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

How The Healthcare Industry Can & Should Be Supporting Unpaid Caregivers

by Alexandra Drane, co-founder and CEO of ARCHANGELS and Dr. Adrienne Boissy, Chief Medical Officer at Qualtrics 03/29/2023 Leave a Comment

How The Healthcare Industry Can & Should Be Supporting Unpaid Caregivers

Unpaid caregivers are the backbone of society, providing an essential service, yet often feel invisible and without support. In recent years, that backbone is starting to break with research showing that 70% of caregivers, including parents and caregivers of adults, have at least one significant mental health impact. Even more worrisome, the same study indicated that more than half (52%) of those considered part of the sandwich generation - caring for an aging parent and a child at the same time
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Rethinking Behavioral Health Support in the ED: 3 Keys for Innovation

by Benjamin Zaniello, MD, MPH, Chief Medical Officer, PointClickCare & Dr. Enrique Enguidanos, Founder & CEO of CBC Solutions 03/28/2023 Leave a Comment

Rethinking Behavioral Health Support in the ED: 3 Keys for Innovation

About one out of five Americans with serious illness struggled to access care during the pandemic, and rates were significantly higher among disadvantaged populations, a 2022 study found. Now, as mental health-related visits in emergency departments (EDs) continue to rise, healthcare professionals must consider: “How can we create better behavioral health supports for people in crisis?” It's a question that has significant implications for quality of care as well as cost. The High Cost of
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Aledade Expands Access to Value-Based Care for More Medicare Advantage Customers

by Fred Pennic 03/23/2023 Leave a Comment

Aledade ACO

What You Should Know: - Aledade is continuing its strong momentum today, announcing that Cigna Healthcare Medicare Advantage customers can now receive value-based care from Aledade’s network of independent primary care practices. - Participating practices can access Aledade’s cutting-edge data analytics, user-friendly guided workflows, and health care policy expertise, as well as integrated care services supported by AledadeCare Solutions. - This news comes shortly after Aledade
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5 Trends to Look for in Healthcare Cost Transparency

by Paul Ketchel, CEO of MDsave 03/23/2023 Leave a Comment

High Inflation is Driving the Deferment of Necessary Medical Care

Over two years have passed since the hospital price transparency rule was enacted. Unfortunately, America still struggles with high, painfully opaque pricing across healthcare that hurts employers, workers, patients, and taxpayers. The Centers for Medicare and Medicaid Services recently announced that in 2021, the nation spent $4.3 trillion on healthcare, nearly twice the average of other nations in the developed world. Noncompliance and price gouging still exist in a market where consumers are
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AppliedVR Becomes First Virtual Reality Provider to Receive HCPCS Level II Code

by Fred Pennic 03/21/2023 Leave a Comment

AppliedVR Secures $36M to Scale Therapeutic Virtual Reality Platform for Pain Management

What You Should Know: -AppliedVR, an immersive therapeutics (ITx) pioneer advancing a novel approach to medicine, today announced that the Centers for Medicare and Medicaid Services (CMS) established a unique Healthcare Common Procedure Coding System (HCPCS) Level II code (E1905) for its flagship product, the RelieVRx program. - Defined as a virtual reality (VR) cognitive behavioral therapy (CBT) device that includes pre-programmed therapy software, CMS’ coding decision categorizes the
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New Medical Billing Codes You Should Know About

by Jim Collins, President of Medcare MSO 03/16/2023 Leave a Comment

Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. Similarly, they should stay updated with the latest coding changes to keep their revenue cycle intact. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. The year 2023 is bringing changes in medical codes to help providers reduce their burden and streamline patient care. So, providers need to stay focused on
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PointClickCare Acquires Value-Based Care EHR Patient Pattern

by Fred Pennic 03/15/2023 Leave a Comment

PointClickCare Acquires Value-Based Care EHR Patient Pattern

What You Should Know: - PointClickCare Technologies, a healthcare technology platform enabling meaningful collaboration and access to real‐time insights at every stage of the patient healthcare journey, today announced the acquisition of Patient Pattern. Financial terms of the transaction were not disclosed. - The combination of PointClickCare and Patient Pattern will further the companies’ shared vision of enabling better care and outcomes for high-needs populations and provide
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OpenLoop Secures $15M for White-Label Telehealth Support

by Syed Hamza Sohail 03/15/2023 Leave a Comment

OpenLoop Secures $15M for White-Label Telehealth Support

What You Should Know: - OpenLoop, a leader in white-label telehealth support services powering virtual and hybrid care across the country, today announced it has raised a $15M Series A funding. - The round was led by Nava Ventures, with participation from new investors UnityPoint Health Ventures and PrimeTime Ventures, and existing investors SpringTide Ventures and ManchesterStory. The company also announced a new nationwide insurance payer network that allows clients to offer reimbursable
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Fully Modular Medicaid System Enables Kansas to Achieve CMS Certification

by Fred Pennic 03/10/2023 Leave a Comment

Fully Modular Medicaid System Enables Kansas to Achieve CMS Certification

What You Should Know: - Gainwell Technologies (Gainwell), an innovator in healthcare technology solutions, announced that the nine-module Medicaid system it designed and implemented for Kansas is the first fully modular system to achieve the Centers for Medicare & Medicaid Services (CMS) Streamlined Modular Certification. The deployment marks Kansas as the first state with a completely modular system to receive federal matching funds from the day
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Enabling a Better Future for All by Embracing Healthcare Interoperability

by Rajesh Sharma, Vice President and General Manager of Systems Integration, Data Analytics and Interoperability Product Offerings, Gainwell Technologies 03/10/2023 Leave a Comment

Enabling a Better Future for All by Embracing Healthcare Interoperability

The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information. This is thanks in part to the release of the Interoperability and Patient Access Final Rule. With new policies now in place, CMS aims to generate better health outcomes through improved interoperability and better access to health information for all stakeholders. CMS has also identified a new
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2026 Predictions & Trends

Healthcare 2026 Forecast: Executives on AI Survival, Financial Reckoning, and the End of Point Solutions

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