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

COVID-19 Crisis Makes Complying with Data Interoperability a Priority

by Jay Sultan, VP of Healthcare Innovation & Strategy at Cognizant. 05/07/2020 Leave a Comment

Why the COVID-19 Crisis Makes Complying with Interoperability a Priority

With healthcare organizations focused on battling COVID-19, the recent federal healthcare regulation requiring data interoperability may have become an afterthought. However, compliance with this rule will create a powerful tool for fighting COVID-19 recurrences and future pandemics.  If interoperability had gone into effect earlier this year as originally scheduled, many insurance companies and the federal government would now be able to securely share the data they have for most of the
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Measures Adopted by Public Health Agencies to Mitigate the Consequences of COVID-19

by Abhinav Shashank, CEO at Innovaccer Inc. 05/06/2020 Leave a Comment

Beyond Interoperability: Data Activation and Artificial Intelligence for Healthcare

The number of people infected by COVID-19 worldwide is quickly moving toward 2 million and almost 33% of them are from the U.S. The circumstance is past dreary and administrative bodies in the U.S. are acting rapidly to contain the harm coming about because of the spread of this novel infection. Starting with the entry restrictions, federal agencies and healthcare regulatory bodies have executed a few measures to ensure the wellbeing and interests of healthcare professionals, program
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Coding in Age of COVID-19: Deciphering Coding Nuances, Best Practices

by Jennifer Bishop CCS, CCS-P, CIRCC Vice President, Product Content Vitalware 05/01/2020 Leave a Comment

Coding in Age of COVID-19: Deciphering Coding Nuances, Best Practices

Without much warning, the novel Coronavirus, or COVID-19, has taken over our healthcare system. It has taxed our healthcare workers, our national stockpiles of PPE, and affected millions of Americans nationwide. In addition to healthcare workers on the front lines, the pandemic has also impacted the healthcare revenue cycle, causing major confusion, questions, and inconsistencies as coding specialists learn the latest COVID-19 codes and guidelines at warp speed. With cases rising by the tens of
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XRHealth Lands $7M to Expand Telehealth VR/AR Platform

by Jasmine Pennic 04/22/2020 Leave a Comment

XRHealth Launches First Virtual Reality TeleHealth Clinic

What You Should Know: XRHealth raises $7M in funding to expand its telehatlh virtual reality (VR)/augmented reality (AR) platform for clinicians and patients. XRHealth is the first certified Extended Reality medical company in the world; their Medical Applications are FDA & CE Registered.  XRHealth created the first virtual reality telehealth clinic in the world that is currently certified in 17 states.  XRHealth, formerly known as VRHealth a provider of extended
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How AI-Driven Insight Could Fuel Medicare Advantage Success

by Our Thought Leaders 04/22/2020 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Medicare Advantage plans need more than consumer-centric design, payer/provider alignment, and strong connections across the continuum of care to drive value. The high-value performance also depends on their ability to use data to make a meaningful difference in members’ health. With 11,000 people aging into Medicare daily, proficiency in managing Medicare Advantage populations is critical for demonstrating value in a competitive market. Enrollment in these plans is growing significantly,
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The Technological Ironies of the Current State of Value-Based Care

by Kevin Hutchinson, CEO, Apervita 04/21/2020 Leave a Comment

The Technological Ironies of the Current State of Value-Based Care

Even though many think of 2008 as the first time CMS began emphasizing quality over quantity via the Medicare Improvements for Patients and Providers Act (MIPPA), the truth is that we’ve been on a 30-plus-year journey to get to this point. It really started when managed care became a hot trend, but eventually, the friction between payers and providers was too high and patients were caught in the middle. Then came accountable care, which while still important today, ultimately isn’t creating
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Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs

by Jasmine Pennic 04/20/2020 Leave a Comment

Aledade Raises $64M for Value-Based Care Network of Physician-Led ACOs

What You Should Know: - Aledade raises $64M in Series C funding led by OMERS Growth Equity to expand its national network of more than 500 physician-driven accountable care organizations (ACOs) across 27 states. - To date, Aledade’s ACOs care for more than 840,000 patients and manage more than $7.5 billion in health care spending through 38 Medicare and 42 other value-based contracts. Today, Aledade announced it has closed a $64 million Series C funding round following the
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Value-Based Care’s Story Will Turn in the 2020s

by Daniel Kus, VP of Pharmacy Services at Henry Ford Health System and Troy Polan, acting CEO of ExceleraRx Corp 04/20/2020 Leave a Comment

Value-Based Care’s Story Will Turn in the 2020s

Value-based care initiatives matured in recent years thanks to exciting new technology and influential policy changes. But the coming decade will see transformative changes that will eventually lead to a uniform realization of value-based care across the entire healthcare continuum. Specialty pharmacy represents one area of healthcare that is wholeheartedly welcoming a discussion about value. With the costs of six-figure specialty drugs and the number of patients using them continuing to
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What Does The CARES Act Mean for Hospitals and Health Systems?

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 04/15/2020 Leave a Comment

What Does the CARES Act Mean for Providers?

As of today, the coronavirus has infected almost 2 million worldwide and caused the deaths of more than 125,000 people (Worldometer data as of 12:15 PM on April 14, 2020). In the United States, the relevant figures are more than 600,000 infected and north of 25,000 deceased. Without successful social distancing, those numbers could be dramatically worse. And still, they are dwarfed by the massive numbers associated with the economic impact of the coronavirus and the illness it causes,
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3 Telehealth Lessons Learned from COVID-19 Pandemic

by Mark Dzuban, President and CEO of SCTE•ISBE 04/10/2020 Leave a Comment

4 Telehealth Lessons Learned from COVID-19 Pandemic

Although the concept of telehealth has existed for decades, it’s been relatively slow to catch on. Getting patients to feel comfortable with the idea of online care—and finding medical professionals who felt confident about conducting their work in a remote setting—has not been easy. Even with willing participants and infrastructure in place, bureaucratic red tape meant providers faced an uphill battle when it came to legally treating patients and being reimbursed for their virtual care.  As
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