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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant

Our Nursing Home Industry – A National Scandal

by David Chess, MD, Chief Health & Policy Officer & Chairman of the Board / Founder, Tapestry Health 08/04/2022 Leave a Comment

Our Nursing Home Industry - A National Scandal

A society defines itself by how it cares for its most vulnerable, and especially its seniors. As a Board-Certified Internist and Geriatrician with over 35 years of providing care in nursing facilities, this sentiment has guided me throughout my career. It has led me to found Tapestry Health, a multispecialty medical practice that focuses on providing medical infrastructure in skilled nursing facilities (SNFs), as well as Project Patient Care, a patient advocacy organization based in Chicago,
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Brave Health & MedArrive Partner to Power Virtual Mental Health

by Syed Hamza Sohail 08/02/2022 Leave a Comment

- Brave Health, a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. - Through this collaboration, if MedArrive identifies an eligible health plan member in need of mental health support, MedArrive’s field providers can immediately refer that member to Brave Health’s behavioral health providers in real time and schedule care within 72 hours. Conversely, if Brave Health identifies an
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Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

by Sanjula Jain, PhD., Chief Research Officer, Trilliant Health 07/25/2022 Leave a Comment

Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

Driven by headlines and incomplete, misleading data that favor a telehealth narrative, health systems and healthcare investors must start asking "who" is actually supporting waning demand. The healthcare industry is no stranger to the 80/20 rule. The principle says 80% of an effect is driven by 20% of a cause, and in healthcare, it usually refers to there being a specific cohort of the population (e.g., the chronically ill) driving the majority of care utilization and costs. More recently,
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The Twin Toll of Peripheral Artery Disease and Diabetes on Minority Communities

by Elizabeth Hogan Hamacher, MHL, BSN, RN, VP of Clinical Services and Support, Podimetrics 07/25/2022 Leave a Comment

The Twin Toll of Peripheral Artery Disease and Diabetes on Minority Communities

Diabetes is one of the most common chronic diseases in the United States, with more than 34 million individuals living with the condition.   It’s hard enough to manage this condition on a daily basis — and it gets even harder with the realization that diabetes doesn’t just exist in isolation. A diabetes diagnosis immediately triggers a domino effect of higher risks for other conditions and complications, including kidney damage, eye damage, neuropathy, and cardiovascular
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The Infrastructure Needed to Meet Health Interoperability Needs

by Kristen Ballantine, VP of Government Relations at Gainwell 07/21/2022 Leave a Comment

The Infrastructure Needed to Meet Health Interoperability Needs

For most patients, it has always been extremely difficult to their personal health and medical data electronically. However, with the CMS Interoperability and Patient Access Final Rule, consumers, specifically Medicaid members, there is a greater push to give access to, and ownership of, this data.  With this move towards interoperability comes new requirements healthcare organizations must meet and adhere to under the rule. To meet many of these federal interoperability requirements,
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Canvas Medical Raises $24M for EMR & Payments Platform

by Syed Hamza Sohail 07/18/2022 Leave a Comment

Canvas Medical Raises $24M for EMR & Payments Platform

What You Should Know: - Canvas Medical, the EMR that enables clinicians and developers to power the future of care delivery, has raised $24M in Series B funding led by M13 with participation from Haystack and previous investors Inspired Capital, IA Ventures, Upfront Ventures, and Irongrey. - In addition to this funding, Canvas has achieved federal certification through the Office of the National Coordinator for Health Information Technology (ONC).  A Full-Stack Ambulatory EMR and
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Innovaccer Expands into Public Sector to Accelerate Public Health Transformation

by Fred Pennic 07/13/2022 Leave a Comment

Innovaccer Expands into Public Sector to Accelerate Public Health Transformation

What You Should Know:  - Health cloud company Innovaccer Inc, today announced it is expanding into the public sector to improve collaboration between agencies, optimize case management, manage increasingly complex alternative payment models, and improve the individual’s experience through technology.  - The Innovaccer Health Cloud’s Data Activation Platform (DAP) collects, cleans, and connects data, making it available and shareable between systems to accelerate digital
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6 Success Strategies as CMS Drives More Accountable Care by 2030

by Siddharth Thakkar, VP, Product and Marketing at IKS Health 07/13/2022 Leave a Comment

6 Success Strategies as CMS Drives More Accountable Care by 2030

For the better part of a decade, the shift toward value-based care in the U.S. has been driven by the establishment of the Center for Medicare and Medicaid Innovation (CMMI). Working to develop, test and evaluate new payment and delivery models in Medicare, Medicaid and the Children’s Health Insurance Program, CMMI has taken aim at improving the provider experience, generating better patient outcomes and reducing the overall cost of care. Recently, CMMI stated that by 2030 every Medicare
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Geisinger Taps Cohere Health to Streamline Prior Authorizations

by Fred Pennic 07/13/2022 Leave a Comment

Geisinger Taps Cohere Health to Streamline Prior Authorizations

What You Should Know: - Today Geisinger Health Plan (GHP) and Cohere Health, a provider of utilization management (UM) technology, announced they are joining forces to streamline the prior authorization process for providers. - Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs, and lead the nation in aligning quality improvement initiatives across all its lines of business, including
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ACAP Launches Center for Social Determinants of Health Innovation

by Jasmine Pennic 06/30/2022 Leave a Comment

ACAP Launches Center for Social Determinants of Health Innovation

What You Should Know: - Today, the Association for Community Affiliated Plans (ACAP) announced the launch of The ACAP Center for Social Determinants of Health Innovation. The center will encourage and empower other stakeholders to support SDoH initiative. - The center offers tailored resources, including policy reports, market research, and roundtable educational events, to help health plans, policymakers, and other stakeholders address social issues that impact health and wellbeing,
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