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

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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Ellipsis Health & Ceras Health Integrate to Bring Human Voice as a Biomarker for Mental Health

by Syed Hamza Sohail 08/11/2022 Leave a Comment

Ellipsis Health Secures $26M to Power AI-Powered Voice Biomarker for Mental Health

What You Should Know: - Ellipsis Health and Ceras Health today announced a partnership that will integrate Ellipsis Health's breakthrough technology that uses the human voice as a biomarker for mental health and wellbeing into Ceras' clinical monitoring platform. - This integration will combine Ellipsis Health's AI and deep learning technology with Ceras Health's clinical monitoring and health data analytics platform, enabling real-time severity scores for anxiety and depression to improve
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CVS Health in Talks to Acquire Signify Health

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

Signify Health Shares Soar More Than 33% in IPO, Valuing Company at Over $7.12B

What You Should Know: - Signify Health is exploring strategic alternatives including a sale, according to a Wall Street Journal report. Initial bids are due this coming week. Additional companies are also in acquisition discussions with Signfiy Health, and CVS could face competition from other managed-care providers and private-equity firms. - The potential Signify acquisition has a market value of around $4.7 B after its shares rose on the news of a potential sale. Leveraging
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Telehealth Utilization Grew 10.2% Nationally in May 2022

by Fred Pennic 08/08/2022 Leave a Comment

Telehealth Utilization Grew 10.2 Percent Nationally in May 2022

What You Should Know: - In May 2022, for the second straight month, telehealth utilization, as measured by telehealth's share of all medical claim lines, grew nationally and in every US census region (Midwest, Northeast, South, West), according to FAIR Health's Monthly Telehealth Regional Tracker. - FAIR Health reports national telehealth utilization increased 10.2 percent, from 4.9 percent of medical claim lines in April to 5.4 percent in May. Regionally, the greatest increase
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Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics

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

Netsmart Acquires SNF Claims Data Analytics Solution CORE Analytics

What You Should Know: - Netsmart announced that it has acquired CORE Analytics, the industry-leading skilled nursing facility (SNF) claims data analytics offering from Zimmet Healthcare. - With the addition of Core Analytics, Netsmart Simple™is now the only solution suite in the market capable of calculating quality measures and Five-Star ratings leveraging Minimum Data Set (MDS), Payroll-Based Journaling (PBJ) and UB-04 claims data. Software Solutions to Problems in
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Healthcare & Life Science M&A Activity Plummets 1H’22

by Syed Hamza Sohail 08/05/2022 Leave a Comment

Healthcare & Life Science M&A Activity Plummets 1H’22

What You Should Know: - The index of Healthcare & Life Science equities tracked by Stout was down 16.8% in Q2 2022, which was in line with the S&P 500 decline of 16.4%. - Healthcare & Life Science M&A activity plummeted to 338 deals in Q2 2022 versus 535 in Q2 2021 and a record 565 deals in Q4 2021. The report reveals credit markets likely to tighten, but a healthy level of M&A is expected to continue in the growing and defensive healthcare sector. Key Trends and
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Homeward Raises $50M, Inks Value-Based Contract with Priority Health

by Syed Hamza Sohail 08/04/2022 Leave a Comment

Homeward Raises $50M, Inks Value-Based Contract with Priority Health

What You Should Know: - Homeward raises $50M Series B funding round co-led by ARCH Venture Partners and Human Capital. - The funding round also includes participation from General Catalyst, which led Homeward’s Series A funding, and Lee Shapiro and Glen Tullman, Co-Founders of 7wireVentures, one of the country’s most successful early-stage healthcare venture funds. Value-Based and Comprehensive Care Americans living in rural communities are experiencing increasing health disparities
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