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

Hospital Sustainability Demands that Revenue Integrity Move Front and Center

by Vasilios Nassiopoulos, VP of Platform Strategy and Innovation, Hayes 11/23/2020 Leave a Comment

Hospital Sustainability Demands that Revenue Integrity Move Front and Center

Razor-thin operational margins coupled with substantial and ongoing losses related to COVID-19 are culminating in a perfect storm of bottom-line issues for U.S. hospitals and health systems. A study commissioned by the American Hospital Association (AHA) found that the median hospital margin overall was just 3.5% pre-pandemic, and projected margins will stay in the red for at least half of the nation’s hospitals for the remainder of 2020.  The reality is that an increase in
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Unite Us, CVS Health, Humana & Ochsner Health Partner to Expand Social Care Throughout Louisiana

by Jasmine Pennic 11/18/2020 Leave a Comment

Unite Us, CVS Health, Humana & Ochsner Health Partner to Expand Social Care Throughout Louisiana

What You Should Know: -   Unite Us today announced its Unite Louisiana network has partnered with CVS Health, Humana, and Ochsner Health in an effort to expand and improve community health and social care throughout the state. - New partners will enable Unite Louisiana, the statewide social care network, to further expand into more parishes and broaden access to care in response to COVID-19 challenges. Unite Us, the technology company building coordinated care networks
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M&A: Central Logic Acquires Patient Care Transition Platform Ensocare

by Fred Pennic 11/17/2020 Leave a Comment

M&A: Central Logic Acquires Patient Care Transition Platform Ensocare

What You Should Know: - Central Logic has acquired Omaha-based Ensocare, which automates the referral process for patients from hospital to post-acute care (PAC) when they are being discharged. - This acquisition means that Central Logic’s technology solution will now expand its reach across the care continuum, from acute to post-acute care—into, through and out of the health system. This combined capability is key to increasing patient satisfaction while also increasing patient census by
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8 Ways Advanced Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

by Prasad Dindigal, Vice President, Healthcare & Life Sciences, EXL. 11/13/2020 Leave a Comment

8 Ways Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

Over the past few months, primarily as a result of the COVID-19 pandemic, telehealth has gone from a “nice-to-have” to a “must-have” for healthcare providers. The surge of COVID-19 patients in the spring, coupled with “stay-at-home” orders in many states, meant that many patients in need of care for chronic conditions and other non-emergent health issues were unable to visit their providers face-to-face.  Telehealth became the emergency solution, aided by relaxation of government regulations
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AMA Unveils 2 Vaccine-Specific CPT Codes for Coronavirus Immunizations

by Fred Pennic 11/11/2020 Leave a Comment

AMA Approves 2 New CPT Codes to Support Response to COVID-19

What You Should Know: - The American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes new vaccine-specific codes to report immunizations for the novel coronavirus (SARS-CoV-2). - The new Category I CPT codes and long descriptors for the vaccine products 91300 and 91301 for better tracking, reporting, and analysis that supports data-driven planning and allocation. The American Medical Association (AMA) today published an
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Arcadia, PatientPing Expands Partnership to Enhance Real-Time Patient Data for Healthcare Organizations

by Jasmine Pennic 10/27/2020 Leave a Comment

Arcadia, PatientPing Expands Partnership to Enhance Real-Time Patient Data for Healthcare Organizations

What You Should Know: - Arcadia and PatientPing expand partnership to help customers achieve improved post-acute and transitions of care outcomes. - As part of the expanded partnership, Arcadia Analytics will further integrate real-time health event notifications into comprehensive patient data set for improved care coordination. Arcadia , a provider of population health management technology, announced today that it has expanded its relationship withPatientPing, a comprehensive
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CMS Direct Contracting Model Options for Value-Based Care

by Vanessa Kuhn, Director of Health Policy, PatientPing 10/26/2020 Leave a Comment

CMS Direct Contracting Model Options for Value-Based Care

The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries. The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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CareLinx, Doctor On Demand Partner to Bring In-Home Virtual Care to Seniors

by Fred Pennic 10/23/2020 Leave a Comment

CareLinx, Doctor on Demand Partner to Bring In-Home Virtual Care to Seniors

What You Should Know:  - Doctor On Demand and CareLinx, one of the largest professional networks for in-home care, have announced a collaboration to bring in-home virtual care services to CareLinx clients.  - At a time when seniors have been encouraged to stay home to avoid exposure to COVID, Doctor On Demand’s partnership with CareLinx will vastly improve their opportunity to receive comprehensive healthcare while remaining safe.  After being the first and only
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Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

by Jasmine Pennic 10/08/2020 Leave a Comment

Humana, Fresenius Medical Care Expand Partnership to Improve Care Coordination for Medicare Advantage Members

What You Should Know: - Humana Inc. and Fresenius Medical Care North America (FMCNA) today announced an agreement to broaden their collaboration toward improving the health of eligible Humana Medicare Advantage members - The agreement between Humana and Fresenius Medical Care North America goes into effect Jan. 1, 2021. Humana Inc. and leading renal care company Fresenius Medical Care North America (FMCNA) announced an agreement to broaden their collaboration toward improving the
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Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

by Jasmine Pennic 10/08/2020 Leave a Comment

What You Should Know: - Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts. - The solution utilizes Artificial Intelligence (AI) and Natural Language Processing (NLP) to make risk predictions. Innovaccer, Inc., a leading healthcare technology company, has launched its Risk Adjustment Solution. Leveraging
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