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

Verisk Acquires MSP Compliance Provider Franco Signor for $160M

by Fred Pennic 09/11/2020 Leave a Comment

Verisk Acquires MSP Compliance Provider Franco Signor for $160M

What You Should Know: - Verisk acquires Franco Signor, a Bradenton, FL-based full-service provider of MSP compliance software and services for $160M. - Property/casualty insurers, self-insureds, and TPAs will benefit from the most comprehensive suite of fully integrated Medicare compliance solutions and greater access to the nation’s top Medicare experts. Verisk, a data analytics provider, announced today that it has acquired Franco Signor, a Medicare Secondary Payer (MSP) service
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Analysis: August Health IT M&A Activity; Public Company Performance

by Healthcare Growth Partners (HGP) 09/10/2020 Leave a Comment

Analysis: August Health IT M&A Activity; Public Company Performance

– Healthcare Growth Partners’ (HGP) summary of Health IT/digital health mergers & acquisition (M&A) activity, and public company performance during the month of August 2020. M&A is back and the velocity of the rebound has outpaced all expectations.  The recovery quickly worked its way across the spectrum from large to small-cap, beginning with the larger cap NASDAQ rally of nearly 80% from lows in late March (only to soften in recent days), followed by multi-billion
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AMA Approves 2 New CPT Codes to Support Response to COVID-19

by Fred Pennic 09/09/2020 Leave a Comment

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

What You Should Know: - The American Medical Association adds two new CPT codes to streamline the reporting of innovative tools and services now available to help reduce the COVID-19 disease burden. - The two new codes 99072 and 86413 have been approved for immediate use. The American Medical Association (AMA) published an update to the Current Procedural Terminology (CPT®) code set that includes two code additions for reporting medical services sparked by the public
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How the Simple Telehealth Visit Will Revolutionize Care Delivery and Disease Management

by Anthony Pannozzo, Chief Design Officer and Global Healthcare Lead at frog 09/08/2020 Leave a Comment

How the Simple Telehealth Visit Will Revolutionize Care Delivery and Disease Management

The impact of COVID-19 on the healthcare industry’s ability to innovate has been stunning. We have seen FDA emergency authorizations and relaxed regulatory guidelines enable the development of radical new ventilator ideas, accelerated timelines for vaccine development, and an extraordinary transition to telehealth services. Many of these actions were a response to the exposure of weak spots in our healthcare system, but even as those weaknesses have been shored up (in large part due to public
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Walmart, Oak Street Health to Launch 3 Health Clinics in Dallas-Fort Worth Area

by Jasmine Pennic 09/04/2020 Leave a Comment

Walmart Health Taps Zotec Partners to Power Patient Financial Experience

What You Should Know: - Walmart and Oak Street Health ink a partnership to launch three joint health clinics in the Dallas-Forth Worth, TX area this year. - Each clinic will offer value-based primary care and urgent care services with a focus on adults on Medicare. Retail leader Walmart announced a partnership with Oak Street Health, a value-based primary care network for adults on Medicare to launch three joint health clinics the Dallas-Forth Worth, TX area. The new Oak Street
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Why EHR Interoperability is Critical for Telehealth

by Khalid Al-Maskari, CEO at Health Information Management Systems (HiMS) 09/02/2020 Leave a Comment

Fear of Changing EHRs? Here’s What You Should be Concerned About

Telehealth has recently taken off as a way to prevent the spread of the novel coronavirus, but even though telehealth has been around for several years, clinics had difficulty adopting it pre-COVID-19. This caused clinics to not view telehealth as a viable option, and it was often seen as a last resort approach to healthcare.  As reducing the spread of COVID-19 became paramount, Medicare and Medicaid were forced to develop telehealth service codes, and clinics were tasked with finding an
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Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management

by Vijay Kotte, EVP of Physician Services at R1 RCM 09/01/2020 Leave a Comment

Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management

In COVID-19’s wake, providers’ financial recovery will be crucial yet daunting. U.S. hospitals and health systems stand to collectively lose $36.6 billion between March and June 2020 alone. Physician practices also face serious financial challenges as they recoup revenues that declined up to 55 percent and patient volume that decreased 60 percent. Amid these hardships, telehealth has emerged as a widely accepted vehicle for care delivery – providing a way for healthcare organizations to
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Waystar Acquires Medicare RCM Company eSolutions at $1.3B Valuation

by Fred Pennic 08/13/2020 Leave a Comment

Waystar Acquires Medicare RCM Company eSolutions at $1.3B Valuation

What You Should Know: - Revenue cycle management provider Waystar acquires eSolutions, a provider of Medicare and Multi-Payer revenue cycle management, workflow automation, and data analytics tools at a $1.3B valuation. - The acquisition will create the first unified healthcare payments platform with both commercial and government payer connectivity, resulting in greater value for providers. Waystar, a provider of healthcare payments software, today announced a definitive agreement
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Cone Health to Merge with Sentara Healthcare Totaling $11B in Assets

by Fred Pennic 08/13/2020 Leave a Comment

Cone Health to Merge with Sentara Healthcare Totaling $11B in Assets

What You Should Know: - Cone Health has signed a letter of intent to merge with Norfolk, Virginia-based Sentara Healthcare for a combined $11B in assets. - The merger creates one large health system totaling of 17 hospitals – 11 Sentara hospitals in Virginia and one in Elizabeth City, N.C., and five Cone Health hospitals in the area surrounding Greensboro. Cone Health has signed a letter of intent to merge with Norfolk, Virginia-based Sentara Healthcare. The merger will
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COVID-19 Underscores Why Certain Aspects of the American Healthcare System Should Change Forever

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 08/07/2020 Leave a Comment

Medsphere CEO Talks Affordable Healthcare IT and Future of EHRs

In the late 1940s, the United Kingdom was busily reassembling country and what remained of the empire in the aftermath of World War II. Among many revelations, the war had convinced Britain’s leaders of the need to provide healthcare for all in the event of calamity upending the basic functions of a civilized society. With that, the UK’s National Health Service (NHS) was born. In 2020, all perspectives about quality and the time it takes to see a provider aside, the NHS remains quite popular
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