What You Should Know:
- The full automation of prior authorization at the point of care leads to improved member experiences, enhanced outcomes, ongoing compliance, and reduced administrative burden. Edifecs’ automated prior authorization solution integrates with electronic health records (EHR) and leverages artificial intelligence (AI), natural language processing (NLP), and industry standards such as FHIR to instantly deliver authorization.
- This innovation comes on the heels of
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Why Now is the Time to Double Down on Virtual Care
For an industry that traditionally embraces change at a glacial pace, the pandemic has been a wake-up call for healthcare. Once COVID-19 struck, the shift to video, telephone engagement and remote patient monitoring spiked seemingly overnight.
This surging demand for virtual care resulted, in many cases, in increased provider efficiency, provider-patient interactions, and satisfaction. One national telehealth organization covering 2,000 hospitals and 81,000 doctors, for example,
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Castlight + Vera Appoints New CEO; Rebrands as Apree Health
What You Should Know:
- Vera Whole Health, Inc. and Castlight Health, Inc. appoints former Cerner President Donald Trigg as chief executive officer (CEO)
- In addition, the companies have rebranded as apree health that will be combine Castlight’s healthcare navigation platform with Vera’s advanced primary care solutions to improve patient outcomes and transform the healthcare industry.
Donald Trigg Background
Donald Trigg most recently served as president of
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AI-Powered Pop Health and SDOH – The Good, The Bad and The Best Practices
Artificial intelligence (AI) has emerged as a powerful tool for making population health analytics more accurate and interventions more effective. Not all AI-powered pop health tools are created equal, and while many still exhibit different types of bias that limit their ability to accurately identify issues affecting certain populations, we have learned a lot about the sources of bias in AI and how to eliminate them. AI shortcomings aside, pop health analytics have advanced to the point that we
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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
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
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
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
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
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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