• Skip to main content
  • Skip to secondary menu
  • Skip to primary sidebar
  • Skip to secondary sidebar
  • Skip to footer

  • Opinion
  • Health IT
    • Behavioral Health
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Patient Engagement
    • Population Health Management
    • Revenue Cycle Management
    • Social Determinants of Health
  • Digital Health
    • AI
    • Blockchain
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • M&A
  • Value-based Care
    • Accountable Care (ACOs)
    • Medicare Advantage
  • Life Sciences
  • Research

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

Aetna Taps Emcara Health to Deliver Home-Based Primary Care to 240k Medicaid Patients

by Jasmine Pennic 10/06/2022 Leave a Comment

Aetna Taps Emcara Health to Deliver Home-Based Primary Care to 240k Medicaid Patients

What You Should Know: - Emcara Health and Aetna Better Health, which announced that the two companies will be partnering to deliver primary care in the home to more than 240,000 Medicaid patients in the Miami/Dade and Tampa, Florida regions.  - The relationship extends Emcara Heath’s comprehensive primary care model – which includes behavioral health and social determinants of health assessments – to adult Aetna Medicaid members. Partnership
Read More

State Price Transparency Requirements Are No Longer Cut and Paste

by Kyle Forcier, Sr. Director, Life Sciences Product Marketing at Model N 10/05/2022 Leave a Comment

State Price Transparency Requirements Are No Longer Cut and Paste

For pharmaceutical manufacturing firms, the amount of documentation required around state price transparency regulations continues to expand. As it now stands, more than 22 states have transparency laws on the books, and each of these states requires a complicated and diverse set of reporting information, which was not the case five years ago. These transparency requirements – including the need to provide data in different formats and on different dates due to “triggering events” – mean that
Read More

Grow Therapy Raises $75M to Expand Insurance Coverage for Mental Healthcare Nationwide

by Fred Pennic 09/29/2022 Leave a Comment

Grow Therapy Raises $75M to Expand Insurance Coverage for Mental Healthcare Nationwide

What You Should Know: - Behavioral health company, Grow Therapy secures $75 million in series B funding to expand insurance coverage including Medicare and Medicaid in all 50 states. - This round of funding was led by TCV, co-led by Transformation Capital, with support from existing backers SignalFire and SVB. Medicare/Medicaid Coverage Expansion Specifically, the areas that the company will focus on are: expanding commercial insurance and Medicare and Medicaid coverage (which are
Read More

Cityblock Health & MDwise Brings VBC to 10K Medicaid Members in IN

by Jasmine Pennic 09/22/2022 Leave a Comment

What You Should Know: - MDwise and Cityblock Health, the first tech-driven healthcare provider for communities with complex health and social needs announced that they will be collaborating to provide high-quality, comprehensive care to 10,000 Medicaid members at launch in select Indiana communities, including Indianapolis.  - As part of this strategic collaboration, Cityblock will open comprehensive care clinics to provide care services for these individuals, addressing physical
Read More

Edifecs Launches Solution to Automate Prior Authorization at the Point of Care

by Syed Hamza Sohail 09/14/2022 Leave a Comment

Edifecs Launches Solution to Automate Prior Authorization at the Point of Care

What You Should Know: - The full automation of prior authorization at the point of care leads to improved member experiences, enhanced outcomes, ongoing compliance, and reduced administrative burden. Edifecs’ automated prior authorization solution integrates with electronic health records (EHR) and leverages artificial intelligence (AI), natural language processing (NLP), and industry standards such as FHIR to instantly deliver authorization. - This innovation comes on the heels of
Read More

30% of First-Time Opioid Prescribed Patients Developed Dependency

by Syed Hamza Sohail 09/12/2022 Leave a Comment

30% of First-Time Opioid Prescribed Patients Developed Dependency

What You Should Know: - Gainwell Technologies, a leading innovator in healthcare technology solutions, has partnered with top academic institutions to drive research addressing some of the nation’s biggest healthcare challenges.  - Using Gainwell’s advanced research platform and de-identified Medicaid claims data from select clients, Stanford concluded that 30 percent of patients prescribed opioids for the first time developed a dependency. This is a critical finding in the search for
Read More

Why Health Systems Need a New Transition Strategy to APMs

by Theresa Hush, CEO and Co-founder of Roji Health Intelligence 09/12/2022 Leave a Comment

Why Health Systems Need a New Transition Strategy to APMs

There is an adage that change in healthcare moves at the speed of tectonic plates.  The slow adoption of Alternative Payment Models (APMs), the central feature of value-based care, is a good example of constraint despite immense pressure to control costs. Data from 2020  demonstrate almost zero change from 2018 in the proportion of straight Fee-for-Service (FFS) reimbursement.  Other results show a slight uptick in APMs with or without downside risk at 34.6 percent. However,
Read More

AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

by David J. Sand, MD, MBA, Chief Medical Officer & Pravin Pant, MSHI, VP of Advanced Analytics for ZeOmega 09/07/2022 Leave a Comment

AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices

Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Not all AI-powered pop health tools are created equal, and while many still exhibit different types of bias that limit their ability to accurately identify issues affecting certain populations, we have learned a lot about the sources of bias in AI and how to eliminate them. AI shortcomings aside, pop health analytics have advanced to the point that we
Read More

Why Healthcare Needs Tech-Enabled Human Intervention

by Thomas Ferry, Engooden Health President and CEO 09/06/2022 Leave a Comment

Why Healthcare Needs Tech-Enabled Human Intervention

There's a "perfect storm" facing healthcare today: Chronic disease prevalence, physician shortages, and a growing population aging into Medicare are set to overwhelm our healthcare system if action isn't taken. Over 133 million Americans have at least one chronic disease, and as that number continues to rise, delivering adequate care to these patients has never been more challenging. It's widely understood that factors beyond the clinic primarily influence health. Yet the expectation remains
Read More

AWS Names 10 Startups for 2022 AWS Healthcare Accelerator Cohort

by Jasmine Pennic 08/31/2022 Leave a Comment

AWS Names 10 Startups for 2022 AWS Healthcare Accelerator Cohort

What You Should Know: - AWS names the ten digital health startups selected for its AWS Healthcare Accelerator cohort, focused on health equity. - With the aim of reducing health disparities, these startups are increasing access to health services, addressing social determinants of health, and leveraging data to promote equitable and inclusive systems of care. 2022 AWS Healthcare Accelerator Program Details Over the course of the four-week program, these 10 startups will receive
Read More

  • Previous Page
  • Go to page 1
  • Interim pages omitted …
  • Go to page 6
  • Go to page 7
  • Go to page 8
  • Go to page 9
  • Go to page 10
  • Interim pages omitted …
  • Go to page 35
  • Next Page

Primary Sidebar

Subscribe to HIT Consultant

Latest insightful articles delivered straight to your inbox weekly.

Submit a Tip or Pitch

Featured Insights

 Selecting the Right EMR: A Practical Guide to Streamlining Your Practice and Enhancing Patient Care

Selecting the Right EMR: A Practical Guide to Streamlining Your Practice and Enhancing Patient Care

Featured Interview

Virta Health CEO: GLP-1s Didn’t Kill Weight Watchers, Its Broken Model Did

Most-Read

Beyond the Hype: Building AI Systems in Healthcare Where Hallucinations Are Not an Option

Beyond the Hype: Building AI Systems in Healthcare Where Hallucinations Are Not an Option

Health IT Sector Navigates Policy Turbulence with Resilient M&A

Health IT’s New Chapter: IPOs Return, Resilient M&A, Valuations Rise in 1H 2025

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

PwC Report: US Medical Cost Trend to Remain Elevated at 8.5% in 2026

Philips Launches ECG AI Marketplace, Partnering with Anumana to Enhance Cardiac Care with AI-Powered Diagnostics

Philips Launches ECG AI Marketplace, Partnering with Anumana to Enhance Cardiac Care with AI-Powered Diagnostics

WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program

WeightWatchers Emerges from Bankruptcy, Launches New Menopause Program

CMS Finalizes New Interoperability and Prior Authorization Rule

CMS Proposes 2026 Physician Fee Schedule Rule: Boosting Primary Care, Cutting Waste, and Modernizing Payments

Beyond SaaS: How Agent as a Service is Transforming Healthcare Automation

Beyond SaaS: How Agent as a Service is Transforming Healthcare Automation

New Strategies Needed: No Surprises Act and the Challenges for Payors with Provider Data Inaccuracies

Samsung Acquires Xealth to Accelerate Connected Care Vision

Samsung Acquires Xealth to Accelerate Connected Care Vision

AI Dominates Digital Health Investment in First Half of 2025

Rock Health Report: AI Dominates Digital Health Investment in First Half of 2025

Secondary Sidebar

Footer

Company

  • About Us
  • Advertise with Us
  • Reprints and Permissions
  • Submit An Op-Ed
  • Contact
  • Subscribe

Editorial Coverage

  • Opinion
  • Health IT
    • Care Coordination
    • EMR/EHR
    • Interoperability
    • Population Health Management
    • Revenue Cycle Management
  • Digital Health
    • Artificial Intelligence
    • Blockchain Tech
    • Precision Medicine
    • Telehealth
    • Wearables
  • Startups
  • Value-Based Care
    • Accountable Care
    • Medicare Advantage

Connect

Subscribe to HIT Consultant Media

Latest insightful articles delivered straight to your inbox weekly

Copyright © 2025. HIT Consultant Media. All Rights Reserved. Privacy Policy |