The No Surprises Act (NSA) was meant to relieve the financial burden from consumers and help prevent unexpected, and sometimes massive, healthcare bills – a goal that providers, payors and the industry at large can get behind. But a recent survey from Morning Consult found that one in five patients will still receive a surprise bill. Couple this with the scope of changes and many surprises the NSA contains for payors, and providers – and it seems this bill will take some time to live up to its
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
How Will New FDA Hearing Aid Regulations Impact Health Plans?
The time has finally arrived. The Food & Drug Administration’s new over-the-counter (OTC) hearing aid regulations are now in effect and health plans are starting to explore what it means for them. Among the many questions they may need to grapple with, a few are particularly salient: - How will the new rules impact their benefit offerings? - What new opportunities will arise? - What potential pitfalls should they be aware of? Introducing OTC hearing
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HLTH22 Day 3 News Summary
DispatchHealth Raises $330M for Hospital-at-Home Care DispatchHealth, a provider of in-home medical care raises $330M led by Optum Ventures with support from current investors such as Humana (NYSE: HUM), Oak HC/FT, Echo Health Ventures and Questa Capital. New investors included Adams Street Partners, the Olayan Group, Silicon Valley Bank, Pegasus Tech Ventures and Blue Shield of California. Patients and their care partners can request DispatchHealth medical care via phone, mobile app, or
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Cipher Skin Launches Pilot Program for Tech-Enabled Physical Therapy Rehab
What You Should Know: - Cipher Skin and Parker Health launches a new pilot program to help bring tech-enabled physical therapy to Medicare and Medicaid patients. - With plans to pilot the program in Austin, San Francisco, Los Angeles, and Kansas City, the partnership will bring Cipher Skin’s wearable motion and biometric-tracking technology to select orthopedic clinics that use Parker Health’s platform. This collaboration will help accelerate
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Nursing Facilities – A Medical Crisis in Need of a Prescription
Nursing facilities have evolved from rest homes to medical facilities over the last 20 years. Patients are sicker, older, have more medical comorbidities, and are frailer. They require more assistance with activities associated with daily living and have much greater rates of cognitive impairment. People over 85 are the most rapidly expanding demographic and the elderly segment of the American population is expected to double in 2030 from 2010. Even with a shift to providing higher-intensity
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The $2.8M Medicine: How Data Can Help Insurers Pay for Life-Changing Therapies Without Breaking The Bank
Advanced medical research has brought us to the point where many serious conditions can potentially be treated and even cured - with people who have essentially faced a lifetime of being incapacitated finally able to conduct normal lives. Many of these treatments are drug-based gene therapies–- but they come with an extremely high price tag. The latest example–and most expensive medication to date– is bluebird bio’s recently-approved $2.8 million gene therapy to treat a rare blood
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Overcoming the Healthcare Staffing Shortage Through Back-Office Automation
Today’s healthcare staffing shortage, fueled by the COVID-19 pandemic but years in the making, has left many hospitals and health systems scrambling. To date, the shortage of front-line healthcare workers has received most of the attention, and for good reason: By 2025, the U.S. is likely to face a shortage of 446,300 home health aides; 95,000 nursing assistants; and 29,400 nurse practitioners, according to a report from consulting firm Mercer. However, what is less appreciated
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How to Build Better Relationships with the Health Insurance & Payer Communities
Modern healthcare is an intricate dance between quality and quantity. Payers and insurance providers want better patient outcomes due to the high cost of poor health, while health providers want to ensure their patients aren’t overlooked and are appropriately cared for. To understand how we can satisfy the needs of both patients and payers, we’ll have to take a step back and look at the relationship between payer communities and telehealth services. Behavioral
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Innovaccer Launches ACO Compare to Help ACOs Lower Costs & Increase Care Quality
What You Should Know: - Innovaccer, the Health Cloud company, introduced ACO Compare 4.0, the latest version of the company’s popular free tool that enables ACOs to analyze and compare their performance against national and regional benchmarks to help them enhance cost savings and increase the quality of care. - The updated tool is available for ACOs to use at no charge and includes several new features that help providers identify cost drivers that can impact their risk-adjusted per
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Lumeris Launches Value-Based Care Accelerator for Practices
What You Should Know: - Lumeris is launching Tribus, a value-based care accelerator for practices to convert from fee-for-service to value-based care using a community based-model. - Under the direction of Dr. Chuck Willey, CEO of Tribus, who is a practicing internal medical physician in St. Louis, doctors will participate in physician-to-physician training and mentorship for anyone looking for a better way to deliver at-risk care for senior populations. Why It Matters The Medicare
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