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

HealthTap Launches Eval360 for Health Plans to Expand PCP Care for Members

by Syed Hamza Sohail 11/02/2022 Leave a Comment

HealthTap Launches Eval360 for Health Plans to Expand PCP Care for Members

What You Should Know: - HealthTap, the leading virtual primary care provider, announced today the official launch of Eval360, an innovative product for health plans that enables HealthTap’s primary care doctors to conduct comprehensive virtual medical evaluations and easily share useful health data back with those partner plans, by providing a 360-degree view of a member’s health status. - HealthTap completed a successful beta period for Eval360 for over 15,000 seniors through its
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Color Acquires Mood Lifters, Launches Behavioral Health Product

by Fred Pennic 10/27/2022 Leave a Comment

Color Acquires Mood Lifters, Launches Behavioral Health Product

What You Should Know: - Color Health acquires Mood Lifters, a leading group-based mental health company and launches a new behavioral health product. The new solution will expand access to mental healthcare for organizations tackling public and population health. - Mood Lifters uses an evidence-based treatment paradigm developed by Dr. Patricia Deldin and Dr. Cecilia Votta at the University of Michigan. Crucially, groups are led by participants who have
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When Advancing a Medical Device, Be A Partner First & Seller Second to Hospital Systems

by Rolland Carlson, CEO of Immunexpress 10/21/2022 Leave a Comment

US hospital systems validate the safety, clinical utility, and robustness of newly FDA-approved devices, 510(k) cleared, before adopting them into clinical practice. This work occurs alongside evaluating how to integrate the medical device into the hospital system’s diagnostic paradigms, including in relation to quality improvement programs. Companies can have a role but there are 415 US hospital systems (comprising ~5,000 hospitals), and each has a bespoke process and ever-changing set of
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Eyenuk Raises $26M for AI-Powered Eye Screening & Predictive Biomarkers

by Syed Hamza Sohail 10/17/2022 Leave a Comment

Eyenuk Raises $26M for AI-Powered Eye Screening & Predictive Biomarkers

What You Should Know: - Eyenuk, Inc., a global artificial intelligence (AI) digital health company and the leader in real-world applications for AI Eye Screening™ and AI Predictive Biomarkers™, today announced it has secured $26 million in a Series A financing round, bringing the Company’s total funding to over $43 million. - The capital raise was led by AXA IM Alts and was joined by new and existing investors including T&W Medical A/S, A&C Foelsgaard Alternativer ApS, Kendall
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First-Ever Medicare Advantage Plan for LGBTQ+ Older Adults Launches

by Fred Pennic 10/13/2022 Leave a Comment

HLTH21: Grand Rounds Health, Doctor On Demand Rebrand as Included Health

What You Should Know: - SCAN Health Plan, a Medicare Advantage insurer known for its expertise in keeping older adults healthy and independent is launching SCAN Affirm partnered with Included LGBTQ+ Health (HMO), a first-of-its-kind Medicare Advantage plan developed exclusively for LGBTQ+ older adults, in collaboration with Included Health, the only integrated virtual care and navigation platform. - SCAN Health Plan will offer the SCAN Affirm plan to members in
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Healthfirst and MediSys Launch FHIR Platform, Hyphen

by Jasmine Pennic 10/12/2022 Leave a Comment

Healthfirst and MediSys Launch FHIR Platform, Hyphen

What You Should Know: - Healthfirst and The MediSys Health Network announced today they are using Hyphen to connect longitudinal data from claims, quality measures and electronic health records (EHRs) to identify gaps in care, making it easier for clinicians to address patient needs in real-time. - Hyphen is a cloud-based platform that uses Fast Healthcare Interoperability Resource (FHIR) standards to share member data directly into provider or hospital EHR systems, along with patient- and
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Digital Fax Solutions Alleviate Administrative Burden and Reduce Costs

by Ben Manning, Director of Product Management at etherFAX 10/07/2022 Leave a Comment

Digital Fax Solutions Alleviate Administrative Burden and Reduce Costs

At the LeadingAge Illinois 2022 Annual Meeting, Elizabeth McLaren, VP of Reimbursement and Community-Based Services, along with Steven Wermuth, MPA at Strategic Health Care, presented their analysis on the top billing mistakes. What did they find? Within long-term care providers, 8-10% of Medicare Advantage claims were denied. Shockingly, the 10% denial rate impacted revenue by $200 million! They also found that 80% of denied claims are due to missing or incorrect information used during intake
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 The Botched COVID-19 Response and What We Can Learn from It

by Johonniuss Chemweno, Founder & CEO of VIP StarNETWORK, LLC 10/07/2022 Leave a Comment

The Botched COVID-19 Response and What We Can Learn from It

The COVID-19 pandemic has completely transformed the World Order and exposed striking realities of the global healthcare infrastructure by revealing the tendencies of various countries to deal with public healthcare emergencies. It has further raised the curtain on global hegemons like the U.S.A., which lacked the capacity and finances to counter this disaster. This has intensified the need for reforms and strong legislation to mitigate the pandemic’s devastation on healthcare facilities.
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Grow Therapy Raises $75M to Expand Insurance Coverage for Mental Healthcare Nationwide

by Fred Pennic 09/29/2022 Leave a Comment

Grow Therapy Raises $75M to Expand Insurance Coverage for Mental Healthcare Nationwide

What You Should Know: - Behavioral health company, Grow Therapy secures $75 million in series B funding to expand insurance coverage including Medicare and Medicaid in all 50 states. - This round of funding was led by TCV, co-led by Transformation Capital, with support from existing backers SignalFire and SVB. Medicare/Medicaid Coverage Expansion Specifically, the areas that the company will focus on are: expanding commercial insurance and Medicare and Medicaid coverage (which are
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Rippl Launches with $35M to Transform Mental Health for Seniors

by Fred Pennic 09/28/2022 Leave a Comment

Rippl Launches with $35M to Transform Mental Healthcare for Seniors

What You Should Know: - Rippl, a new mental health startup focused on caring for seniors with dementia and other neurocognitive conditions, launched today with $32M in seed round funding led by ARCH Venture Partners and General Catalyst. The round also includes investment from GV, F-Prime Capital, and Mass General Brigham Ventures. - Rippl will use its seed funding to hire and train a team of clinicians, build technology, and open a Washington state-based clinical support center to launch
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