When 2020 began, no one anticipated that complying with the Merit-based Incentive Payment System (MIPS)—the flagship payment model of the Centers for Medicare & Medicaid Services (CMS) Quality Payment Program (QPP)—would look so different halfway through the year. Like many other things, the COVID-19 crisis has delayed, diverted, or derailed many organizations’ reporting efforts and capabilities. Lower procedure volumes, new remote work scenarios, and shifting priorities have taken attention
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Cityblock Health Reaches $1B Valuation, Raises $160M to Address Systemic Healthcare Inequity
What You Should Know: - Cityblock Health, a transformative, value-based healthcare provider focused on improving healthcare outcomes for marginalized communities, today announced a $160M Series C round, bringing its total raised to $300M. - Cityblock is a care delivery trailblazer working to right the injustices of a healthcare system that cycles vulnerable communities through frequent ER visits and hospital stays. Its tech-enabled model delivers primary care, behavioral care, and social
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Elation Health Nabs $40M for Clinical-First Solution to Power Independent Primary Care
What You Should Know: - Elation Health, which provides an easy-to-use and affordable clinical technology platform for more than 14,000 independent primary care clinicians serving 7 million patients - including an EHR raises $40M in Series C funding from Al Gore's sustainable investment firm, Generation Investment Management. - Elation’s API-enabled platform also allows
organizations to transform the patient and provider experience and implement
their own models of data-driven,
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Pair Team Emerges Out of Stealth with $2.7M to Automate Primary Care Operations
What You Should Know: - San Francisco-based digital health startup Pair Team
emerges out of stealth with $2.7M in seed funding backed by Kleiner Perkins,
Craft Ventures, & YC. - Pair Team provides both a remote team and AI that automates workflows, provides infrastructure & improves medical practices — efficiencies and billing as you’d expect, but all driving toward value-based, quality patient care. - Pair’s wrap-around technology tripled the rate of annual wellness visits
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Ensuring Telehealth Providers’ Virtual Care Dollars Make Sense
Telehealth and virtual care are not brand-new phenomena suddenly cobbled together as a rapid response to the onset of the COVID-19 pandemic, but the average US patient could be forgiven for thinking that it is. Indeed, virtual visits to care providers and remote patient monitoring have been available for quite some time, delivering two key benefits: - Providing a platform to address cost-efficiencies and accessibility to quality healthcare for the populace at large - Playing a
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5 Steps for Interoperability Excellence for Healthcare Providers
As if 2020 couldn’t be any more challenging for healthcare providers, new federal rules on interoperability and patient access, granting patients direct access to their healthcare data, begin taking effect in 2021 and will continue into 2022. These rules, while ultimately beneficial to patients, bring an additional level of operational complexity to many revenue-stressed healthcare organizations. If anything, the 2020 pandemic has illustrated the vast potential of interoperability. For
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CommonHealth App Connects to 230 Health Systems to Share Health Data – including COVID Test and Vaccine Status
What You Should Know: - CommonHealth has connected to 230
health systems in the United States, allowing patients to gather, manage and
share their health and test data, including COVID test and vaccination status. By
the end of this month, CommonHealth will connect to more than 340 health
systems - CommonHealth extends the health data
portability and interoperability model pioneered by Apple Health to the 55
percent of Americans with Android devices (85 percent globally) The Commons
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5 Myth-Busting New Hospital ADT Notification Requirements
When doctors know their patients have been to the hospital, they can act fast to provide needed support. Widespread use of hospital event notifications is associated with all kinds of health benefits, including a 10 percent decrease in readmissions for Medicare beneficiaries. These event notifications are one of the simplest, easiest (most-bipartisan!), and most impactful changes we can make to improve patient outcomes in U.S. healthcare. To this goal, the Centers for Medicare and Medicaid
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Brigham, Biofourmis Co-Develops Tech Solution to Enable Home Hospital Care
What You Should Know: - Brigham is working with Biofourmis on a national
rollout of their co-developed technology solution, which has been refined and
scaled for use by other healthcare systems across the country seeking to
establish and execute similar home hospital programs to alleviate COVID-related
capacity issues and to receive 1:1 parity on payments from CMS. - The Hospital@HomeTM platform provides a turnkey,
end-to-end ecosystem for any health system that wants to quickly launch
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COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts
Healthcare can achieve optimum efficiency when patients are at the center of care. When patients have the necessary information to navigate their care journey, they will choose the path to high-quality care at the lowest costs. Cost-sharing and insurance premiums are rising consistently since the last decade for employer plans, which covers nearly half of the country’s population. Plan members are shouldering a part of the healthcare cost burden, so they want to keep it as low as possible. At
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