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

Centene Becomes First Payer to Join AVIA’s Medicaid Transformation Project

by Fred Pennic 09/25/2020 Leave a Comment

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

by Jasmine Pennic 09/18/2020 Leave a Comment

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

by Jasmine Pennic 09/16/2020 Leave a Comment

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

by Jasmine Pennic 09/16/2020 Leave a Comment

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

by Jasmine Pennic 09/14/2020 Leave a Comment

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

by Fred Pennic 09/09/2020 Leave a Comment

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

by Khalid Al-Maskari, CEO at Health Information Management Systems (HiMS) 09/02/2020 Leave a Comment

Fear of Changing EHRs? Here’s What You Should be Concerned About

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

by Vijay Kotte, EVP of Physician Services at R1 RCM 09/01/2020 Leave a Comment

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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COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 08/07/2020 Leave a Comment

Medsphere CEO Talks Affordable Healthcare IT and Future of EHRs

In the late 1940s, the United Kingdom was busily reassembling country and what remained of the empire in the aftermath of World War II. Among many revelations, the war had convinced Britain’s leaders of the need to provide healthcare for all in the event of calamity upending the basic functions of a civilized society. With that, the UK’s National Health Service (NHS) was born. In 2020, all perspectives about quality and the time it takes to see a provider aside, the NHS remains quite popular
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Centauri Health Acquires AppRev to Enhance Hospital Revenue Cycle Optimization

by Fred Pennic 08/05/2020 Leave a Comment

Centauri Health Acquires AppRev to Enhance Hospital Revenue Cycle Optimization

What You Should Know: - Centauri Health Solutions acquires Applied Revenue Analytics (AppRev) for undisclosed terms to enhance Centauri’s market leadership in hospital revenue cycle optimization. - AppRev delivers technology-enabled revenue cycle optimization services in a Software-as-a-Service (SaaS) model. Centauri Health Solutions (“Centauri” or the “Company”), an innovative healthcare technology and services company, announced today that it has acquired Applied Revenue Analytics
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