What You Should Know:
- Gainwell Technologies (Gainwell), an innovator in healthcare technology solutions, announced that the nine-module Medicaid system it designed and implemented for Kansas is the first fully modular system to achieve the Centers for Medicare & Medicaid Services (CMS) Streamlined Modular Certification.
The deployment marks Kansas as the first state with a completely modular system to receive federal matching funds from the day
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Enabling a Better Future for All by Embracing Healthcare Interoperability
The Centers for Medicare and Medicaid Services (CMS) has laid the critical groundwork to create a connected healthcare system in which patients, providers, and payers can easily exchange information. This is thanks in part to the release of the Interoperability and Patient Access Final Rule. With new policies now in place, CMS aims to generate better health outcomes through improved interoperability and better access to health information for all stakeholders.
CMS has also identified a new
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Signify Health, Cardinal Health Partner to Offer In-Home Medication Therapy Management
What You Should Know:
- Signify Health announced a partnership with Cardinal Health, a medical device and pharmaceuticals supplier, to provide in-home medication therapy management to Medicare members.
- In order to provide a more coordinated care experience and help members with their often-complex medication regimens, Signify’s mobile network of 11,000 credentialed clinicians will be able to offer medication management services for health plan members through in-home health evaluations
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CMS Awards Accenture Federal Services with $628M Contract to Support Healthcare.gov
What You Should Know:
- Accenture Federal Services has won a five-year, $628 million recompete of a contract award from the U.S. Centers for Medicare and Medicaid Services (CMS) to continue its work supporting Healthcare.gov. CMS made this award through the Strategic Partners Acquisition Readiness Contract (SPARC) vehicle.
- In 2014, Accenture Federal Services was awarded a prime contract to take over management of the Federally-Facilitated Exchange (FFE). FFE is the backbone of
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Walmart & CareSource Partner to Address Racial Health Inequities
What You Should Know:
- Today, Walmart announced a three-year agreement with the nonprofit organization, CareSource to address cardiometabolic conditions and maternal health in under-resourced and underserved communities.
- The partnership expands the work Walmart and CareSource are doing to help improve care around maternal and child health in Georgia - the two launched a pilot in Georgia earlier this year to help Black maternal health across the state.
Address
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Apixio Launches EHR-Integrated Post-Visit Solution
What You Should Know:
- Apixio, a leading AI platform that powers value-based care launches its new Apicare Post-Visit™ offering, an EHR-integrated intelligent workflow solution for health plans and providers. With the Centers for Medicare & Medicaid Services' recent Medicare Advantage Risk Adjustment Data Validation Final Rule, healthcare organizations need to have complete diagnosis capture and accurate documentation for reimbursement to ensure compliance.
- The new Post-Visit
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It’s Time to Stop Accepting the Payer-Provider Dynamic as ‘Adversarial’ and Work Toward Alignment
Today’s relationship between payers and providers is more fraught than ever. With a history of transactional, often adversarial, fee-for-service contract negotiations, it’s no wonder that the healthcare industry has grown too comfortable pitting payers and providers against each other.
The lack of trust and transparency between the two groups has led to a perceived misalignment of vision. Across the board, the administrative staff has shouldered the brunt of this friction, which in the end
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Aledade Acquires Curia, Adds More Than 450 New Practices
What You Should Know:
- Aledade today announced the acquisition of Curia, a leader in value-based care analytics using practical applications of artificial intelligence (AI) to optimize the targeting of patient care and engagement programs. The acquisition will enhance Aledade’s ability to extract valuable insights from disparate data sources, provide more accurate predictions using past data, and optimize primary care workflows through cutting-edge AI algorithms.
- In addition, the
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Targeted IT Solutions Ease Navigation and Shift to Value-Based Care
The new healthcare realm of value-based care (VBC), designed to reward healthcare providers with incentive payments for the quality of care and patient outcomes not simply the volume of services provided, presents both opportunities and challenges for all stakeholders. This fundamental shift in reimbursement is intended to become part of the larger quality strategy in reforming how healthcare is delivered and compensated: better care for individuals, better health for populations
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Leveraging Technology to Bridge Gaps in Compliance
American health systems, hospitals and post-acute care providers are required to comply with hundreds of regulatory requirements. Facilitating this compliance comes with a high cost. According to the American Hospital Association, the average-sized community hospital spends nearly $7.6 million annually on administrative activities to support regulatory compliance. With the impending end of the COVID-19 public health emergency set to shake up healthcare regulations, ongoing healthcare labor
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