Healthcare organizations are increasingly turning to data analytics to solve their toughest business challenges. As information becomes less siloed, and technology systems do a better job of both generating and sharing data, organizations are seeing the need to more precisely identify patterns to predict patient needs, anticipate resources and improve processes. There is now as much emphasis on making the data work as there was on collecting data, so it can affect change.
Unfortunately,
Read More
Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Innovaccer Launches Data Solution to Enable ACOs’ Seamless Transition to Value-Based Care
A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
Read More
Pilot Study: Lark Health’s AI-Driven Diabetes Management Program Decreased A1c by 1.1 Points
Lark Health, a chronic disease prevention and management platform has released initial results from a pilot study of its Diabetes Management Program (Lark DMP). After an average of four months, the Lark DMP users reported a significant reduction in A1c levels of 1.1 points, from 8.5 to 7.4 percent.Lark Diabetes Management Program OverviewThe Lark DMP, which uses conversational artificial intelligence (AI), rather than live telephonic nurses, was developed with the collaboration of industry and
Read More
Carenet Health Acquires Engagement, Telehealth Subsidiary of Citra Health
Carenet Health, a San Antonio, TX-based provider of healthcare engagement, clinical support, advocacy and 24/7 telehealth solutions, has acquired the engagement and telehealth solution subsidiary of Citra Health Solutions. The acquisition is the second acquisition of its kind by Carenet in a span of seven months. Financial terms of the acquisition were not disclosed.The recent acquisition complements Carenet’s ongoing commitment to delivering high-quality, cost-effective, on-demand telehealth
Read More
AMA Grants New CPT Code for KidneyIntelX to Support Medicare & Reimbursement
The American Medical Association (AMA) has granted a CPT® Proprietary Laboratory Analyses (PLA) Code for Renayltix AI’s lead product, KidneyIntelX. The new code, 0105U, has been approved and published by the AMA CPT Editorial Panel, and is scheduled to become effective on October 1, 2019.Medicare Price for New CPT CodeA payment rate for the new code will be established for Medicare patients through the 2019 Clinical Lab Fee Schedule (CLFS) Annual Public Meeting process. Renayltix AI will shortly
Read More
How Can Providers Support Meaningful Price Transparency to Address Consumerism in Healthcare?
The word “consumerism” and its derivatives have been tossed around the broader healthcare industry for the greater part of a decade. How we define consumerism and look at consumer behavior in relation to our institutions, systems, and programs seems key to unlocking the door to better outcomes and higher margins. However, in a landscape with more disruption than ever—greater vertical integration, technology, and regulation—we still lack the answer to these fundamental questions: What do patients
Read More
J.D. Power to Publish First-Ever Telehealth Satisfaction Study Focused on 3 Categories
J.D. Power, a global leader in consumer insights, advisory services, and data and analytics announced its plan to launch its first-ever Telehealth Satisfaction Study in November 2019.Why Telehealth Satisfaction?As new value-based payment models continue to re-define the consumer healthcare experience, the use of telehealth as a lower-cost form of medical consultation has skyrocketed in popularity. Among the commercially insured, telehealth visits increased 261% between 2015 and 20171 and the
Read More
Healthcare’s Uncertain Future: 3 Data-Driven Approaches for Payers
Nine out of 10 healthcare leaders expect disruptive pressures to increase tremendously in the year ahead, according to a recent survey. However, fewer than half believe their organizations are prepared to withstand these forces.
In an era of transformation—in which traditional business models are continually being revamped in response to pressures such as consumerism, policy changes, and the market entrance of non-traditional healthcare players such as Amazon and Apple—payers face daunting
Read More
Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
Read More
AdhereHealth And Papa Partner to Tackle Social Determinants of Health
AdhereHealth, a healthcare technology company focused on medication adherence, announced a partnership with Papa, a companionship platform company serving the elderly, blind and disabled. AdhereHealth and Papa will work together to address social determinants of health such as loneliness, food insecurity, and transportation to improve health outcomes for Medicare beneficiaries. The partnership addresses these foundational barriers to care through a combination of advanced technologies and
Read More
