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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant

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
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Luna Unveils Value-Based Savings Orthopedic Program

by Syed Hamza Sohail 09/02/2022 Leave a Comment

Luna Unveils Value-Based Savings Orthopedic Program

What You Should Know: - Luna, the leading in-home physical therapy (PT) platform, today announces the launch of a value-based savings program for orthopedic practices to reduce post-acute care costs by 55-70%. - Top orthopedic groups are turning to Luna to reduce costs and deliver this innovative, in-person form of care, including Hoag (Orange County), Resurgens Orthopaedics (Atlanta), and dozens of others. Using At-Home PT Services To Reduce the Cost of Orthopedic
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Digital Senior Care Navigator Fair Square Medicare Raises $15M 

by Fred Pennic 08/26/2022 Leave a Comment

Digital Senior Care Navigator Fair Square Medicare Raises $15M

What You Should Know: - Digital senior care navigator Fair Square Medicare raises 15M in series A funding led by Define Ventures. The company, which is a YCombinator alum, has raised $19M to date. - With 10,000 people turning 65 every day, Fair Square Medicare helps seniors find the right Medicare coverage regardless of commission, and is building a full-service digital healthcare assistance platform for seniors. Care Navigator for Seniors Launched in 2020 out of YC, Fair Square
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HealthTeam Advantage Integrates With Bamboo Health’s Pings Solution

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

HealthTeam Advantage Integrates With Bamboo Health’s Pings Solution

What You Should Know: - Bamboo Health™  recently announced that HealthTeam Advantage (HTA), the business name of Care N’ Care Insurance Company of North Carolina, Inc., has integrated Bamboo Health’s Pings™ solution. - The Pings rollout delivers real-time admission, discharge, and transfer (ADT) e-notifications for HTA’s 15,000 North Carolina PPO and HMO Medicare Advantage plan members. Using Real-Time E-Notifications to Lower Costs and Improving High Quality Care Bamboo Health
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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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CareHarmony Secures $15M for AI-Powered Care Coordination

by Syed Hamza Sohail 08/17/2022 Leave a Comment

CareHarmony Secures $15M for AI-Powered Care Coordination

What You Should Know: - CareHarmony, an AI-powered care coordination solutions provider, today announced it has closed a $15 million Series A funding round led by Maverick Ventures, with participation from Nashville Capital Network. - The financing comes as CareHarmony continues to experience exponential growth, serving several of the nation’s leading hospitals and health systems through its care platform. Developing Proprietary Technology To Meet Increased Demand Founded in 2015,
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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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