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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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Change Healthcare Launches Solution to Enable Pharmacies to Manage COVID-19 Test Billing
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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Centene Becomes First Payer to Join AVIA’s Medicaid Transformation Project
What You Should Know:
- AVIA announces that Centene Corporation has become the first payer to join the Medicaid Transformation Project (MTP), which aims to transform healthcare and related social needs for vulnerable populations through digitally-enabled care models and new technology solutions
- Led by AVIA and
former CMS chief Andy Slavitt. Collaboration among Centene, 30 health systems,
and provider-sponsored health plans in MTP will enable these stakeholders to
improve outcomes
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Designating Ownership of Provider Data Will Improve Care Coordination, Study Finds
What You Should Know:
- New LexisNexis Risk Solutions Health Care survey reveals
that 63% of respondents believe designating ownership of provider data will
improve care coordination, yet only 18% of organizations report having a
dedicated data governance department
- The survey results are based on over 100 qualified
responses from organizations across the industry, including independent
hospitals, teaching hospitals, independent physician groups, and federally
qualified health
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Ready Raises $54M to Become The Uber of On-Demand Healthcare Services
What You Should Know:
- Ready, a company described as the “Uber” of on-demand health
service, just raised $54 million in its Series C funding round.
- Ready’s on-demand care model is evolving the healthcare
industry with customer service and mobility, just like Uber did for ride
sharing and Postmates for food delivery.
Ready, an New Orleans,
LA-based on-demand healthcare service, today announced that it closed $54
million of new funding to finance the expansion of its operations and
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Collaborative Health Systems’ ACOs Delivers $335M in Medicare Savings
Collaborative
Health Systems (CHS) announced today that its Medicare Shared Savings
Program (MSSP) Accountable
Care Organizations (ACOs) delivered $335 million in total savings to
Medicare and $183 million in shared savings since 2012, according to figures
released by the Centers for Medicare & Medicaid Services (CMS).
Defining Medicare ACOs
Medicare ACOs are groups of doctors, hospitals, and other
healthcare providers who come together voluntarily to provide coordinated,
high-quality
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Samsung, Centene to Bring Telehealth to 13k Patients in Rural, Underserved Communities
What You Should Know:
- Today, Centene announced that it is teaming up with Samsung Electronics America to expand critical virtual care for 13,000 patients in underserved and rural communities who may have limited access to technology, including seniors and low-income individuals.
- Amid the rapid digital transformation in healthcare,
the digital divide has exposed disparities in access to technology amid the
pandemic. With telehealth emerging as the preferred method of
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AMA Approves 2 New CPT Codes to Support Response to COVID-19
What You Should Know:
- The American Medical Association adds two new CPT codes
to streamline the reporting of innovative tools and services now available to
help reduce the COVID-19 disease burden.
- The two new codes 99072 and 86413 have been approved for immediate use.
The American Medical Association (AMA) published
an update to the Current Procedural Terminology (CPT®) code set that
includes two code additions for reporting medical services sparked by the
public
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Why EHR Interoperability is Critical for Telehealth
Telehealth has recently taken off as a way to prevent the spread of the novel coronavirus, but even though telehealth has been around for several years, clinics had difficulty adopting it pre-COVID-19. This caused clinics to not view telehealth as a viable option, and it was often seen as a last resort approach to healthcare.
As reducing the spread of COVID-19 became paramount, Medicare and Medicaid were forced to develop telehealth service codes, and clinics were tasked with finding an
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Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management
In COVID-19’s wake, providers’ financial recovery will be crucial yet daunting. U.S. hospitals and health systems stand to collectively lose $36.6 billion between March and June 2020 alone. Physician practices also face serious financial challenges as they recoup revenues that declined up to 55 percent and patient volume that decreased 60 percent.
Amid these hardships, telehealth has emerged as a widely accepted vehicle for care delivery – providing a way for healthcare organizations to
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