What You Should Know:
- Today, Edifecs and VirtualHealth, a medical management company, announced a new partnership automated prior authorization to VirtualHealth’s HELIOS® platform for healthcare payer and provider clients.
- The Edifecs solution will automate and optimize the prior authorization process across HELIOS to significantly reduce the administrative burden, alleviate friction between payers and providers, and ultimately expedite patient care.
Growing Need for Automated Prior
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Prisma Health Moves to the Innovaccer Health Cloud
What You Should Know:
- South Carolina’s largest health system, Prisma Health selects the Innovaccer Health Cloud to be its primary value-based care platform for analytics, workflow, and Snowflake data platform management.
- With the Innovaccer Health Cloud’s data and analytics platform, Prisma Health can integrate disparate EHRs and other healthcare systems to create a unified patient record.
Primsa Health Background
Prisma Health provides healthcare services to nearly
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Healthcare Profit Pools to Reach $790B by 2026, Report Reveals
What You Should Know:
- Healthcare profit pools are expected to grow 4 percent annually resulting from $654 billion in 2021 to $790 billion in 2026, according to a new McKinsey report.
- The report reveals inflation is not transitory and the economic outlook has meaningfully darkened due to a healthcare worker shortage and endemic COVID-19.
What to expect in US healthcare in 2023 and beyond
The US healthcare industry faces demanding conditions in 2023, including
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How Will The Inflation Reduction Act Impact Healthcare in 2023? 6 Trends to Know
What You Should Know:
- As the world prepares for the Inflation Reduction Act’s landmark policy changes, healthcare stakeholders realize that its wide-ranging effects will require new approaches to drug pricing, health plan design, and investment.
- Avalere’s ‘2023 Healthcare Industry Outlook’ examines how community-wide healthcare will be affected by a recent court ruling, and consider data’s role in addressing health disparities.
Key Trends in Healthcare in 2023
The main insights
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8 Executive Pharmacy Predictions/Trends to Watch in 2023
Frank Harvey, CEO at Surescripts
Community pharmacists trusted to deliver care: In 2023, pharmacists will play an integral role as part of the team managing patient care for diseases like diabetes, hypertension, or multiple comorbidities. And to support this work, I predict that we will see more activity between payers, pharmacists, the government and technology organizations to ensure that pharmacists are able to perform these important activities and be reimbursed for their work.
Greg
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Study Reveals Current Landscape of FHIR Apps
What You Should Know:
- A study led by Regenstrief Institute Research Scientist Titus K. Schleyer, DMD, PhD, is among the first to survey the current landscape of FHIR® apps, providing a snapshot of how the innovative standard is used to enable the flow of health information
- FHIR apps can pull in data from most electronic health record systems, facilitating secure movement of information when and where needed.
Expanding the Horizon of Patient Data Security Via FHIR Apps
FHIR,
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How Tech Can Improve Health Plan Performance & Star Ratings in 2023 & Beyond
The open-enrollment period that recently concluded for U.S. health plans was the first since the expiration of pandemic-linked changes to how Star Ratings were calculated. This is a period of major transition for the industry, with some health plans struggling to maintain their previous ratings and plan participants, who are now accustomed to home-based testing and treatment, expecting those services and features to continue. Fortunately, new technology can help health plans boost plan
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Teleradiology Market Primed to Hit $3.7Bn by 2026 – What’s Driving the Surge in Demand?
4.7bn diagnostic imaging procedures were performed globally in 2021, representing a strong recovery over 2020. Healthy demand for teleradiology services resulted in the global penetration of teleradiology reads into diagnostic imaging procedures bouncing back to 1.9%, and the overall teleradiology reading services and IT market revenue elevating past its pre-pandemic level to USD $1.7bn. With a projection for the market to reach USD $3.7bn in 2026, here I explore five drivers fueling this period
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3 Elements Required for Data Ecosystems to Drive Innovation
For years, the healthcare industry has been inundated with stories about the importance of sharing data among payers, providers, and other key stakeholders – and for a good reason; widespread interoperability of healthcare data has the potential to transform much of the industry for the better.
What's often not mentioned is how expensive, time-intensive, and potentially legally hazardous data-sharing is. Combining disparate data sets is a technically challenging undertaking that requires
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Serena Williams-Backed Juno Medical Raises $12M to Expand Tech-Enabled Healthcare Clinics
What You Should Know:
- Juno Medical, the modern doctor's office that's designed for the 99% raises $12M in Series A funding co-led by Julian Eison, Managing Partner at NEXT VENTURES, and Serena Williams, Managing Partner at Serena Ventures. Other notable participants include Vast Ventures, which led Juno’s seed round, Empire State Development’s New York Ventures, TXV Partners, Genius Guild, Gaingels, and previous investors Atento Capital and Humbition.
- Juno’s products and services are
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