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

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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How Tech Giants are Helping Providers Reinvent Patient Care

by Alyssa Rapp, CEO of Surgical Solutions 08/19/2019 Leave a Comment

How Tech Giants are Helping Providers Reinvent Patient Care

Healthcare costs are on the rise, and they show no signs of leveling off. According to the latest data available from the Centers for Medicare and Medicaid Services, healthcare spending in the United States reached $3.5 trillion in 2017, or $10,739 per person. Those costs are projected to rise by about five percent year-over-year. As expenditures continue to skyrocket, healthcare providers are looking to new technologies and care strategies that can help them treat patients more effectively at a
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Maine Health, Anthem Form Joint Venture to Offer Medicare Advantage Plans

by Jasmine Pennic 08/19/2019 Leave a Comment

Maine Health, Anthem Form Joint Venture to Offer Medicare Advantage Plans

 Anthem Blue Cross and Blue Shield in Maine and MaineHealth today announced the two organizations will be collaborating on a joint venture to offer Medicare Advantage health insurance plans for 2020 under the Anthem | MaineHealth brand. This joint venture effort, named AMH Health, LLC, will bring together the core strengths of the region’s leading health care system and health insurer, their brand recognition, as well as their expertise in providing a comprehensive approach to care that will
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Tufts Health Plan and Harvard Pilgrim Health Care to Merge

by Jasmine Pennic 08/15/2019 Leave a Comment

Tufts Health Plan and Harvard Pilgrim Health Care to Merge

Harvard Pilgrim Health Care and Tufts Health Plan announced their intent to merge their nonprofit organizations. The new organization, yet to be named, will become one of the region’s largest nonprofit health services organizations and will serve close to 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island. Combined offerings include offering employer-sponsored plans; Medicare and Medicaid plans; Qualified Health Plans; and plans for those who are dually
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Why Real-Time Health Data Is a Requirement in Today’s Health System

by Sara Radkiewicz, Head of Product, CarePort Health 08/14/2019 Leave a Comment

Why Real-Time Health Data Is a Requirement in Today’s Healthcare Environment

Thanks to technological innovation in the industry and CMS’ push for interoperability, today there’s more patient health data being collected than ever before. The problem is that the data is either not easily accessible to providers or it’s claims based and therefore not timely. The lag time between the collection and sharing of health data makes it difficult, and in some cases impossible, for providers to get a complete picture of their patients’ health, to appropriately treat ongoing
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6 Ways Hospitals Can Benefit From E-Procurement Portals

by Boris Shiklo, CTO at ScienceSoft 08/13/2019 Leave a Comment

healthcare procurement: 6 Ways Hospitals Benefit from E-procurement

With regard to the increased complexity of healthcare procurement and the importance of sound supply chain control for ensuring a truly patient-centered approach, experts keep calling the hospitals to introduce advanced technologies for effective management of healthcare procurement and supplies. Procurement portals, as one of those, already greatly add to the effectiveness of purchasing across various retail and manufacturing companies allowing for simplified and optimized management of
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Connecticut Launches State-Wide Hospital Quality Scorecard & Cost Estimator

by Jasmine Pennic 08/12/2019 Leave a Comment

Connecticut Launches State-Wide Hospital Quality Scorecard & Cost Estimator

The Connecticut Office of Health Strategy (OHS) has launched a state-wide online hospital quality scorecard and cost estimator solution called Healthcare CT to assist residents in making informed decisions concerning their healthcare among healthcare providers. The website has interactive tables and graphs that allow consumers to search, sort, and filter by entity, quality measure, health topic, and rating.  In addition, the solution promotes cost transparency in healthcare improves access to
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PE Firm Backs Nation’s Largest Care Coordination Company ChartSpan

by Fred Pennic 08/12/2019 Leave a Comment

PE Firm Backs Nation’s Largest Care Coordination Company ChartSpan

Blue Heron Capital, a growth private equity (PE) firm based in Richmond, Virginia has announced its investment in a Series A round of funding in ChartSpan, the largest healthcare managed service provider of chronic care management. The firm is part of a five-investor syndicate.Impact of Chronic Conditions on Patient Health OutcomesAn alarming 75% of Americans over the age of 65 live with multiple chronic conditions that require ongoing medical attention and often impact their ability to live
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Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

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

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