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

How Blockchain Technology Could Help Prevent Medical Fraud

by Kayla Matthews, Contributing Writer 07/10/2018 Leave a Comment

How Blockchain Technology Could Help Prevent Medical Fraud

Most people know blockchain as the transaction ledger associated with cryptocurrency transactions. However, evidence suggests a specific use for it that applies to health professionals — reducing medical fraud. Blockchain’s Innate Characteristics May Cut Down on FraudIndividuals think blockchain shows promise for minimizing fraud in medicine because of some of the features it offers. For example, many fraudulent practices in the health industry and elsewhere begin when people manipulate or
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OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine

by Jasmine Pennic 04/26/2018 Leave a Comment

OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine

Pittsburgh-based OnlyBoth Inc., today announced the launch of its no-cost Home Health Agency benchmarking engine, which applies innovative artificial intelligence (AI) technology to Medicare data previously gathered about providers. The unique engine delivers text-based insights so users can easily compare and contrast home health agency performance for informed decision-making.As transparency becomes more of a requirement, particularly with the CMS news about the prices this week, so will
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CareSet Labs Releases Next-Gen Medicare Doctor Referral Dataset

by HITC Staff 06/28/2017 Leave a Comment

CareSet Labs Releases Next-Gen Medicare Doctor Referral Dataset

CareSet Labs has announced the release of Root NPI Graph, a new version of the “shared Medicare patients in time” provider teaming dataset. The Root NPI graph is the next-generation version of the Doctor Referral teaming dataset commonly available from Medicare. The dataset can be used by data scientists, researchers and innovators including pharmaceutical companies to help decode Medicare claims data to guide new drug launches.Created by Fred Trotter through the Freedom of Information Act
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Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program

by Fred Pennic 06/07/2017 Leave a Comment

Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program

Following a slow start, U.S. physician groups have significantly accelerated their adoption of a key federal program aimed at improving the care of Medicare patients with chronic disease, while they remain relatively in the dark about the details of the 2015 law that the program has come to support.Forty-one percent of physician groups have launched a Chronic Care Management (CCM) program that meets the requirements for reimbursement by the Centers for Medicare and Medicaid Management (CMS),
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NantCare Unveils Solutions to Support CMS Oncology Care Model

by HITC Staff 11/03/2016 Leave a Comment

NantCare Unveils Solutions to Support CMS Oncology Care Model

NantCare, a member of the NantWorks will be providing community oncology practices with solutions  and resources that will help these practices comply with the administrative and clinical requirements put forth by the CMS’ new Oncology Care Model (OCM). Typically only available at large cancer institutions,  NantCare will provide access to clinical trials through facilitation of participation in Cancer MoonShot 2020’s QUILT Trials, eliminating the need for patients to travel to major cancer
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Highmark to Offer Welltok’s CaféWell Rewards Platform for Medicare Plans

by Jasmine Pennic 10/13/2016 Leave a Comment

IBM Watson AHA Welltok

Highmark, the fourth largest Blue Cross and Blue Shield-affiliated company has partnered with Welltok to reward Highmark’s Medicare Advantage Passport program members for healthy actions through Welltok’s CaféWell Rewards platform. By creating a single destination where seniors can access information related to their health and well-being, the collaboration aims to close gaps in care and advance population health efforts. With Welltok’s CaféWell Rewards, Highmark is now rewarding healthy
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3 Trends Driving Medicare Towards Bankruptcy

by Fred Pennic 10/21/2015 Leave a Comment

Medicare Bankruptcy

  The 50-year old Medicare program is not aging well; and that’s not good news for seniors, according to a new report by National Center for Policy Analysis Senior Fellow Devon Herrick. When President Johnson signed the Medicare program into law on July 30, 1965, no one anticipated the program to grow at the rate it has. In 2014, the Medicare program spent over $613B to cover healthcare for 54 million beneficiaries. The law states that seniors do not qualify for Medicare until age
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Meaningful Use Stage 3 Proposed Rule: 5 Takeaways for Physicians

by Margalit Gur-Arie 03/24/2015 6 Comments

Physician Burnout_10 Mandatory Issues for Physicians to Watch in 2015_Comprehensive Primary Care Plus Model

On March 20, 2015 the stars aligned to produce four simultaneous events that will never again coincide during the life of human civilization. The first three, the vernal equinox, a total solar eclipse and a new supermoon, were brought to us by the stars themselves, and the fourth one was thrown out there by the government. The regulations for Meaningful Use Stage 3 were finally published. Meaningful use of electronic health records (EHR) was presented to us back in 2009 as part of a stimulus
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EHR Usability for Ongoing Optimization

by Dr. Stephen Beck 12/08/2014 Leave a Comment

ePatient Movement_Clinical Decisions at the Point of Care

Dr. Stephen Beck, CMIO at Mercy Health (formerly Catholic Health Partners) discusses how his organization is approaching EHR usability to deliver improvements in efficiency, care quality and provider satisfaction.  Nearly every day I read a new article about physician dissatisfaction with EHRs. There seems to be many reasons for this attitude. Part of it is the need for better data collection tools to ensure ongoing optimization to keep pace with changing regulations. For example, an October
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Meaningful Use The Stats [Infographic Wednesdays]

by Fred Pennic 08/08/2012 19 Comments

Meaningful Use Overview Infographic

Greenway Medical infographic provides a visual overview of Meaningful Use EHR Incentive Program payments, registration, and attestations.
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