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

COVID-19 Pandemic Further Exposes Systemic Racism…

by Michael A Greeley, Co-Founder & General Partner at Flare Capital Partners 10/27/2020 Leave a Comment

Pandemic Further Exposes Systemic Racism… Healthcare Technology Digital Health

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

by Jasmine Pennic 10/27/2020 Leave a Comment

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

by Vanessa Kuhn, Director of Health Policy, PatientPing 10/26/2020 Leave a Comment

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

by Jasmine Pennic 10/23/2020 Leave a Comment

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

by Jasmine Pennic 10/08/2020 Leave a Comment

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

by Victor Siclovan, Director on the Medicaid Transformation Project at AVIA 10/05/2020 Leave a Comment

digital behavioral health and 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

by Jasmine Pennic 10/01/2020 Leave a Comment

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

by Fred Pennic 10/01/2020 Leave a Comment

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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Accounting for the Social Determinants of Health During the COVID-19 Pandemic

by Andy Aroditis, CEO, NextGate 10/01/2020 Leave a Comment

Accounting for the Social Determinants of Health During the COVID-19 Pandemic

The COVID-19 pandemic is not just a medical crisis.  Since the highly contagious disease hit American shores in early 2020, the virus has dramatically changed all sectors of society, negatively impacting everything from food supply chains and sporting events to the nation’s mental and behavioral health. For some people, work-from-home plans and limited access to entertainment are manageable obstacles.  For others, the shuttered schools, lost wages, and social isolation spell disaster –
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Change Healthcare Launches Solution to Enable Pharmacies to Manage COVID-19 Test Billing

by Jasmine Pennic 09/28/2020 Leave a Comment

Change Healthcare Acquires Credentialing Tech Docufill to Improve Administrative Efficiency

What You Should Know: - Change Healthcare launches a new solution that simplifies billing to bring more COVID-19 testing options to consumers. -  New service enables pharmacies to manage COVID-19 test billing within their traditional Rx claims processes, driving the potential to dramatically expand U.S. testing capabilities. Change Healthcare, announced a new solution, MedRx that makes it easier for consumers to get COVID-19 testing in their local pharmacies. The company’s
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