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