- 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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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Can Consumer Price Transparency in Healthcare Live Up to the Hype?
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
- 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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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
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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
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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
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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
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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
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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
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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
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