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

DispatchHealth Reaches $1.7B Valuation, Raises $200M for In-Home Care Model

by Fred Pennic 03/03/2021 Leave a Comment

DispatchHealth Raises $135.8M to Expand On-Demand In-Home Care Model

What You Should Know: - DispatchHealth has secured an additional $200 million in a Series D round of funding led by Tiger Global. The additional financing brings DispatchHealth into the “unicorn” category and solidifies its valuation at more than $1.7 billion.  - DispatchHealth’s new round of financing will allow the company to bring it’s model of in-home medical care to more than 100 markets across the country
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Untapping the Potential for Virtual Care in a Pandemic and Beyond

by Dr. Sonny Kohli, Practicing Physician in Internal Medicine and Critical Care and Faculty at SingularityU Canada 02/25/2021 Leave a Comment

Untapping the Potential for Virtual Care in a Pandemic and Beyond

Virtual care is everywhere and ubiquitous. But at a time when the world is amid a global pandemic, virtual care is also being underutilized. The technology exists today to help our healthcare system not only more effectively and efficiently manage care during COVID-19, but also exponentially scale capacity in the face of future outbreaks.  Virtual care defined Virtual care is a broad term. It encompasses all the ways healthcare practitioners provide for care remotely. This can mean
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3 Ways to Boost Patient Confidence with Real-Time Contactless Communication

by Ford Blakely, SVP & GM, Medallia Zingle 02/22/2021 Leave a Comment

How to Boost Patient Confidence with Real-Time Contactless Communication

Although the vaccine’s rollout is slowly underway, Covid cases worldwide are continuing to reach all-time highs as new mutations make the virus even more contagious than ever before. Not surprisingly, patients’ concerns about visiting their healthcare providers in the midst of this global pandemic persist, pushing demand for telehealth solutions that allow patients and their doctors to communicate without the need for in-person visits.  In fact, a recent report from McKinsey found that
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Arizona to Implement a Statewide Social Determinants of Health Closed Loop Referral System

by HITC Staff 02/17/2021 Leave a Comment

Arizona to Implement a Statewide Social Determinants of Health Closed Loop Referral System

What You Should Know: - Health Current, Arizona’s health information exchange (HIE), today announced the selection of NowPow as the vendor of choice for Arizona’s closed-loop referral system (CLRS) to address social determinants of health (SDOH) needs in Arizona. - By connecting healthcare and community service providers on a single statewide technology platform, this new service promises to streamline the referral process, foster easier access to vital services, and provide confirmation
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Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

by Fred Pennic 02/04/2021 Leave a Comment

Anthem Acquires Puerto Rico’s Largest Medicare Advantage Plan

What You Should Know: - Anthem, Inc. has entered into an agreement with InnovaCare Health, L.P., to acquire its Puerto Rico-based subsidiaries, including MMM Holdings, LLC (“MMM”) and its Medicare Advantage (MA) plan MMM Healthcare, LLC as well as affiliated companies and Medicaid plan.   - MMM is Puerto Rico’s largest MA plan and one of the fastest-growing vertically integrated healthcare organizations in the United States. - With more than 267,000 MA members and over 305,000
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Humana Taps DispatchHealth to Power Hospital-Level Care in the Home

by Jasmine Pennic 02/01/2021 Leave a Comment

DispatchHealth Raises $135.8M to Expand On-Demand In-Home Care Model

What You Should Know: - Humana Inc. and DispatchHealth, a provider of in-home medical care, today announced an agreement to provide Humana members with access to an advanced level of care in the home – to help enhance patients’ experience and health outcomes. The Dispatch-Humana agreement is believed to be the country’s first program to provide hospital-level care involving a national payer. - The agreement will provide members living with multiple chronic conditions – such as cellulitis,
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Why CMS Will Lead the 2021 Kidney Care Revolution

by Chris Riopelle, CEO of Strive Health 01/27/2021 Leave a Comment

Why CMS Will Lead the 2021 Kidney Care Revolution

After an unprecedented year, kidney care providers, including nephrologists, dialysis facilities, and care extenders are expecting 2021 to follow suit. We will see an overhaul in reimbursement and major industry shifts, partly led by CMS, that will require providers to advance their capabilities in a way that will usher in more widespread innovation. These new models encourage a shift in treatment approach that will deliver earlier interventions and better outcomes.  The following are
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Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

by Dr. Gary Call, Chief Medical Officer at HMS 01/14/2021 Leave a Comment

Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

As healthcare spending continues to rise, so too does the inherent risk for bad actors to take advantage. Today, the United States is estimated to spend nearly 18 percent of its GDP, or $3.6 trillion, on healthcare, and is expected to increase to one-fifth of GDP within the next decade, according to the latest data. This alone provides ample motivation for fraud and abuse. While the full extent of healthcare fraud is difficult to measure, The National Health Care Anti-Fraud Association
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Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

by Fred Pennic 01/12/2021 Leave a Comment

Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

What You Should Know: -  Net Health acquires post-acute market analytics platform PointRight to deepen the company’s analytics capabilities, post-acute presence, and support for SNF networks. Net Health, a provider of cloud-based software for specialty medical providers across the continuum of care, today announced that it has acquired PointRight Inc., a leading provider of analytics and data-driven tools for the post-acute market. The acquisition adds to Net Health’s expanding
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COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

by Fred Pennic 01/08/2021 Leave a Comment

COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

What You Should Know: - COVID-19 care deferrals lead to three major boomerang conditions that payers and providers must proactively address in 2021, according to a newly released report by Prealize. - COVID-19’s hidden victims—those who avoided or deferred care during the pandemic—will increasingly return to the healthcare system, and many will be diagnosed with new conditions at more advanced stages. Healthcare leaders must act now to keep this boomerang from driving worse outcomes
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