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

AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model

by Jasmine Pennic 04/04/2019 Leave a Comment

AHIMA, AHCA Partner to Train Skilled Nursing Facilities in ICD-10 Coding to Prepare for New Patient Driven Payment Model

The American Health Information Management Association (AHIMA) has announced a collaboration with the American Health Care Association (AHCA) to provide in-depth coding and clinical documentation improvement (CDI) training programs. The goal of the collaboration is to help professionals in skilled nursing facilities (SNF) prepare for the upcoming payment reimbursement change.New, Value-based Patient Driven Payment Model (PDPM) Beginning October 1, 2019, the Centers for Medicare and Medicaid
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Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors

by Fred Pennic 04/03/2019 Leave a Comment

Blue Cross NC, Duke Health Form New Company to Offer Medicare Advantage Plan for Seniors

Blue Cross and Blue Shield of North Carolina and Duke University Health System have together formed Experience Health, a new health insurance company to offer a Medicare Advantage Plan in 2020. Jointly owned by Blue Cross NC and Duke Health, Experience Health brings together two of the most trusted and innovative names in healthcare to create a locally owned and operated non-profit health plan.Why Experience Health?Blue Cross NC and Duke Health formed Experience Health to take advantage of the
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AMA, UnitedHealthcare Develop ICD-10 Codes to Support Social Determinants of Health

by Fred Pennic 04/03/2019 Leave a Comment

Social determinants of health

UnitedHealthcare and the American Medical Association (AMA)  are teaming up to support using data for social determinants of health (SDOH) to improve and simplify how referrals are made to social services. The collaboration builds off work initiated by UnitedHealthcare to standardize how data is collected, processed and integrated regarding critical social and environmental factors that contribute to patient well-being. New ICD-10 related to Social Determinants of Health (SDOH) Today, nearly 80%
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Telemedicine: A Potential Remedy to Rural Healthcare Ills?

by Mary Tolan, Co-Founder and Managing Partner at Chicago Pacific Founders 04/03/2019 Leave a Comment

Volume to Value: The Transformation Poised to Revolutionize Medicine

Mary Tolan, Co-Founder & Managing Partner at Chicago Pacific Founders The symptoms are innocuous enough at first. They begin with simple fatigue; readily explainable by a day spent working under the hot sun. The thirst sets in next, then the persistent hunger. The farmer brushes his symptoms off as simple work-caused exhaustion, and rationalizes that anyone would be tired, hungry, and thirsty after a long day in the field - he's getting older, after all. He thinks little of it until his
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Rock Health Q1 2019: Digital Health Funding Breaks $986M

by Fred Pennic 04/02/2019 Leave a Comment

Rock Health Q1 2019: Digital Health Funding Breaks $986M

Digital health funding reached $986M across 61 digital health deals in Q1 2019, according to Rock Health, a full-service venture fund dedicated to digital health. The Q1 2019 funding represents about half of the $1.62B that was raised a year ago in Q1 2018 but in line with 2017 and 31% below 2016. Compared to the $1.2B in Q4 2018, quarterly funding has averaged $1.4B over the past two years (Q1 2017-Q1 2019). Rock Health signals the $986M invested in this past quarter are somewhat below
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Imprivata Integrates Biometric ID with Verato’s Patient Matching

by Jasmine Pennic 04/02/2019 Leave a Comment

Imprivata Integrates Biometric ID with Verato’s Patient Matching

Imprivata, a healthcare IT security company, and Verato, a provider of patient identity matching solutions, today announced an integration partnership to offer a comprehensive solution for patient identification and record matching challenges. The integration will link links Imprivata PatientSecure, a positive patient identification solution for healthcare, with Verato Universal™ MPI, a cloud-based master patient index (MPI) solution powered by Verato’s proprietary referential matching
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HIMSS19 Day 2 Announcements & Summary

by Fred Pennic 02/12/2019 Leave a Comment

4 Trends We Expect to See at HIMSS 2019

 Accenture: Millenials & Gen Z Are Shifting to Virtual, Retail, Clinic, Digital CareMillennial and Gen Z consumers in the U.S. are rapidly adopting non-traditional care models, such as retail clinics, virtual and digital services, according to results of an Accenture survey of 2,000 consumers.Key findings of the survey study include:- When considering traditional in-person care, millennials (ages 22 to 38 in 2019) were two to three times more likely than baby boomers (ages 55 to 73) to be
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Former ONC Chief Karen DeSalvo Joins LRVHealth as Executive Advisor

by Jasmine Pennic 01/30/2019 Leave a Comment

Former ONC Chief and Assistant Secretary Karen DeSalvo Joins LRVHealth as Executive Advisor

Former ONC Chief and Assistant Secretary at HHS joins “Inside Healthcare” investing platform focused on identifying and nurturing digital health innovation. Dr. Karen DeSalvo, who served as National Coordinator for Health Information Technology and Assistant Secretary for Health (Acting) during the Obama administration is joining LRVHealth as an executive advisor. LRVHealth is an early-stage venture platform exclusively focused on finding, investing in and building disruptive new digital health,
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AMA-RAND Study: Physician Payment Models are Becoming More Complex

by Fred Pennic 10/26/2018 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery

by Jasmine Pennic 10/24/2018 Leave a Comment

Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery

Mingle Analytics Inc., a provider of Medicare quality reporting, and SilverVue, Inc., a supplier of care management software, today announce their merger. Mingle Health is a new company focused on transforming value-based care delivery by solving the pain points in quality reporting while improving patient outcomes and strengthening practice health.Together, Mingle Health will deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices,
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