Clinical Natural Language Understanding (cNLU), the technology by which computers extract meaning from clinical text, is quickly becoming a common feature in the healthcare IT landscape. In 2021, 30% of surveyed healthcare organizations were either using or exploring the technology. (Gradient Flow, 2021). Similar adoption is occurring in the UK as well. (Wu et. al, Nature, 2022). Today, cNLU is being applied to billing/coding, trial enrollment, registry creation, clinical decision support,
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Healthcare Data Exchange, Integration, and Analytics
Healthcare in Denial: The State of Claims in 2023
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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Digital Health Exec Hires: Transcarent Appoints CMO, Carium, Tegria, Swift Medical, GoCheckKids, Others
Transcarent appoints Dr. Randy Hawkins as Chief Medical Officer (CMO) and will report to Transcarent Chief Executive Officer, Glen Tullman. As CMO, Dr. Hawkins will oversee the organization’s clinical quality initiatives and support the organization’s health analytics strategy.
Swift Medical has appointed Brian Litten as its new Chief Executive Officer effective immediately. Litten brings decades of healthcare leadership experience across health plans, provider organizations, regulatory
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Zus Health Raises $40M, Partners with Primary Care EHR Elation
What You Should Know:
- Zus Health, (pronounced "Zoose"), a next-generation shared health data platform bringing distributed patient data directly to the point of care, announced today that the company has closed a $40 million financing from JAZZ Venture Partners, F-Prime Capital, Maverick Ventures, and Andreessen Horowitz (a16z).
- Zus is the only shared health data platform designed to accelerate healthcare data interoperability by providing easy-to-use patient data at the
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H1 Launches Advanced Diversity and Clinical Trial Performance Insights
What You Should Know:
- H1, the connecting force for global healthcare provider, clinical, science, and research information, today announced the availability of indication-level diversity insights in addition to institution, provider, and patient diversity data within its Trial Landscape solution.
- Additionally, H1 has successfully onboarded its first customer – a top 20 pharmaceutical company – onto the H1 Data Network, a new solution that aggregates sponsor-contributed site and
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Avaneer Health Launches its Decentralized Network and Platform
What You Should Know:
- Avaneer Health, a secure digital network for healthcare, today announced that it has launched its private, peer-to-peer network with several leading healthcare organizations. With a single connection to the Avaneer Network™, participants can collaborate and share real-time data, streamlining healthcare administration and enhancing the healthcare experience for all stakeholders.
- For decades, the healthcare industry has been challenged with fragmented
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New Healthcare H2 2022 Data: Reported Breaches Trend Down, But Individuals Affected Skyrocket by 35% to Nearly 29M
What You Should Know:
- Critical Insight, the Cybersecurity-as-a-Service provider specializing in helping critical organizations Prepare, Detect, and Respond in today’s threat environment releases its H2 2022 Healthcare Data Breach Report, which analyzes breach data reported to the U.S. Department of Health and Human Services by healthcare organizations.
- The number of data breaches affecting healthcare providers declined in the second half of 2022, consistent with a downward trend over
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A New Way of Thinking About Interoperability in 2023
Interoperability in the U.S. healthcare system has been an ongoing challenge. While there are several industry initiatives that are going to advance the industry and make incremental progress toward interoperability, there remain several gaps that are unaddressed.
Interoperability is a much broader concept that encompasses more than protocols, APIs, and limited networks. It’s about more than exchanging data through one-to-one connections between a provider, payer, or vendor. True
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It’s Time to Stop Accepting the Payer-Provider Dynamic as ‘Adversarial’ and Work Toward Alignment
Today’s relationship between payers and providers is more fraught than ever. With a history of transactional, often adversarial, fee-for-service contract negotiations, it’s no wonder that the healthcare industry has grown too comfortable pitting payers and providers against each other.
The lack of trust and transparency between the two groups has led to a perceived misalignment of vision. Across the board, the administrative staff has shouldered the brunt of this friction, which in the end
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FHIR Adoption and Implementation Challenges
The Fast Healthcare Interoperability Resources (FHIR) standard was introduced by HL7 in 2014 as a significant replacement for the HL7 V2 and V3 standards. An open standard called FHIR, which was initially drafted in 2011 makes it easier than ever for legacy systems and new apps to exchange data. FHIR was created to not only increase communication efficiency and interoperability compared to earlier standards but also to facilitate implementation by giving clear specifications and allowing
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