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

CMS Approves Livongo As An Enrolled Provider for Medicare Advantage Members

by Fred Pennic 04/30/2019 Leave a Comment

CMS Approves Livongo As An Enrolled Provider for Medicare Advantage Members

Livongo, the leading Applied Health Signals company announced that it has been approved by the Centers for Medicare and Medicaid Services (CMS) as an enrolled provider for Medicare Advantage members. In addition, starting in June, the Livongo for Diabetes program will be available to Medicare Advantage members of Cambia Health Solutions' regional health plans.Empowering America's Senior PopulationCambia reaches nearly 70 million Americans nationwide, including more than two million people in the
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Cardiogram’s Wearable Based Monitoring Tool Is Now Covered by Oscar

by Fred Pennic 04/26/2019 Leave a Comment

Cardiogram’s Wearable Based Monitoring Tool Is Now Covered by Insurer Oscar

Cardiogram is a digital health company announced that it's wearable-based monitoring for atrial fibrillation and diabetes is now covered by Oscar Health Insurance, without paying out of pocket. The coverage will help provide end-to-end preventive care: continuous wearable monitoring, convenient testing, contextualized results, and clinical triage.Impact of Chronic ConditionsFor chronic conditions like diabetes, atrial fibrillation, hypertension, and sleep apnea, anywhere between 20–80% of cases
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Why 2018 May Have Been A High-Water Mark for Digital Health Funding

by Michael A Greely, Co-Founder & General Partner at Flare Capital Partners 04/24/2019 Leave a Comment

Pandemic Further Exposes Systemic Racism… Healthcare Technology Digital Health

Notwithstanding the quite significant stock market turmoil for publicly traded healthcare companies in recent months, the level of private investment activity continued to be quite strong this past quarter. According to Rock Health, 1Q19 registered just under $1.0 billion of investments made in 61 healthcare technology companies, which while below the trailing two year quarterly average of $1.4 billion, still suggests an annual investment pace running toward $4.0 billion. StartUp Health, which
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CMS Primary Cares Initiative With 2 New Payment Models Launches

by Jasmine Pennic 04/24/2019 Leave a Comment

How Will The Primary Care Model Evolve in 2015

On Monday, CMS Secretary Alex M. Azar II announced the launch of CMS Primary Cares—an initiative with two sets of new payment models that will enroll a quarter or more of traditional Medicare beneficiaries and a quarter of providers in arrangements that pay for keeping patients healthy, rather than ordering procedures.New Primary Care Payment Models1. The Primary Care First path will allow smaller primary care practices to be paid a simple, flat stream of revenue for each patient. When a patient
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Innovaccer Launches AI-Powered Pediatric Care Management Solution

by Jasmine Pennic 04/22/2019 Leave a Comment

Innovaccer Launches Its Pediatric Care Management Solution

Innovaccer Inc., a San Francisco-based data activation company, today announced the launch of its Pediatrics Care Management solution specifically designed to bring the entire care network together to fulfill every child’s needs. The solution will assist pediatric care organizations in bringing together information that spans across multiple venues, clinicians, and stages of life.Pediatric-Specific Measures Are Not Widely AvailableValue-based payment reforms have made quite an impact on US
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AllyAlign Health Raises $10M to Power Value-Based Care for Seniors

by Fred Pennic 04/17/2019 Leave a Comment

AllyAlign Health Raises $10M to Power Value-Based Care for Seniors

AllyAlign Health, a Richmond-based developer and administrator of Medicare Advantage special need plans that benefit long-term care providers has raised $10M in strategic funding led by McKesson Ventures. Existing investors Heritage Healthcare Innovation Fund, Health Enterprise Partners and the LinkAge Fund also participated in the financing. This brings the total capital raised to over $41 million.AllyAlign Health BackgroundAllyAlign Health (AAH) began reforming the health system in 2014 by
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How Can Health System Command Centers Reduce Cost Growth?

by Scott Newton, DNP, RN, MHA, EMT-P, VP of Care Model Solutions at Teletracking 04/17/2019 Leave a Comment

How Can Health System Command Centers Reduce Cost Growth?

Scott Newton, DNP, RN, MHA, EMT-P, VP of Care Model Solutions at Teletracking  In our decentralized care landscape, health system command centers (HSCC) are coordinating high-quality care through complex and integrated delivery networks (IDN). Recently, command centers were recognized by KLAS and Gartner as a new model of care delivery with the potential to impact clinical, financial, and operational outcomes. That means in addition to improving routine health system operations—and increasing
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InterSystems Unveils New HealthShare Provider Directory with Unified Care Record

by Jasmine Pennic 04/17/2019 Leave a Comment

InterSystems Unveils New HealthShare Provider Directory with Unified Care Record

InterSystems has announced the 2019.1 version of the HealthShare® product suite of connected health solutions. The newest member of the suite is the HealthShare Provider Directory, which offers a single source of truth for provider demographic and professional relationship information.Impact of Inaccurate Provider InformationInaccurate provider information has consequences – for patients, payers, and the providers themselves. Wrong telephone numbers and location information limits access to
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The Four Cs: A Call to Action for Digital Health Tools

by Dr. Nirmal Patel, MD, MPH, Chief Clinical Transformation Officer at Babyscripts 04/15/2019 Leave a Comment

The Four Cs: A Call to Action for Digital Health Tools

The United States spends more of their GDP on healthcare than any other developed nation, and yet it produces some of the poorest outcomes — notably in the field of maternal and infant health. The advent of digital health has presented the opportunity for a paradigm shift in the delivery of care, and support from investors and policy-makers shows that as far as they’re concerned, digital health is not a new frontier for healthcare, but the current playing field. A staggering $14.6B in funding
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Cerner, naviHealth to Launch Medicare BPCI Advanced Offering

by Jasmine Pennic 04/12/2019 Leave a Comment

Cerner, naviHealth to Launch Medicare BPCI Advanced Offering

Cerner and naviHealth, a provider of post-acute management has announced an expanded relationship with plans to create a new offering for the Medicare’s Bundled Payments for Care Improvement Advanced program (BPCI Advanced). After working together for five years to streamline electronic workflows for post-acute discharge, Cerner and naviHealth anticipate launching the new value-based care offering to support BPCI Advanced, with an initial focus on the next CMS launch of the program in January
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