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

What Will It Take To Build The Uber of Medical Records? 3 Critical Steps to Consider

by Josh Douglas, Chief Technology Officer, Bridge Connector 12/20/2019 Leave a Comment

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

by Fred Pennic 12/18/2019 Leave a Comment

Bright Health Riases $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

by Jasmine Pennic 12/12/2019 Leave a Comment

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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5 Key Features of Successful Quality Collaboratives

by Evan Osborne, MPH, Manager at Dacarba LLC 12/12/2019 Leave a Comment

5 Key Features of Successful Quality Collaboratives

Quality collaboratives are comprised of multiple teams working together from different domains within the healthcare industry. Payors and providers have shown success in working together as a collaborative team sharing the same mission, improving healthcare outcomes in patients within the network each team serves. These collaborative efforts bring focus on improving medical services throughout in-network hospitals under contract with payors whose members are receiving care.  Below are five key
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Analysis: November 2019 Health IT M&A Activity, Public Company Performance

by Healthcare Growth Partners (HGP) 12/06/2019 Leave a Comment

Analysis: November 2019 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 November 2019We did a doubletake when we noticed all of the HGP healthcare indices climbed approximately 10% during the month of November.  Year-to-date, the S&P 500 is up over 25% and the HGP healthcare indices are all hovering in that range.  In the two month period since September, when talk of universal healthcare reached
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Philips, Humana Partner on 2 Pilot Programs to Improve Care for At-Risk Medicare Advantage Members

by Jasmine Pennic 12/04/2019 Leave a Comment

 - Philips and Human collaborate on new pilot programs designed to help support independent living for at-risk Medicare Advantage members by providing 24/7 access to care. - Humana is identifying a pilot group of members with severe CHF. Philips is providing members with kits that include an interactive tablet that syncs data from connected measurement devices via wireless technology. - Humana is identifying members who are at-risk and offering them Philips Lifeline medical alert service,
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The Future of Healthcare: 3 Predictions for the Next Five Years

by Bill Heller, President, Weatherby Healthcare 12/02/2019 Leave a Comment

Three predictions for the future of healthcare

Medical science was taking great strides around the turn of the 20th century. An Austrian biologist had learned that humans have different blood types, researchers were discovering the existence of vitamins and a Dutch physician invented electrocardiography. The landscape looks a little different now, just a short 100 or so years later. Medical science is using stem cells to grow new organs, a surgeon in New York City removed the gall bladder of a patient in France using remote robotic arms and
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Humana, Epione Health Form Value-Based Care Agreement for Humana Medicare Advantage Members

by Jasmine Pennic 11/27/2019 Leave a Comment

Humana, Epione Health Form Value-Based Care Agreement for Humana Medicare Advantage Members

- Humana and Epione Health team up to offer a patient-centered experience for Humana Medicare Advantage members in Oklahoma. - Humana Medicare Advantage HMO and PPO plan patients will benefit from this relationship as the support offered by Humana enables Epione’s doctors to focus on patient care.Humana Inc., today announced it has collaborated with Epione Health of Oklahoma, LLC on a value-based care agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare
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Can Consumer Price Transparency in Healthcare Live Up to the Hype?

by Meg Koepke, Vice President of Strategy at NovuHealth 11/22/2019 Leave a Comment

Meg Koepke, Vice President of Strategy at NovuHealth

There has been a lot of discussion in recent weeks and months about price transparency in healthcare. The idea is simple—payers and providers reveal the rates they pay or charge for health services in order to help consumers make better choices. Despite the hype surrounding price transparency, it will undoubtedly come with a whole set of realities and limitations—there are a variety of factors that go into setting prices, and in many cases, the prices that get posted don’t reflect the price
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HMS Holdings Corp to Acquire Payment Accuracy Company Accent for $155M

by Fred Pennic 11/21/2019 Leave a Comment

HMS Holdings Corp to Acquire Payment Accuracy Company Accent for $155M

- HMS Holdings Corp acquires Accent, a payment accuracy, and cost containment business from Intrado Corporation for approximately $155 million.- Accent’s offerings include comprehensive prospective and retrospective claims accuracy solutions, which incorporates both cost avoidance and overpayment recovery services.- Addition of service provider to commercial and Medicare Advantage health plans to expand the breadth of HMS’ prospective and retrospective claims accuracy services.HMS Holdings Corp.
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Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

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Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

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