What You Should Know:
- Experian Health launches a new AI-Powered solution, AI Advantage that will help providers recoup the billions in lost dollars due to insurance claim denials.
- These new solutions leverage AI and help healthcare providers prioritize their claims reimbursement process and decrease denials overall, saving time and money across the entire healthcare value chain and ultimately improving care and service for patient consumers.
AI Advantage
One of the top
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Health Systems| Integrated Delivery Network (IDN) | News, Analysis, Insights - HIT Consultant
The Quickening Pulse of the Ambulatory Diagnostic Cardiology Market
The Global Ambulatory Diagnostic Cardiology Market is evolving at a rapid pace, driven by technological developments, and shifting models of healthcare service delivery and funding. The overall market will grow from $2.5 billion in 2021, to $3.3 billion by 2026, with Long-Term ECG and, to a lesser extent, Mobile Cardiac Telemetry (MCT), being the principal engines of growth. Unsurprisingly, these two markets are garnering serious attention from large incumbent vendors in the more established
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ShiftMed Raises $200M to Expand Nurse Staffing Marketplace
What You Should Know:
- Today ShiftMed, one of the largest W-2 healthcare workforce management platforms, announced $200M in funding led by Panoramic Ventures with participation from Blue Heron Capital and Audacious Capital.
- ShiftMed plans to use the latest round of funding to help solve healthcare workforce issues across a variety of care settings, with an emphasis on expanding into health systems.
Flexible Solution for Staffing Shortage
Historically, traditional
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Wildflower Health & HTC Launch Statewide Value-Based Maternity Care Model in NJ
What You Should Know:
- Today, Wildflower Health and the Healthcare Transformation Consortium (HTC), a collaborative of independent health systems in New Jersey, announced a new partnership to launch a value-based maternity care initiative. The collaborative, which is powered by Wildflower Health, aims to serve as a national blueprint for approaches to closing maternal care gaps and improving equity.
- As part of this initiative, Wildflower and HTC will also be working
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Opioid Use Disorders Cost U.S. Hospitals More than $95B Annually
What You Should Know:
- Based on prevalence estimates from PINC AI™ data during 2017-2022, an estimated 66 million emergency department (ED) outpatient visits and 760,000 inpatient admissions in the U.S. annually are for patients with the diagnosis of opioid use disorders (OUDs).
- Patients with an OUD diagnosis had 32.5 percent higher cost per ED visit and 8 percent higher cost per inpatient visit than those without an OUD diagnosis. The annual total cost of care for OUD-associated ED
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5 Must-Have Features for AI Platforms in RCM
A healthy, stable revenue cycle is crucial to every healthcare organization’s success. However, managing the revenue cycle takes experienced coders, complete documentation, and timely resolution of denials.
Administrative processes account for about 30% of U.S. healthcare costs, which means that all areas of a patient encounter, from check-in to billing and claims, are potential targets to obtain greater efficiency.
In the past 20 years or so, computer-assisted coding (CAC) has become
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Tia and Cedars-Sinai Partner to Enhance Women’s Health
What You Should Know:
- Tia, the modern medical home for women, announced that it is teaming up with Cedars-Sinai, one of California’s leading health systems, to expand access to primary and specialty care for women across Los Angeles. Together, the two healthcare leaders will provide and enhance high-quality physical, mental and reproductive healthcare for more than 100,000 women throughout the Los Angeles region.
- The deal -- which includes opening multiple clinics throughout LA -- will
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The Seemingly Limitless Potential of Blockchain in Healthcare
Interoperability remains the Holy Grail in healthcare, the goal to which all organizations aspire. The urgency to remove silos and improve communication between various systems and organizations is paramount, as it promises to lead to greater efficiency and improved outcomes while at the same time lowering costs – and not a moment too soon, given the fact that the world’s population is aging and there is a growing shortage of clinicians.
More and more, blockchain – a secure, decentralized
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9 Executive Revenue Cycle Predictions/Trends to Watch in 2023
Nate Maslak, the co-founder/CEO of Ribbon Health
Price Transparency: In 2022, we saw CMS’s Transparency in Coverage rule go into effect, requiring non-hospital entities like health plans and providers to publish publicly available rates for care. In 2023, we’ll see this price transparency data become more mainstream as it finally makes its way into the hands of patients, empowering them to find the best care for them, reevaluate their care choices, and shop around for the best possible care
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COVID-19 Health Systems Impact: What Will Stop The Cash Hemorrhage?
The material cost of COVID-19 has been at the center of public discourse since the early days of the pandemic. In 2020, growth in federal government spending on healthcare increased 36 percent, compared to the 5.9 percent bump in 2019. While the distribution of vaccines has allowed for a version of pre-pandemic life to resume, hospitals are still not recovered from the high rates of hospitalizations that occurred in March 2020, and the indirect costs of the pandemic continue to loom over the
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