- 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.
Read More
Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Geisinger, Medial EarlySign Advances to First Stage of CMS AI Health Outcomes Challenge
- Geisinger Health was recently named by the Centers for Medicare & Medicaid Services among the 25 candidates advancing to the first stage of its AI Health Outcomes challenge.- The CMS AI Health Outcomes challenge provides innovators with the opportunity to demonstrate how AI tools may be implemented to predict health outcomes and keep patients healthy in hopes of more AI tools being considered for potential use in CMS Innovation Center payment and service delivery models. Geisinger, an
Read More
HHS Launches $1.5M Second Phase of KidneyX Prize Competition to Redesign Dialysis
- KidneyX launches the $1.5 million second phase of the Redesign Dialysis prize competition.- Redesign Dialysis Phase 2 seeks prototype solutions or components of solutions, that can replicate normal kidney functions or improve dialysis access.- The competition calls on researchers, innovators, patients, and investors with expertise in nephrology, biotechnology, bioengineering, and medical devices to submit solutions.The U.S. Department of Health and Human Services (HHS) and the American Society
Read More
Q/A: UnitedHealthcare Executive Talks Investment in Telehealth Innovation
Are
telehealth innovations the future of care delivery? Pat Keran, vice president
of product and innovation for UnitedHealthcare shared his insights and what’s
to come from the integration of telehealth innovations in the healthcare
landscape.
It’s should be of no surprise that in today’s app-fascinated world that telehealth services are becoming increasingly popular both for consumers and employers. According to a recent report from the National Business Group on Health, 39 percent of
Read More
Inaccurate Provider Directories Costs Physician Practices $2.76B Annually
- Providers spend $2.76 billion each year on provider directory maintenance, a new survey by CAQH found. - For individual practices, this intensive process costs $998.84 per month--the equivalent of one staff day per week. That is time and money that most providers can't afford to waste.- CAQH surveyed 1,240 physician practices last month and just released "TheHidden Causes of Inaccurate Provider Directories"-- a new white paper that details the burdens the survey uncovered and what the industry
Read More
Price Transparency: Why Hospitals Need to Focus On Understanding Their Data
This year, hospital price transparency took a front seat after CMS issued a new set of rules and requirements. While they haven’t been written into law just yet, these rules will help set a framework for the kinds of requirements that are likely to become standard soon. With that in mind, now is the time to begin preparing for the inevitable. Creating a proactive response to the new changes as well as the evolving competitive environment and expected a response from consumers is essential for
Read More
Research: October Health IT M&A Activity, Public Company Performance
- Healthcare Growth Partners (HGP) summary of Health IT/digital health merger & acquisition (M&A) activity, and public company performance during the month of October 2019
During the month of October, Health IT continued its evolution into an amorphous market that is increasingly trending away from a specialized niche of healthcare and into a key component of larger sectors such as Enterprise Software, HR Administration, Insurance, Care Delivery, Suppliers, and BioPharma.
The
Read More
Disruptors or Interrupters? How Apple Is Faring In Their Healthcare Initiatives
Key Highlights
- Part one of our new in-depth series on Apple, Google, and Amazon's latest healthcare efforts since our last report in April 2019.
- A look at Apple's recent healthcare developments, as well as an analysis of what goes beyond the news.
Over the last few decades the “digital age” has enabled many garage-based startups to transform into sustained successes by targeting problems that begged to be solved digitally. Sometimes their leaders identified and resolved
Read More
Primary Care Doctors Use Autonomous AI to Instantly Detect Eye Disease
- A Georgia Primary Care Clinic is now using an autonomous AI system called IDx-DR to test patients for diabetic retinopathy, a leading cause of blindness.
- IDx-DR is cleared by the FDA to make an assessment without the need for a clinician to also interpret the image or results, making it usable by healthcare providers who may not normally be involved in eye care.
- The exam typically takes 5-10 minutes. Nurses use an automated fundus camera to take pictures of the patient’s retinas –
Read More
How Value-Based Care is Changing the Way You Build Digital Health Companies
After years of talk, fee-for-service payment models are finally being challenged in a real way. With value-based care, providers are reimbursed based on patient health outcomes rather than the number of patients they see, which has begun to pass the burden of cost from insurers and employers to providers and patients.
Fundamentally, value-based care requires vendors as well as providers to operate differently, but new revenue models and a new approach to hiring deserve special consideration. In
Read More
