to attract and onboard the talent required to serve its collaborators worldwide and to support continued
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OpenLoop Secures $15M for White-Label Telehealth Support
What You Should Know:
- OpenLoop, a leader in white-label telehealth support services powering virtual and hybrid care across the country, today announced it has raised a $15M Series A funding.
- The round was led by Nava Ventures, with participation from new investors UnityPoint Health Ventures and PrimeTime Ventures, and existing investors SpringTide Ventures and ManchesterStory. The company also announced a new nationwide insurance payer network that allows clients to offer reimbursable
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5 Key Trends Driving Purchasing Decisions in Healthcare IT
As the healthcare industry continues to evolve and transform with providers facing increasing financial burdens and dynamic patient expectations, Signify Research has had the opportunity to speak to 100s of C-suite health IT executives and departmental decision-makers. Our conversations with these healthcare leaders have provided greater insight into their organizations’ technology and business strategies. It has also illuminated their views on the industry’s most pressing issues. Here are
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How Hospitals Can Safely & Effectively Continue Patient Care Amid Rising Cybersecurity Risks
The world we live in is becoming increasingly integrated, and as it does, the amount of data also increases. It is estimated that 2.5 quintillion bytes – that’s 2,500,00,00,000 million, for perspective – are created, captured, and shared every day, and experts predict that number will grow exponentially in the coming years. Estimates show that the healthcare industry generates about 30% of the world’s data volume. That number is expected to reach a compound annual growth rate of 36% within the
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Q/A: Dr. Masturzo Talks Addressing Food Insecurity with Patients
Today, food insecurity affects more than 41 million Americans and is prevalent among children and the elderly population. Food insecurity is defined as the limited availability of nutritionally adequate and safe food or the inability to acquire these foods in socially acceptable ways. As a result, food insecurity can exacerbate medical conditions driving up hospital/health systems patient care costs. To learn more about how healthcare providers can address food insecurity, we sat down with Dr.
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Enabling a Better Future for All by Embracing Healthcare Interoperability
The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information. This is thanks in part to the release of the Interoperability and Patient Access Final Rule. With new policies now in place, CMS aims to generate better health outcomes through improved interoperability and better access to health information for all stakeholders.
CMS has also identified a new
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FemTech Startup Iron Health Launches with $4.5M to Empower OB/GYNs
What You Should Know:
- Built at Redesign Health, Iron Health, the tech-enabled, virtual care partner that empowers OB/GYNs and their patients today announced its official launch with $4.5 million in seed investment.
- March of Dimes both contributed funds to Iron Health as part of its seed as its first investment from its first Innovation Fund but is also a partner resource for the startup. Iron Health addresses the fragmentation between OB/GYN, primary,
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