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

HHAeXchange Adds Six Solutions Providers to its Partner Connect Program

by Fred Pennic 03/17/2023 Leave a Comment

HHAeXchange Adds Six Solutions Providers to its Partner Connect Program

What You Should Know: - HHAeXchange, a provider of homecare management solutions for state Medicaid programs, managed care organizations, and providers has added six new solutions providers to its Partner Connect program. Founded in April 2021, Partner Connect is a leading-edge community built on HHAeXchange’s innovative platform, which allows the company’s customers to connect with complementary, industry-leading solutions providers whose products and services are designed to drive homecare
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OpenLoop Secures $15M for White-Label Telehealth Support

by Syed Hamza Sohail 03/15/2023 Leave a Comment

OpenLoop Secures $15M for White-Label Telehealth Support

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
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Opioid Settlements are Making Headlines; Is Now The Time to Soften Guidelines?

by Jeremy Bloom, CEO, NorthSight Recovery 03/15/2023 Leave a Comment

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
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Fully Modular Medicaid System Enables Kansas to Achieve CMS Certification

by Fred Pennic 03/10/2023 Leave a Comment

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
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Enabling a Better Future for All by Embracing Healthcare Interoperability

by Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies 03/10/2023 Leave a Comment

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
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How Home Health Tech Can Solve a Stubborn $290B Healthcare Challenge

by Trenholm Ninestein, Director of Product and Digital Health Lead at Rightpoint 03/07/2023 Leave a Comment

How Home Health Tech Can Solve a Stubborn $290 Billion Health Care 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
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Maryland HIE to Expand Medicaid Redetermination Notification Project

by Fred Pennic 03/06/2023 Leave a Comment

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
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CMS Awards Accenture Federal Services with $628M Contract to Support Healthcare.gov

by Fred Pennic 03/02/2023 Leave a Comment

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
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Walmart & CareSource Partner to Address Racial Health Inequities

by Fred Pennic 02/28/2023 Leave a Comment

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
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Apixio Launches EHR-Integrated Post-Visit Solution

by Syed Hamza Sohail 02/23/2023 Leave a Comment

Apixio Unveils AI-Powered Risk Adjustment Auditing 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
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