What You Should Know:
- OpenLoop, a leader in white-label telehealth support services powering virtual and hybrid care across the country, today announced it has raised a $15M Series A funding.
- The round was led by Nava Ventures, with participation from new investors UnityPoint Health Ventures and PrimeTime Ventures, and existing investors SpringTide Ventures and ManchesterStory. The company also announced a new nationwide insurance payer network that allows clients to offer reimbursable
Read More
Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Opioid Settlements are Making Headlines; Is Now The Time to Soften Guidelines?
The United States only represents five percent of the world’s population; however, Americans consume 80 percent of the world’s opioids.1 The U.S. is the world’s leader in the use of opioid medications to cope with physical and emotional difficulties. And the recent Walgreens and Wal-Mart multi-state opioid settlement agreement disclosures have only hammered home the point. America continues to have an opioid addiction problem.
In light of all these circumstances, the recent CDC
Read More
Fully Modular Medicaid System Enables Kansas to Achieve CMS Certification
What You Should Know:
- Gainwell Technologies (Gainwell), an innovator in healthcare technology solutions, announced that the nine-module Medicaid system it designed and implemented for Kansas is the first fully modular system to achieve the Centers for Medicare & Medicaid Services (CMS) Streamlined Modular Certification.
The deployment marks Kansas as the first state with a completely modular system to receive federal matching funds from the day
Read More
Enabling a Better Future for All by Embracing Healthcare Interoperability
The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information. This is thanks in part to the release of the Interoperability and Patient Access Final Rule. With new policies now in place, CMS aims to generate better health outcomes through improved interoperability and better access to health information for all stakeholders.
CMS has also identified a new
Read More
How Home Health Tech Can Solve a Stubborn $290B Healthcare Challenge
The good news on the medical front is that with advances in therapy, people with chronic diseases are able to remain in their homes and even live active lifestyles, which improves their quality of life and can save them, the government (Medicaid/Medicaid), and the insurance industry money. But -- and it’s a big one -- those savings can only be achieved if those patients adhere to their medication schedules.
Non-adherence first came to the forefront of awareness back in 2009, when the New
Read More
Maryland HIE to Expand Medicaid Redetermination Notification Project
What You Should Know:
- CRISP, the nonprofit state-designated health information exchange (HIE) of Maryland, announced plans to expand its Medicaid Redetermination Notification project across the state to support care teams as they navigate redetermination for 1.6 million Medicaid enrollees.
- The project is a collaboration across state agencies and began as a pilot supporting federally qualified health centers who expressed concerns about lacking resources that would contribute to
Read More
CMS Awards Accenture Federal Services with $628M Contract to Support Healthcare.gov
What You Should Know:
- Accenture Federal Services has won a five-year, $628 million recompete of a contract award from the U.S. Centers for Medicare and Medicaid Services (CMS) to continue its work supporting Healthcare.gov. CMS made this award through the Strategic Partners Acquisition Readiness Contract (SPARC) vehicle.
- In 2014, Accenture Federal Services was awarded a prime contract to take over management of the Federally-Facilitated Exchange (FFE). FFE is the backbone of
Read More
Walmart & CareSource Partner to Address Racial Health Inequities
What You Should Know:
- Today, Walmart announced a three-year agreement with the nonprofit organization, CareSource to address cardiometabolic conditions and maternal health in under-resourced and underserved communities.
- The partnership expands the work Walmart and CareSource are doing to help improve care around maternal and child health in Georgia - the two launched a pilot in Georgia earlier this year to help Black maternal health across the state.
Address
Read More
Apixio Launches EHR-Integrated Post-Visit Solution
What You Should Know:
- Apixio, a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers. With the Centers for Medicare & Medicaid Services' recent Medicare Advantage Risk Adjustment Data Validation Final Rule, healthcare organizations need to have complete diagnosis capture and accurate documentation for reimbursement to ensure compliance.
- The new Post-Visit
Read More
It’s Time to Stop Accepting the Payer-Provider Dynamic as ‘Adversarial’ and Work Toward Alignment
Today’s relationship between payers and providers is more fraught than ever. With a history of transactional, often adversarial, fee-for-service contract negotiations, it’s no wonder that the healthcare industry has grown too comfortable pitting payers and providers against each other.
The lack of trust and transparency between the two groups has led to a perceived misalignment of vision. Across the board, the administrative staff has shouldered the brunt of this friction, which in the end
Read More
