- CareMount Medical’s next-generation ACOs have saved more than $778,582 in shared savings in 2018. CareMount ACO was one of 38 Next Generation ACOs nationally to achieve earned savings for 2018 Performance Year.- In 2019, CMS awarded CareMount Health Solutions ACO, LLC a perfect score of 61 out of 61 points on its Initial Readiness Review (IRR). CMS conducts IRRs for all ACOs entering the Next Generation ACO Model.Chappaqua, NY-based CareMount Medical announces its next-generation ACOs have
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020
Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter data is used for payment reimbursement and reconciliation between the health plan and the
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Validic, Humana Launch Health Incentive Program to Support Device Connectivity
- Validic and Humana form partnership to launch a health incentive program to support Medicaid and Medicare communities with device connectivity. - As part of this engagement, Humana and Validic plan to expand the devices and data points available in Humana’s Go365 wellness and rewards program to address additional health barriers, such as nutrition, smoking cessation, mental health and more.Humana Inc., a health insurer company and well-being company and Validic, the market leader in platforms
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Teladoc COO Shares 5 Virtual Care Predictions to Watch in 2020
- Teladoc Health’s COO David Sides gives a glimpse of what the future holds as more consumers tap into virtual care.
Forget face to face, healthcare is moving into cyberspace—albeit not as fast as one would like. Yes, there is no question that the interest in virtual care is growing swiftly. However, the adoption of virtual services has been somewhat slow; only about 10 percent of healthcare consumers have used such services, according to a study by J.D Power.
Despite interest from
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Trinity Health ACO Delivers $22.4M in Share Shavings, 98% Quality Performance Score
- Trinity Health ACO achieved a nearly 98 percent quality performance score and $22.4 million in shared savings in the performance year 2018. The Next Generation ACO Model was created by the Centers for Medicare & Medicaid Services (CMS) and is in its fourth year.- Trinity Health ACO provides coordinated care to patients in Illinois (Loyola Medicine), Michigan (Mercy Health – Michigan), New Jersey (Summit Medical Group) and Ohio (Mount Carmel Health System).Trinity Health ACO, a Next
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How Multi-Payer Portals Incent Providers to Better Manage Their Data
Mark Martin, Director of Payer Solutions for Availity
Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience.
These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Valley Health System Becomes First Health System in New Jersey to Prescribe Enterprise-wide Digital Therapeutics
- Valley Health System becomes the first health system in New Jersey to prescribe enterprise-wide digital therapeutics in partnership with Mount Sinai Health System spinoff Rx Health. - The program will use Rx.Health's newly-launched RxStitch engine. Valley Health System (VHS) based in New Jersey announced it will be implemented RxHealth’s digital therapeutics prescribing platform EHR integrated RxStitch Engine to support episodes of care and enterprise-wide digital transformation at VHS. This
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020
In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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3 AI Trends for 2020: Moving Beyond Dazzle to High-Impact Collaboration
From the first artificial skin to driverless cars that navigate busy streets with ease, 2019 brought a dazzling array of artificial intelligence (AI) discovery. In 2020, the progress made toward AI-fueled collaboration will be as critical as AI innovation—especially in healthcare.
We’ve reached a point where AI has proven its utility. In radiology, for example, AI is well-oriented to interpret diagnostic imaging studies, with FDA approval given to AI algorithms that diagnose a collapsed lung or
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Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020
As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020.
Robbie Hughes, Founder, and CEO, Lumeon
“Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
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