The COVID-19 pandemic made healthcare visits over video or phone the norm, likely turning telehealth into a permanent fixture within the U.S. healthcare system. In fact, the majority of patient access leaders at large hospitals believe 20-30 percent of appointments will happen over video in 2021, according to recent research. Further, an overwhelming portion of those leaders – 95 percent of them – believe the Centers for Medicare & Medicaid Services should continue to reimburse for video
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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
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
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
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
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
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
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
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
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
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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