Abhinav Aggarwal, Sr. Director, Encounter Submission and Risk Adjustment Solutions at Edifecs
Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Validic, Humana Launch Health Incentive Program to Support Device Connectivity
- Validic and Humana form partnership to launch a health incentive program to support Medicaid and Medicare communities with device connectivity. - As part of this engagement, Humana and Validic plan to expand the devices and data points available in Humana’s Go365 wellness and rewards program to address additional health barriers, such as nutrition, smoking cessation, mental health and more.Humana Inc., a health insurer company and well-being company and Validic, the market leader in platforms
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Trinity Health ACO Delivers $22.4M in Share Shavings, 98% Quality Performance Score
- Trinity Health ACO achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in the performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.- Trinity Health ACO provides coordinated care to patients in Illinois (Loyola Medicine), Michigan (Mercy Health – Michigan), New Jersey (Summit Medical Group) and Ohio (Mount Carmel Health System).Trinity Health ACO, a Next
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How Multi-Payer Portals Incent Providers to Better Manage Their Data
Mark Martin, Director of Payer Solutions for Availity
Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience.
These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020
Tara Vail, Chief Operating Officer, HST Pathways
In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and
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3 AI Trends for 2020: Moving Beyond Dazzle to High-Impact Collaboration
Jordan Bazinsky, EVP and Administrative Officer for Cotiviti
From the first artificial skin to driverless cars that navigate busy streets with ease, 2019 brought a dazzling array of artificial intelligence (AI) discovery. In 2020, the progress made toward AI-fueled collaboration will be as critical as AI innovation—especially in healthcare.
We’ve reached a point where AI has proven its utility. In radiology, for example, AI is well-oriented to interpret diagnostic imaging studies, with FDA
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Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020
As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020.
Robbie Hughes, Founder, and CEO, Lumeon
“Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
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Mayo Clinic Appoints Rita Khan as First-Ever Chief Digital Officer
Rita Khan - Mayo Clinic Chief Digital Officer Center for Digital Health
- Mayo Clinic appoints Rita Khan as the health system’s first-ever chief digital officer to lead Mayo Clinic’s digital health transformation strategy.
- Khan most recently was senior vice president of consumer digital at UnitedHealthcare, where she directed enterprise-level digital strategy.
Mayo Clinic has named Rita Khan chief digital officer, Mayo Clinic where she will help guide Mayo Clinic's strategy as it
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Top 60 Health IT/Digital Health Mergers & Acquisitions in 2019
- From Google's acquisition of Fitbit to Philips acquisition of Carestream Health's health IT business, here is a look at some of the biggest health IT/digital health mergers & acquisitions in 2019 by each quarter.
Q1 M&A Activity
Johnson & Johnson Acquires Auris Health for $3.4B to Expand Digital Surgery Portfolio
Johnson & Johnson acquiresAuris Health, a developer of robotic technologies for $3.4 billion in cash. Auris Health is a privately-held developer of
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What Will It Take To Build The Uber of Medical Records? 3 Critical Steps to Consider
Josh Douglas, Chief Technology Officer at Bridge Connector
Our healthcare system has struggled with data silos and clumsy, antiquated data sharing practices forever and a variety of stakeholders will need to work together to achieve anything close to an “Uber of medical records.”
It’s well documented and understood that the healthcare industry has historically been slow to adopt new technology while other business sectors have welcomed it with ease. For example, while most industries
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