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

4 Areas Where Big Data is Transforming Healthcare Right Now

by Joel Landau, Founder at The Allure Group 09/09/2019 Leave a Comment

4 Areas Where Big Data is Transforming Healthcare Right Now

Leveraging technology in the right ways can make or break the future of healthcare. One of the ways that healthcare will become more efficient, more affordable, and save more lives is through the use of big data. What is Big Data? Big data refers to a large amount of information being digitized, consolidated, standardized, analyzed and modeled. In healthcare, big data uses specific statistics from a population or an individual to research new advancements, reduce costs, and even cure or prevent
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Prudential Financial Acquires Insurtech Startup Assurance IQ, for $2.35B

by Fred Pennic 09/06/2019 Leave a Comment

Prudential Financial Acquires Insurtech Startup Assurance IQ, for $2.35B

- Prudential Financial acquires insurtech startup Assurance IQ for a total upfront consideration of $2.35 billion, plus an additional earnout of up to $1.15 billion in cash and equity. - Assurance will become a wholly-owned subsidiary of Prudential under the U.S. Businesses division. - Assurance will add a large and rapidly growing direct-to-consumer channel to Prudential’s financial wellness businesses, significantly expanding the total addressable market of both
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Aledade, The Physicians Integrated Network Forms Value-Based Care Collaboration in Greater Philadelphia

by Jasmine Pennic 09/04/2019 Leave a Comment

Aledade ACO

- Aledade ACOs and the Physicians Integrated Network (TPIN) join forces to improve care coordination, quality of care, and patient health outcomes - Under the value-based care agreement, and TPIN’s leading network of independent specialists have agreed to a care compact and intend to explore additional opportunities for clinical collaboration across all payers. - TPIN’s network is made up of 700 physicians practicing in 24 clinical specialties throughout greater Philadelphia, Delaware
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Capital Rx Launches Clearinghouse Model to Bring Price Visibility to Prescription Drug Costs

by Fred Pennic 09/04/2019 Leave a Comment

Capital Rx Brings Price Visibility to Prescription Drug Costs With The Launch of Industry First Clearinghouse Model

Quick Glance- Capital Rx launches new innovative Clearinghouse Model, a new pricing framework that will itemize the actual unit cost for all drugs for the first time- The Clearinghouse Model will eliminate price variability for customers, ensuring that drug costs are the same for all customers.- Pharmacies in its retail network, which includes chains, like Walmart, Walgreens, to grocers and independent pharmacies, will be able to deliver the lowest prescription prices to customers.- While rising
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Top 5 Factors Impacting the US Population Health Management Market

by Michael Liberty, Sr. Market Analyst at Signify Research 08/29/2019 Leave a Comment

Top Five Factors Impacting the US Population Health Management Market

The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years: 1 – A Market Still Maturing As the market has evolved, providers are taking
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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?

by Shannon Wiggins, Manager with Dacarba LLC 08/28/2019 Leave a Comment

How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?

In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an effort to respond to the notion that the
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Telehealth Adoption: Convenience & Cost Drive Adoption For Consumers

by Fred Pennic 08/27/2019 Leave a Comment

Telehealth Adoption: Convenience & Cost Drive Adoption For Consumers

Convenience and cost are the key drivers of telehealth adoption for American consumers, but lack of awareness is an issue, according to recent findings from American Well’s Telehealth Index: 2019 Consumer Survey. Telehealth leader American Well commissioned Harris Poll to conduct an online study among over 2,000 adults to measure usage and sentiment toward telehealth. The results are weighted to be representative of the American adult population across standard demographics.Majority of Consumers
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PeerWell Lands $6.5M to Commercialize its Worker’s Comp Musculoskeletal Surgery Optimization Platform

by Fred Pennic 08/27/2019 Leave a Comment

PeerWell Announces $6.5 Million in Series A Funding to Rollout Musculoskeletal Surgery Optimization Platform

Today PeerWell, a San Francisco, CA-based PreHab company helping patients prepare physically and mentally for orthopedic surgery and recover faster has raised $6.5M in Series A funding led by OMERS Ventures with participation from investors Emmett Shear (Co-Founder CEO of Twitch) and Travis May (CEO of Datavant). Existing investors include XSeed Capital and angel investors Auren Hoffman (CEO SafeGraph, Co-founder of LiveRamp), Kevin Lin (COO of Twitch), Michael Seibel (CEO of Y Combinator),
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Healthcare Leaders See AI As Front-Runner in Reducing Risks

by Jasmine Pennic 08/26/2019 Leave a Comment

Mount Sinai Researchers Develop AI Platform to Detect Neurodegenerative Diseases

Healthcare leaders see artificial intelligence (AI) as the front-runner in reducing risks, while they view online media as the riskiest technology, according to results of an annual survey by The Doctor Company. Conducted at a national summit of nearly 100 healthcare leaders to address some of the most pressing issues in healthcare. To understand what concerns these leaders have and generate meaningful conversations during the summit, participants were surveyed prior to the summit.Among the key
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality

by Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive 08/20/2019 Leave a Comment

MACRO

The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment. Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments.  Between the Test Pace option, artificially low bar (3 points) for an upside adjustment, and numerous opportunities to score
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