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

Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program

by Rebecca Marsh, VP of Advisory Solutions, nThrive 06/26/2019 Leave a Comment

Three 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
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AdhereHealth And Papa Partner to Tackle Social Determinants of Health

by Fred Pennic 06/25/2019 Leave a Comment

Stryker, RCSI Partner to Develop Digital Health Solutions for Emergency & Specialist Care Blue Cross Blue Shield Institute Launches Program to Address Social Determinants of Health at The Community Level

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
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Reaching the Healthcare Mainstream: Wearables and Remote Patient Monitoring Market Map

by Healthcare Growth Partners (HGP 06/21/2019 Leave a Comment

Reaching the Healthcare Mainstream: Wearables and Remote Patient Monitoring

Even though 2014 was supposed to be the “year of the wearable” according to Forbes, five years later we are now seeing the wearable reach maturity and mass-adoption.  This increase in adoption has largely been driven by software and hardware stability which is now allowing these devices to be used with confidence to manage an individual’s health and wellness, including chronic condition management. The graphic below from Accenture shows the increase in technology usage across consumers to manage
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Surescripts Inks Partnerships with National Health Plans to Streamline Prior Authorization

by Fred Pennic 06/21/2019 Leave a Comment

Surescripts Inks Partnerships with National Health Plans to Streamline Prior Authorization

Surescripts announced that several national, regional and local PBMs and health plans representing virtually all U.S. patients are replacing their manual prior authorization process with Surescripts Electronic Prior Authorization solution. Over the past 18 months, several national, regional and local PBMs and health plans representing virtually all U.S. patients have signed on, increasing the number of insured lives covered by Surescripts Electronic Prior Authorization by nearly 20%.Impact of
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Geisinger Appoints Dr. Jaewon Ryu as New CEO

by Fred Pennic 06/20/2019 Leave a Comment

Geisinger Appoints Dr. Jaewon Ryu as New CEO

Geisinger today announced that its Board of Directors has appointed Jaewon Ryu, M.D., J.D., as president and chief executive officer. Dr. Ryu, who has served as interim president and CEO since November 2018 and executive vice president and chief medical officer since September 2016, becomes the seventh chief executive officer in Geisinger’s 104-year history. He succeeds David T. Feinberg, M.D., MBA, who left Geisinger earlier this year to assume a leadership role at Google. “On
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3 Ways Health Plans Can Leverage Lab Data Analytics

by Hossein Fakhrai-Rad, Founder & President at BaseHealth 06/17/2019 Leave a Comment

3 Ways Health Plans Can Leverage Lab Data Analytics

Payers have long realized the value of leveraging disparate data sets to gain greater insight on patients, with popular data sources including claims, electronic health records, and surveys on social determinants and behavioral health. More recently, health plans have begun to appreciate another source of data that can help them avoid missed revenues, predict emerging conditions and improve risk management: laboratory data. This category includes data on critical health factors such as
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Applied Analytics: Making the Dream of Cost-Controlled Population Health a Reality

by Moshe Starkman, Senior Director, Value Based Reimbursement, nThrive 06/12/2019 Leave a Comment

Applied analytics: Making the dream of cost-controlled population health a reality

Ninety percent of a solution is accurately defining the problem, however, in healthcare, much like nearly every other industry, more time and energy is spent on fixing perceived symptoms rather than identifying root caU.S.es. Today we will explore the contribution that applied analytics has made and continues to make on bending the dramatic U.S. healthcare cost curve. To do this well we will first explore the primary cost drivers (i.e. root caU.S.es), as to why the U.S. spends more on care than
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Boston Medical Center Joins Medicaid Transformation Project with 27 Health Systems

by Fred Pennic 06/05/2019 Leave a Comment

Boston Medical Center Joins Medicaid Transformation Project with 27 Health Systems

AVIA, the nation’s leading network for health systems seeking to innovate and transform, today announced that Boston Medical Center (BMC), the largest safety net hospital and busiest trauma and emergency services center in New England is one of AVIA’s newest members. BMC will collaborate with 27 health systems in the Medicaid Transformation Project (MTP), which is led by AVIA and Andy Slavitt, former acting administrator of the Centers for Medicare & Medicaid Services. Medicaid
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You Want Patient Engagement? Make The System Navigable

by Irv Lichtenwald , CEO of Medsphere Systems Corporation 05/30/2019 Leave a Comment

Medsphere CEO Talks Affordable Healthcare IT and Future of EHRs

Last month, New York Times reporter Robert Pear died at age 69 from complications of a stroke. The name was unfamiliar to me, and I guess that’s to be expected, given what I’ve learned of the man since. Turns out Robert Pear was a thoughtful, unassuming reporter who wanted the accuracy and validity of his work to speak for him. This approach engendered much respect among his peers in the 40 years that he primarily covered healthcare policy. “Robert was an exacting reporter,” writes
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Imprivata Extends EPCS Support to Google Chrome for MEDITECH EHR Customers

by Jasmine Pennic 05/28/2019 Leave a Comment

Imprivata Extends EPCS Support to Google Chrome for MEDITECH EHR Customers

Health IT company Imprivata, today announced that Imprivata Confirm ID, a comprehensive solution for electronic prescribing for controlled substances (EPCS), now supports EPCS within the Google Chrome Web browser. This makes Imprivata Confirm ID more accessible to MEDITECH customers as the best option for ensuring a fast, seamless, and fully compliant EPCS workflow for their prescribers.Growing Importance of EPCS for MEDITECH HospitalsIn response to America’s national opioid abuse epidemic, the
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