InterSystems has announced the 2019.1 version of the HealthShare® product suite of connected health solutions. The newest member of the suite is the HealthShare Provider Directory, which offers a single source of truth for provider demographic and professional relationship information.Impact of Inaccurate Provider InformationInaccurate provider information has consequences – for patients, payers, and the providers themselves. Wrong telephone numbers and location information limits access to
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Medicare Advantage | Payers | News, Analysis, Insights
UnitedHealthcare Expands Bundled Payments with Medicare Advantage Plans
UnitedHealthcare announced this week it is expanding its use of bundled payment offerings to care providers participating in Medicare Advantage plan networks across more than 30 states to improve quality and lower costs. The expansion builds upon UnitedHealthcare’s existing work with the Centers for Medicare & Medicaid Services’ Bundled Payments for Care Improvement Advanced (BPCI Advanced) program for fee-for-service Medicare.UnitedHealthcare Care Bundles Program OverviewThe
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Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors
Blue Cross and Blue Shield of North Carolina and Duke University Health System have together formed Experience Health, a new health insurance company to offer a Medicare Advantage Plan in 2020. Jointly owned by Blue Cross NC and Duke Health, Experience Health brings together two of the most trusted and innovative names in healthcare to create a locally owned and operated non-profit health plan.Why Experience Health?Blue Cross NC and Duke Health formed Experience Health to take advantage of the
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AMA, UnitedHealthcare Develop ICD-10 Codes to Support Social Determinants of Health
UnitedHealthcare and the American Medical Association (AMA) are teaming up to support using data for social determinants of health (SDOH) to improve and simplify how referrals are made to social services. The collaboration builds off work initiated by UnitedHealthcare to standardize how data is collected, processed and integrated regarding critical social and environmental factors that contribute to patient well-being.
New ICD-10 related to Social Determinants of Health (SDOH)
Today, nearly 80%
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GlobalHealth to Launch Medicare Advantage (MA) Marketplace with Evolent Health
GlobalHealth, an Oklahoma-based health maintenance organization, today announced it has entered into a definitive agreement to create a partnership in the Medicare Advantage (MA) plan marketplace with Evolent Health, a company providing an integrated value-based care platform to the nation's leading providers and payers. Together, both companies will launch and scale MA health plans under the True Health brand in targeted geographies. True Health Medicare Advantage (MA) Marketplace DetailsThe
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Stanford Health Taps Lumeris to Optimize Medicare Advantage Plan
Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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HIMSS19 Day 2 Announcements & Summary
Accenture: Millenials & Gen Z Are Shifting to Virtual, Retail, Clinic, Digital CareMillennial and Gen Z consumers in the U.S. are rapidly adopting non-traditional care models, such as retail clinics, virtual and digital services, according to results of an Accenture survey of 2,000 consumers.Key findings of the survey study include:- When considering traditional in-person care, millennials (ages 22 to 38 in 2019) were two to three times more likely than baby boomers (ages 55 to 73) to be
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Change Healthcare Unveils AI Solution for Medicare Advantage Dual Eligibility and Enrollment
Change Healthcare's new solution uses artificial intelligence and behavioral science to help Medicare Advantage plans precisely identify and increase chances for enrollment of dual-eligible membersChange Healthcare, today unveiled Dual Enrollment Advocate, the first solution to blend artificial intelligence and behavioral science to help solve the challenge of Medicare Advantage (MA) dual-eligibility identification and enrollment. This new technology helps health plans more accurately identify,
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