What You Should Know: - Today, Polygon Networks, a leading blockchain and scaling solution, announced a partnership with Tokenology and MSP Recovery to deliver LifeChain - a new healthcare claims platform. - LifeChain will leverage blockchain technology to solve healthcare's biggest problems, including fraud, inefficiency in payments and antiquated processes. Tokenize Healthcare Claims On-Chain LifeChain will be developed by MSP Recovery and Tokenology as a fully tokenized Medicare,
Read More
Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
SimpliFed Raises $6M for Virtual Breastfeeding & Baby Feeding Support
What You Should Know: - SimpliFed, the telehealth platform dedicated to democratizing access to baby feeding services, announced it has closed $6M in its seed round, led by Morningside Ventures and The Venture Collective, with participation from NY Ventures, Elizabeth Street Ventures, Waterline Ventures, and 3CC. - SimpliFed provides virtual breastfeeding and baby feeding support fully covered by your health plan from pregnancy to weaning. Virtual Inclusive Baby Feeding Support for
Read More
COVID-19 Fell Out of Top 5 Telehealth Diagnoses Nationwide in February 2022
What You Should Know: - After two months in the top five telehealth diagnoses nationally and in every US census region, COVID-19 fell out of that ranking nationally and in every region in February 2022, according to FAIR Health's Monthly Telehealth Regional Tracker. - The change coincided with a sharp decline in new cases of COVID-19, as reported by the Centers for Disease Control and Prevention, following the January
Read More
Raising Clinical Outcomes and Engagement Through Healthcare Equity: What Health Plans Need to Know
Structural racism and poverty are correlated with a higher incidence of obesity among Black Americans (49%). Social drivers of health, which impact a disproportionate number of non-white Americans who live below the poverty line, account for as much as 90% of individuals’ health outcomes. These are just two examples of data that highlight the need for equity. Health plans are well-aware that shifting this dynamic and boosting clinical outcomes is possible through better,
Read More
CareCloud Adds Chronic Care Management Service to its Digital Health Portfolio
What You Should Know: - CareCloud, Inc., a healthcare technology solutions provider for medical practices and health systems nationwide, has announced its new offering, CareCloud Wellness for chronic care management as part of its growing suite of digital health solutions that help providers enhance patient care and revenue streams. - CareCloud Wellness gives practices the means to easily participate in the government’s
Read More
What the New CMS Staff Turnover Data Means for Nursing Homes
To make it easier for families and caregivers to evaluate the quality of nursing homes, the Center for Medicare & Medicaid Services (CMS) regularly publishes data on its “Care Compare” website. Anyone can go to the site and search for a facility to find COVID updates, quarterly quality scores, and information on inspections, penalties, ownership, and more. Last month, CMS added additional metrics to how it scores the quality of nursing homes. The information is now available
Read More
Analysis: CMS Data Underestimates Hospital Labor Spending
What You Should Know: - Centers for Medicare & Medicaid Services’ (CMS) payment adjustments did not adequately address hospitals increased costs for FY 2021, according to new data from Premier. - The data reveals this discrepancy has resulted in hospitals receiving only a 2.4 percent rate increase, compared to a 6.5 percent increase in hospital labor rates, which account for 76 percent of hospital costs. - The data CMS uses to account for real
Read More
Why a Focus on Behavioral Health is Key to Improving Quality Measures
Since the passage of the Medicare Improvements for Patients & Providers Act in 2008, the U.S. healthcare system has been moving towards value-based care (VBC) which encourages health providers to improve care quality by reimbursing them based on successful outcomes rather than individual medical services. The overarching goal of VBC is to improve the patient experience, improve population health, and reduce per capita health costs. As part of this VBC model, hospitals and health systems
Read More
Next Generation of Risk Adjustment: Uniting Health Plans and Providers
Up until now, risk adjustment has been addressed as a mechanism to accurately represent the overall risk profile of a health plan’s membership. A function that will still facilitate a health plan’s payment for taking on at-risk populations is about to go through its first major transformation – the use of risk adjustment data to drive value-based program initiatives. Now that the functional aspects
Read More
DUOS Secures $15M for Senior Assistance Platform for Older Adults
What You Should Know: - DUOS, a digital health company on a mission to increase the longevity and independence of older adults, announced today a $15 million Series A funding led by Imaginary Ventures, along with participation from existing investors Forerunner Ventures, Declaration Partners, and new investor Optum Ventures. - DUOS focuses on members' social needs and maximizes their independence by building long-term, high trust 1:1 relationships, coordinating community resources, and
Read More
