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

DrFirst Integrates with Epic’s Real Time Prescription Benefits Prescribing Workflow

by Fred Pennic 08/01/2019 Leave a Comment

Taking New Medications: Consumers Blame Anxiety on Lack of Time with Physicians

DrFirst, a provider of e-prescribing, price transparency, and medication management solutions announced today that it has entered into an integration agreement with leading EHR provider Epic to make DrFirst’s myBenefitCheck (real-time benefit check) service available to clients in Epic’s RTPB (Real-Time Prescription Benefits) prescribing workflow to help doctors and patients understand the cost of the drugs and drive medication adherence.How myBenefitCheck WorksVia myBenefitCheck, prescribers
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CMS Launches Pilot to Give Clinicians Direct Access to Claims Data

by Jasmine Pennic 07/30/2019 Leave a Comment

Survey: Hospital Cost of Following-up on Late Insurance Claims Higher Than Estimated

New CMS Pilot program gives clinicians direct access to claims data, putting patients over paperwork and at the center of their care.Today, at the White House Blue Button Developers Conference (BBDC), the Centers for Medicare & Medicaid Services (CMS) announced a new pilot program for clinicians called “Data at the Point of Care” (DPC). DPC is based on an industry-standard application programming interface (API), and is part of the MyHealthEData Administration-wide initiative that is
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ACO Investment Model Reduced CMS Expenditures by $48M

by Fred Pennic 07/15/2019 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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6 Considerations For Creating A Robust Healthcare Data Analytics Program

by Dr. Anunaya Jain, VP, IKS Health 07/10/2019 Leave a Comment

6 Considerations For Creating A Robust Healthcare Data Analytics Program

Healthcare organizations are increasingly turning to data analytics to solve their toughest business challenges. As information becomes less siloed, and technology systems do a better job of both generating and sharing data, organizations are seeing the need to more precisely identify patterns to predict patient needs, anticipate resources and improve processes. There is now as much emphasis on making the data work as there was on collecting data, so it can affect change.  Unfortunately,
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Carenet Health Acquires Engagement, Telehealth Subsidiary of Citra Health

by Fred Pennic 07/02/2019 Leave a Comment

Carenet Health Acquires Engagement, Telehealth Subsidiary of Citra Health

Carenet Health, a San Antonio, TX-based provider of healthcare engagement, clinical support, advocacy and 24/7 telehealth solutions, has acquired the engagement and telehealth solution subsidiary of Citra Health Solutions. The acquisition is the second acquisition of its kind by Carenet in a span of seven months. Financial terms of the acquisition were not disclosed.The recent acquisition complements Carenet’s ongoing commitment to delivering high-quality, cost-effective, on-demand telehealth
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How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?

by Sloan Clardy, President, Technology Solutions at nThrive 07/01/2019 Leave a Comment

How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?

The word “consumerism” and its derivatives have been tossed around the broader healthcare industry for the greater part of a decade. How we define consumerism and look at consumer behavior in relation to our institutions, systems, and programs seems key to unlocking the door to better outcomes and higher margins. However, in a landscape with more disruption than ever—greater vertical integration, technology, and regulation—we still lack the answer to these fundamental questions: What do patients
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J.D. Power to Publish First-Ever Telehealth Satisfaction Study Focused on 3 Categories

by Jasmine Pennic 06/27/2019 Leave a Comment

J.D. Power to Publish First-Ever Telehealth Satisfaction Study

J.D. Power, a global leader in consumer insights, advisory services, and data and analytics announced its plan to launch its first-ever Telehealth Satisfaction Study in November 2019.Why Telehealth Satisfaction?As new value-based payment models continue to re-define the consumer healthcare experience, the use of telehealth as a lower-cost form of medical consultation has skyrocketed in popularity. Among the commercially insured, telehealth visits increased 261% between 2015 and 20171 and the
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Healthcare’s Uncertain Future: 3 Data-Driven Approaches for Payers

by Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti 06/27/2019 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Nine out of 10 healthcare leaders expect disruptive pressures to increase tremendously in the year ahead, according to a recent survey. However, fewer than half believe their organizations are prepared to withstand these forces. In an era of transformation—in which traditional business models are continually being revamped in response to pressures such as consumerism, policy changes, and the market entrance of non-traditional healthcare players such as Amazon and Apple—payers face daunting
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Lyft Now Provides Medicaid Patients Access to Medical Transportation in Arizona, Exploring Expansion to Texas & Florida

by Fred Pennic 06/26/2019 Leave a Comment

Lyft Now Provides Medicaid Patients Access to Medical Transportation in Arizona, Exploring Expansion to Texas & Florida

Ride-sharing company Lyft, today announced it has been approved to become an enrolled Medicaid provider in Arizona, following new state regulations for non-emergency medical transportation. Lyft is now a covered transportation option to get eligible patients to and from medical appointments.  Exploring Medicaid Opportunities in Florida and TexasThe approval makes Lyft the first national ridesharing company to bring our transportation solution to millions of Medicaid beneficiaries in Arizona. In
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Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program

by Rebecca Marsh, VP of Advisory Solutions, nThrive 06/26/2019 Leave a Comment

Three Methods to Revive your Charge Integrity Program

Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage. According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
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