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

Glytec and CPS Integrate to Provide Evidence-Based Glycemic Management

by Syed Hamza Sohail 08/24/2022 Leave a Comment

Glytec and CPS Integrate to Provide Evidence-Based Glycemic Management

What You Should Know: - Glytec recently announced that it has been selected by CPS Solutions, LLC (CPS), a leading provider of enterprise pharmacy solutions to hospitals and health systems, to serve as an insulin management technology resource for CPS’ more than 2,200 pharmacy professionals across 800-plus healthcare facilities nationwide. - Through this collaboration, CPS client facilities may contract for Glytec’s eGlycemic Management System® (eGMS) and Glytec’s technical resources to be
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Oak Street Health Opens Ninth Center in Arizona

by Jasmine Pennic 08/23/2022 Leave a Comment

Oak Street Health Opens Ninth Center in Arizona

What You Should Know: - Oak Street Health, a network of value-based primary care centers for adults on Medicare and the only primary care provider to carry the AARP name, is now welcoming patients at the new Rolling Hills Square center at 7040 East Golf Links Road in Tucson. - This is Oak Street Health’s ninth center in Arizona. Oak Street Health Background Oak Street Health delivers personalized, preventive primary care through a model that was created to meet the unique needs of
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Health-Tech C2Q:22 Preview: 5 Key Driving Factors to Watch

by Syed Hamza Sohail 08/23/2022 Leave a Comment

Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

What You Should Know: - David Larsen, healthcare IT and digital health analyst at BTIG published a note highlighting his preview for health-tech Q2 earnings. - Given high inflation rates, costs for traveling nurses, and light volumes in 2Q:22, he is cautious on stocks that sell into the acute care market in the near term. An Overview According to the report, there are many macro headwinds that continue to affect the HCIT sector and the broader market, including inflationary pricing
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AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy

by Fred Pennic 08/22/2022 Leave a Comment

AI Provider Anomaly Launches Tech to Predict Claims Denials with 97% Accuracy

What You Should Know: - Anomaly, a precision payments company streamlining healthcare billing and payments for providers and payers, today announced its new offering Anomaly Smart Response. - Smart Response uses AI to enable providers and payers to reduce avoidable claim denials and rework and increase payment transparency, top priorities for healthcare stakeholders. Smart Response complements Anomaly’s planned suite of products powered by its AI claim prediction engine, including
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How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

by Ashish Kachru, CEO, DataLink 08/16/2022 Leave a Comment

How Actionable Data and Expert Analysis Supports Service Providers, Fosters Better Care and Ensures Financial Benefits

Approximately 42% of Medicare beneficiaries are enrolled in Medicare Advantage plans—a segment projected to reach 46% by 2025. Due to rapid growth of the 65-and-older portion of the population, Medicare expenditures are forecast to reach $1,559.4 billion in 2028, with spending per enrollee reaching $20,751.  Key trends are influencing this growth, including: - An aging population - Continued increase in overall Medicare costs - Government support and benefit flexibility (e.g.,
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Telehealth Utilization Grew 10.2% Nationally in May 2022

by Fred Pennic 08/08/2022 Leave a Comment

Telehealth Utilization Grew 10.2 Percent Nationally in May 2022

What You Should Know: - In May 2022, for the second straight month, telehealth utilization, as measured by telehealth's share of all medical claim lines, grew nationally and in every US census region (Midwest, Northeast, South, West), according to FAIR Health's Monthly Telehealth Regional Tracker. - FAIR Health reports national telehealth utilization increased 10.2 percent, from 4.9 percent of medical claim lines in April to 5.4 percent in May. Regionally, the greatest increase
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Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics

by Syed Hamza Sohail 08/08/2022 Leave a Comment

Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics

What You Should Know: - Netsmart announced that it has acquired CORE Analytics, the industry-leading skilled nursing facility (SNF) claims data analytics offering from Zimmet Healthcare. - With the addition of Core Analytics, Netsmart Simple™is now the only solution suite in the market capable of calculating quality measures and Five-Star ratings leveraging Minimum Data Set (MDS), Payroll-Based Journaling (PBJ) and UB-04 claims data. Software Solutions to Problems in
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Healthcare & Life Science M&A Activity Plummets 1H’22

by Syed Hamza Sohail 08/05/2022 Leave a Comment

Healthcare & Life Science M&A Activity Plummets 1H’22

What You Should Know: - The index of Healthcare & Life Science equities tracked by Stout was down 16.8% in Q2 2022, which was in line with the S&P 500 decline of 16.4%. - Healthcare & Life Science M&A activity plummeted to 338 deals in Q2 2022 versus 535 in Q2 2021 and a record 565 deals in Q4 2021. The report reveals credit markets likely to tighten, but a healthy level of M&A is expected to continue in the growing and defensive healthcare sector. Key Trends and
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Our Nursing Home Industry – A National Scandal

by David Chess, MD, Chief Health & Policy Officer & Chairman of the Board / Founder, Tapestry Health 08/04/2022 Leave a Comment

Our Nursing Home Industry - A National Scandal

A society defines itself by how it cares for its most vulnerable, and especially its seniors. As a Board-Certified Internist and Geriatrician with over 35 years of providing care in nursing facilities, this sentiment has guided me throughout my career. It has led me to found Tapestry Health, a multispecialty medical practice that focuses on providing medical infrastructure in skilled nursing facilities (SNFs), as well as Project Patient Care, a patient advocacy organization based in Chicago,
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Brave Health & MedArrive Partner to Power Virtual Mental Health

by Syed Hamza Sohail 08/02/2022 Leave a Comment

- Brave Health, a virtual-first behavioral health provider focused on serving Medicaid and Medicare populations, today announced an innovative referral partnership with MedArrive. - Through this collaboration, if MedArrive identifies an eligible health plan member in need of mental health support, MedArrive’s field providers can immediately refer that member to Brave Health’s behavioral health providers in real time and schedule care within 72 hours. Conversely, if Brave Health identifies an
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