What You Should Know:
- The American Medical Association (AMA) published an
update to the Current Procedural Terminology (CPT®) code set that includes new
vaccine-specific codes to report immunizations for the novel coronavirus
(SARS-CoV-2).
- The new Category I CPT codes and long descriptors for the vaccine products 91300 and 91301 for better tracking, reporting, and analysis that supports data-driven planning and allocation.
The American Medical Association (AMA) today published an
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Healthify, Algorex Health & Excellus BCBS Tap into SDoH Analytics to Address Social Disparities
What You Should Know:
- Healthify in partnership with Algorex Health Technologies, announced the results of new social determinants of health (SDoH) population analysis of Excellus BlueCross BlueShield (BCBS) members.
- SDoH are non-clinical conditions that significantly
affect health outcomes. The analysis identified Excellus BCBS members who are
struggling with SDoH such as unstable housing, food insecurity and neighborhood
stress – which has enabled Excellus BCBS to develop a targeted
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COVID-19 Pandemic Further Exposes Systemic Racism…
This will be ugly and sad. Racism has cost this country $16 trillion over the last twenty years according to a recent Citigroup report. Much of this loss ($13 trillion) was attributed to discriminatory lending practices and the 6.1 million fewer jobs created as a result, while disparity in wages ($2.7 trillion) and discrimination in housing policies and lost income due to restricted access to higher education accounted for the balance. The report estimates that if these gaps were to be
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Arcadia, PatientPing Expands Partnership to Enhance Real-Time Patient Data for Healthcare Organizations
What You Should Know:
- Arcadia and PatientPing expand partnership to help customers achieve improved post-acute and transitions of care outcomes.
- As part of the expanded partnership, Arcadia Analytics will further integrate real-time health event notifications into comprehensive patient data set for improved care coordination.
Arcadia , a provider of population health management technology, announced today that it has expanded its relationship withPatientPing, a comprehensive
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CMS Direct Contracting Model Options for Value-Based Care
The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries.
The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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Unite Us Expands Social Determinants of Health Platform to 6 States
What You Should Know:
- Unite Us, the tech company building coordinated care
networks nationwide announced a significant expansion to its partnership with
Nebraska Health Information Initiative (NEHII), a health information exchange,
to six additional states.
- This growing partnership aims to break down existing obstacles between
clinical and social service providers to allow for improved SDoH workflows, comprehensive,
whole-person care with trackable outcomes and data, and the creation
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Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy
What You Should Know:
- Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts.
- The solution utilizes Artificial Intelligence (AI) and
Natural Language Processing (NLP) to make risk predictions.
Innovaccer, Inc., a
leading healthcare
technology company, has launched its Risk Adjustment
Solution. Leveraging
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Digital Behavioral Health: Addressing The COVID-19 Behavioral Health Crisis
Living through a pandemic is stressful and anxiety-inducing. Stay-at-home measures are compounding this stress, resulting in social isolation and unprecedented economic hardship, including mass layoffs and loss of health coverage. Fully understanding the impact of these pernicious trends on overall mental health will take time. However, precedents like the Great Recession suggest that these trends are likely to worsen the conditions driving suicide and substance-related deaths, the “deaths of
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Molina Healthcare Acquires Affinity Health Plan for $380M
What You Should Know:
- Molina Healthcare acquires New York-based Medicaid managed care organization Affinity Health Plan for $330M in cash serving members in New York City, Westchester, Orange, Nassau, Suffolk, and Rockland counties.
- As of August 31, 2020, Affinity served approximately 284,000 Medicaid members. Affinity’s premium revenue for the trailing twelve months ended July 31, 2020, was approximately $1.3 billion.
- The net purchase price of approximately $380 million
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Revel, NovuHealth Merge to Create Largest Healthcare Member Engagement Platform
What You Should Know:
- NovuHealth and Revel merge to bring together NovuHealth’s
personalized healthcare loyalty programs with Revel’s applied behavioral
research and health action technologies.
- Together, Revel and NovuHealth work with more than 50
healthcare organizations, including seven of the top 10 largest health insurers
in the United States representing more than 65 percent of all members in
government programs such as Medicare and Medicaid.
Revel and NovuHealth, two
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