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

N.J. Physician Group ACO Generates $6.4M in Medicare Savings

by Jasmine Pennic 10/10/2019 Leave a Comment

N.J. Physician Group ACO Generates $6.4M in Medicare Savings

- Partners In Care ACO generated $6.4M in savings and is among top 3 performers statewide under Medicare Shared Savings Program in New Jersey. - While providing high-quality care for patients, Medicare is sharing a portion of these savings with the providers in return.Partners In Care Accountable Care Organization (ACO) generated $6.4 million in savings – an average of $546 per Medicare patient – in 2018. The savings are tracked by the Centers for Medicare and Medicaid Services (CMS), under the
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Ochsner Accountable Care Network Saves $12.9M for Medicare Beneficiaries

by Jasmine Pennic 10/09/2019 Leave a Comment

Ochsner Accountable Care Network Saves $12.9M for Medicare Beneficiaries

- The Ochsner Accountable Care Network reduces the cost of care by $12.87M for over 24,000 Medicare beneficiaries, representing 81% increase in savings per beneficiary and a 12% increase in total savings in 2018. - Development of Outpatient Complex Case Management and MedVantage Clinics was one of the efforts that contributed to the savings.The Ochsner Accountable Care Network, LLC (OACN) is pleased to report its 2018 savings results, which include a reduction in the expected cost of care by
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CareSelect Imaging Now Uses Change Healthcare AI in EHR Workflow

by Jasmine Pennic 10/08/2019 Leave a Comment

CareSelect Imaging Now Uses Change Healthcare AI in EHR Workflow

- CareSelect Imaging now uses Change Healthcare AI in EHR workflow to help physicians streamline imaging orders. - The new AI capabilities will help healthcare providers using EHR systems enhance workflow efficiency, improve patient safety, provide higher-value care, and meet pending regulatory requirements governing Medicare patients.Change Healthcare, today announced that its artificial intelligence (AI) technology has been added to the CareSelect™ Imaging decision support solution. The new AI
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Cerner, i2i Population Health Integrate to Improve Health Outcomes for Medicaid Population

by Jasmine Pennic 10/03/2019 Leave a Comment

Cerner, i2i Population Health Integrate to Improve Health Outcomes for Medicaid Population

- Cerner, i2i Population Health to increase the care quality and reduce costs for millions that depend on Medicaid services through population health management offerings.- Cerner and i2i will use technology designed to help control costs and improve the health of Medicaid populations.- Cerner and i2i clients will be able to leverage a comprehensive bi-directional integration that allows data to flow freely in Cerner’s EHR system, HealtheIntent and i2i product suite.Cerner and i2i Population
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IPA, IHANY, Fidelis Care Partner to Address Social Determinants of Health in Upstate New York

by Jasmine Pennic 09/26/2019 Leave a Comment

IPA, IHANY, Fidelis Care Partner to Address Social Determinants of Health in Upstate New York AzHHA Taps PatientPing to Improve Care Coordination Across State of Arizona

Healthy Alliance Independent Practice Association, Innovative Health Alliance of New York, and Fidelis Care join forces to improve health by addressing social determinants of health.Starting October 1st, the new partnership will bring together medical providers and community based organizations (CBOs) to address safe housing, adequate nutrition, employment, and other social determinants of health.Healthy Alliance Independent Practice Association (IPA), Innovative Health Alliance of New York, LLC
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Heal Acquires Doctors on Call, Expands House Call Service to NYC

by Fred Pennic 09/23/2019 Leave a Comment

Heal Expands On-Demand Doctor Calls to Atlanta Metro Area for Aetna Members

- Doctor house calls provider Heal expands to New York City with the acquisition of Doctors on Call. - With the acquisition of Doctors on Call, Heal’s service footprint expands to more than 75 million Americans nationwide throughout Atlanta, GA, California, New York, Northern Virginia and D.C. - Doctors On Call, founded in 1968 by Paul R. Rosenstock, MD., and now owned and operated by Heal, offers medical house calls for elderly and homebound patients throughout New York’s five
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Why APIs Bring Hope for Data Interoperability in Healthcare

by Justin Rockman, VP of Business Development at Surgimate 09/23/2019 Leave a Comment

Why APIs Bring Hope for Data Interoperability in Healthcare

One of the biggest obstacles to data interoperability is the slow and piecemeal progress of healthcare organizations (HCOs) towards digitalization. While the benefits of digitalization are clear; improved efficiency, reliability of data, and enhanced communication, just to name a few; the critical (and most challenging) piece of the puzzle, is being able to share critical patient data between systems in a way that makes it easily accessible - while still retaining the security of sensitive
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4 Ways to Improve Mental Health Through Digital Health

by Jill Seidman Vice President, Provider Solutions, AVIA 09/19/2019 Leave a Comment

4 Ways to Improve Mental Health Through Digital Health

Mental health care is undoubtedly one of the most pressing challenges that our national health system faces. Years of insufficient payment, infrastructure erosion, provider deficits, and stigma have created a fragmented patchwork of weak, under-coordinated and under-reimbursed treatment capabilities. Meanwhile, communities face an expanding crisis: - 44.7 million American adults – including 10 million adults covered by Medicaid – experienced a mental health illness as of 2016, a number that is
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Why Medicare Advantage Will Lead the Way on Healthcare Consumerism

by Jeff Carroll, Senior Vice President, Health Plans, Lumeris 09/16/2019 Leave a Comment

Why Medicare Advantage Will Lead the Way on Healthcare Consumerism

  For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes. One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer
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Top 10 Challenges, Issues and Opportunities Healthcare Executives Will Face in 2020

by Jasmine Pennic 09/13/2019 Leave a Comment

Top 10 Challenges, Issues and Opportunities for Healthcare Executives in 2019

- The HealthCare Executive Group unveils its annual 2020 HCEG top 10 critical challenges, issues and opportunities healthcare executives expect to face in 2020. - Over 100 C-Suite and director level executives were presented with a list of over 25 topics. Initially compiled from webinars, roundtables and the 2019 Industry Pulse Survey. After 2.5 days of facilitated interactive discussions during this week’s HCEG Annual Forum in Boston, over 100 healthcare c-suite and director level
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