- Philips and Human collaborate on new pilot programs designed to help support independent living for at-risk Medicare Advantage members by providing 24/7 access to care. - Humana is identifying a pilot group of members with severe CHF. Philips is providing members with kits that include an interactive tablet that syncs data from connected measurement devices via wireless technology. - Humana is identifying members who are at-risk and offering them Philips Lifeline medical alert service,
Read More
Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
The Future of Healthcare: 3 Predictions for the Next Five Years
Bill Heller, President at Weatherby Healthcare
Medical science was taking great strides around the turn of the 20th century. An Austrian biologist had learned that humans have different blood types, researchers were discovering the existence of vitamins and a Dutch physician invented electrocardiography.
The landscape looks a little different now, just a short 100 or so years later. Medical science is using stem cells to grow new organs, a surgeon in New York City removed the gall bladder of a
Read More
Humana, Epione Health Form Value-Based Care Agreement for Humana Medicare Advantage Members
- Humana and Epione Health team up to offer a patient-centered experience for Humana Medicare Advantage members in Oklahoma. - Humana Medicare Advantage HMO and PPO plan patients will benefit from this relationship as the support offered by Humana enables Epione’s doctors to focus on patient care.Humana Inc., today announced it has collaborated with Epione Health of Oklahoma, LLC on a value-based care agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare
Read More
Can Consumer Price Transparency in Healthcare Live Up to the Hype?
Meg Koepke, Vice President of Strategy at NovuHealth
There has been a lot of discussion in recent weeks and months about price transparency in healthcare. The idea is simple—payers and providers reveal the rates they pay or charge for health services in order to help consumers make better choices.
Despite the hype surrounding price transparency, it will undoubtedly come with a whole set of realities and limitations—there are a variety of factors that go into setting prices, and in many cases,
Read More
HMS Holdings Corp to Acquire Payment Accuracy Company Accent for $155M
- HMS Holdings Corp acquires Accent, a payment accuracy, and cost containment business from Intrado Corporation for approximately $155 million.- Accent’s offerings include comprehensive prospective and retrospective claims accuracy solutions, which incorporates both cost avoidance and overpayment recovery services.- Addition of service provider to commercial and Medicare Advantage health plans to expand the breadth of HMS’ prospective and retrospective claims accuracy services.HMS Holdings Corp.
Read More
Geisinger, Medial EarlySign Advances to First Stage of CMS AI Health Outcomes Challenge
- Geisinger Health was recently named by the Centers for Medicare & Medicaid Services among the 25 candidates advancing to the first stage of its AI Health Outcomes challenge.- The CMS AI Health Outcomes challenge provides innovators with the opportunity to demonstrate how AI tools may be implemented to predict health outcomes and keep patients healthy in hopes of more AI tools being considered for potential use in CMS Innovation Center payment and service delivery models. Geisinger, an
Read More
HHS Launches $1.5M Second Phase of KidneyX Prize Competition to Redesign Dialysis
- KidneyX launches the $1.5 million second phase of the Redesign Dialysis prize competition.- Redesign Dialysis Phase 2 seeks prototype solutions or components of solutions, that can replicate normal kidney functions or improve dialysis access.- The competition calls on researchers, innovators, patients, and investors with expertise in nephrology, biotechnology, bioengineering, and medical devices to submit solutions.The U.S. Department of Health and Human Services (HHS) and the American Society
Read More
Q/A: UnitedHealthcare Executive Talks Investment in Telehealth Innovation
Pat Keran, Vice President of Product & Innovation for UnitedHealthcare
Are
telehealth innovations the future of care delivery? Pat Keran, vice president
of product and innovation for UnitedHealthcare shared his insights and what’s
to come from the integration of telehealth innovations in the healthcare
landscape.
It’s should be of no surprise that in today’s app-fascinated world that telehealth services are becoming increasingly popular both for consumers and employers. According to a
Read More
Inaccurate Provider Directories Costs Physician Practices $2.76B Annually
- Providers spend $2.76 billion each year on provider directory maintenance, a new survey by CAQH found. - For individual practices, this intensive process costs $998.84 per month--the equivalent of one staff day per week. That is time and money that most providers can't afford to waste.- CAQH surveyed 1,240 physician practices last month and just released "TheHidden Causes of Inaccurate Provider Directories"-- a new white paper that details the burdens the survey uncovered and what the industry
Read More
Price Transparency: Why Hospitals Need to Focus On Understanding Their Data
Tara Bradley, Chief Operating Officer at Vitalware
This year, hospital price transparency took a front seat after CMS issued a new set of rules and requirements. While they haven’t been written into law just yet, these rules will help set a framework for the kinds of requirements that are likely to become standard soon. With that in mind, now is the time to begin preparing for the inevitable. Creating a proactive response to the new changes as well as the evolving competitive environment and
Read More
