- 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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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
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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Mayo Clinic Appoints Rita Khan as First-Ever Chief Digital Officer
- Mayo Clinic appoints Rita Khan as the health system’s first-ever chief digital officer to lead Mayo Clinic’s digital health transformation strategy.
- Khan most recently was senior vice president of consumer digital at UnitedHealthcare, where she directed enterprise-level digital strategy.
Mayo Clinic has named Rita Khan chief digital officer, Mayo Clinic where she will help guide Mayo Clinic's strategy as it prepares for transformative changes in the digital space. As Mayo Clinic's
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What Will It Take To Build The Uber of Medical Records? 3 Critical Steps to Consider
Our healthcare system has struggled with data silos and clumsy, antiquated data sharing practices forever and a variety of stakeholders will need to work together to achieve anything close to an “Uber of medical records.”
It’s well documented and understood that the healthcare industry has historically been slow to adopt new technology while other business sectors have welcomed it with ease. For example, while most industries abandoned the fax machine in the 1990s, as recently as 2017, fax
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Bright Health Lands $635M to Expand Medicare Advantage Plans to More Markets
- Bright Health, a diversified consumer-focused healthcare company announced it has raised $635M in Series D funding led by NEA. - The funding will be used to support Bright Health's aggressive growth and hiring as the company continues to strategically expand across products, geographies and consumer bases.- With this round, Bright Health has raised over a billion dollars in equity financing since early 2016, reaching "unicorn status" with a valuation of over $1B. Bright Health, a diversified
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CVS Health Launches Transform Oncology Care Program, Partners with Tempus
- CVS Health launches Transform Oncology Care, which includes a comprehensive, first-of-its-kind precision medicine approach to oncology management for payors in collaboration with Tempus.- Transform Oncology Care includes an innovative precision medicine strategy that increases access to broad-panel gene sequencing tests for patients diagnosed with certain advanced-stage cancers. - The program also uses CVS’ local footprint and unique assets to improve patient outcomes and lower costs every
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