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

Why Medicare For All Is Not Going to Happen In America

by Margalit Gur-Arie 05/10/2019 Leave a Comment

Why Medicare For All Is Not Going to Happen In America

I am going to make a prediction here. No matter who we elect in 2020, Bernie or Trump or anything in between, Medicare For All is not going to happen in America. One can run an electrifying campaign on the promise of Medicare For All, or indignantly against it, but this is pure theater on both sides. I don’t know if God can make a rock so big and heavy that even He can’t lift it, but I do know that government can make corporations so big and powerful that even government itself can’t break
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HHS Should Be Careful Not To Go Too Far Too Fast on New EHR Rules

by Jasmine Pennic 05/08/2019 Leave a Comment

HHS Should Be Careful Not To Go Too Far Too Fast on New EHR Rules

Senate health committee Chairman Lamar Alexander (R-Tenn.) on Wednesday said, “The administration should not move too far, too fast on implementing new rules on electronic health information.”Improving the access, use, and exchange of electronic health information is important to this committee,” Alexander said. “In March, the Office of the National Coordinator (ONC) and the Centers for Medicare and Medicaid Services (CMS) issued two proposed rules to implement
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DispatchHealth Nabs $33M to Expand On-Demand Healthcare Model to High Acuity Patients

by Jasmine Pennic 05/07/2019 Leave a Comment

Philips, Dispatch Health Launch On-Demand Home Care Pilot Program for Arizona Seniors

DispatchHealth (formerly known as True North Health Navigation), a Denver, CO-based provider of on-demand healthcare delivery to a patient’s home has raised $33 million in growth capital funding led by Echo Health Ventures, a strategic collaboration of Cambia Health Solutions and Mosaic Health Solutions. The funding also included participation from existing investors Alta Partners, Questa Capital and additional strategic investors.Founded in 2013 by two mobile health executives, DispatchHealth’s
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Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies

by Fred Pennic 05/06/2019 Leave a Comment

Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies

Vericred, an NYC-based data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling InsurTech and digital health companies to build innovative solutions that serve the fast-growing Medicare-eligible population.Growth of Medicare Advantage PlansMedicare Advantage – also known as Medicare Part C – is a program in which individuals who qualify for Medicare enroll in certified health plans offered by
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Physician Practices Strategy to Developing A Strong Chronic Care Management (CCM) Program

by Zachary Blunt, Sr. Manager of Product Management, Population Health at Greenway Health 05/06/2019 Leave a Comment

Zachary Blunt

More than three years have passed since the Centers for Medicare & Medicaid Services (CMS) introduced its separately billable non-face-to-face Chronic Care Management (CCM) service. This was intended to help more than two-thirds of individuals on Medicare who suffer from multiple conditions receive more coordinated, regular primary care. The hope was that a focus on managing chronic conditions would contribute to better outcomes for overall population health, improve individual access to
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Telepsychiatry Improves Access to Mental Healthcare in Rural Areas, Study Finds

by Fred Pennic 05/03/2019 Leave a Comment

Telepsychiatry Improves Access to Mental Health Care in Rural Areas

A new study by Genoa Healthcare and Relias found that combining telepsychiatry with in-person visits improved the timeliness of care and increased the number of regular psychiatric appointments for people with severe mental illness in non-metropolitan areas where provider resources tend to be scarce. Study Key FindingsRecently published in the American Psychological Association’s Journal of Rural Mental Health, the peer-reviewed study analyzed data from 242 Medicaid patients in rural Missouri
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CirrusMD Lands $15M to Fuel Adoption of Chat-First Virtual Care Solution

by Fred Pennic 05/02/2019 Leave a Comment

CirrusMD Chat-First Virtual Care Platform

CirrusMD, a Denver, CO-based chat-first virtual care solution, today announced that it has raised $15 million in Series B funding led by Drive Capital, Colorado Impact Fund and other prior investors, bringing total funding to-date to $26 million. The company also announced a new contract with Iron Bow as a subcontractor to the United States Department of Veteran Affairs (VA) for improved care access and delivery for the veteran community. Care Without Barriers Founded in 2012 by Blake
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CMS Approves Livongo As An Enrolled Provider for Medicare Advantage Members

by Fred Pennic 04/30/2019 Leave a Comment

CMS Approves Livongo As An Enrolled Provider for Medicare Advantage Members

Livongo, the leading Applied Health Signals company announced that it has been approved by the Centers for Medicare and Medicaid Services (CMS) as an enrolled provider for Medicare Advantage members. In addition, starting in June, the Livongo for Diabetes program will be available to Medicare Advantage members of Cambia Health Solutions' regional health plans.Empowering America's Senior PopulationCambia reaches nearly 70 million Americans nationwide, including more than two million people in the
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Why 2018 May Have Been A High-Water Mark for Digital Health Funding

by Michael A Greely, Co-Founder & General Partner at Flare Capital Partners 04/24/2019 Leave a Comment

Pandemic Further Exposes Systemic Racism… Healthcare Technology Digital Health

Notwithstanding the quite significant stock market turmoil for publicly traded healthcare companies in recent months, the level of private investment activity continued to be quite strong this past quarter. According to Rock Health, 1Q19 registered just under $1.0 billion of investments made in 61 healthcare technology companies, which while below the trailing two year quarterly average of $1.4 billion, still suggests an annual investment pace running toward $4.0 billion. StartUp Health, which
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CMS Primary Cares Initiative With 2 New Payment Models Launches

by Jasmine Pennic 04/24/2019 Leave a Comment

How Will The Primary Care Model Evolve in 2015

On Monday, CMS Secretary Alex M. Azar II announced the launch of CMS Primary Cares—an initiative with two sets of new payment models that will enroll a quarter or more of traditional Medicare beneficiaries and a quarter of providers in arrangements that pay for keeping patients healthy, rather than ordering procedures.New Primary Care Payment Models1. The Primary Care First path will allow smaller primary care practices to be paid a simple, flat stream of revenue for each patient. When a patient
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