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Payment Integrity: Is AI The Real Answer to Reducing Overutilization?

by Doug Williams, Chief Operating Officer at HMS 11/06/2019 Leave a Comment

How AI is making unnecessary testing a thing of the past

Some experts estimate that $200 billion is wasted each year on unnecessary or excessive medical testing and treatment. This could be up to 40% of the unnecessary spending in the system today.  Despite the extreme focus to reduce the total amount spent on healthcare, why does extensive spending on unnecessary or excessive tests or procedures continue? The easy answer is because it is often difficult to spot what is unnecessary or excessive. There are certainly moments when overutilization of
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Q/A: Life Image CEO Matthew Michela Talks Data Sharing Challenges in Breast Imaging

by Erica Garvin 10/31/2019 Leave a Comment

Life Image CEO Talks Matthew Michela Creating Easier Access to Breast Imaging Data

- President and CEO Matthew Michela talk about how Life Image is creating easier access to breast imaging data while also solving some of data sharing’s biggest snags. Interoperability—it’s the long-awaited result that evolving HIT promised to bring with it, and yet, it still gets left behind. Disparate data is not a problem exclusive to one data type or innovation; breast imaging, for example, has created some of the toughest challenges. However, there is now an app for that. Life Image,
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Study Reveals First-Ever Predictive Model for Uncontrolled Type 2 Diabetes Related to Social Determinants

by Jasmine Pennic 10/30/2019 Leave a Comment

diabetes management qualcomm medtronic diabetes

- Landmark study released from Stanford Medical School reveals a first-ever predictive model for uncontrolled type 2 diabetes mellitus related to social determinants of health. - Peer-reviewed study released August issue of Medical Care that sheds light on an important aspect of T2DM causality, and addressing them has the potential to save the US Healthcare system billionsDr. Sanjay Basu and Dr. Rajiv Narayanaswamy, in conjunction with Stanford Medical School recently released an article in an
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HIT Governance: 7 Key Metrics For Your Quarterly Report Card

by Gerry Blass is President and CEO of ComplyAssistant 10/29/2019 Leave a Comment

HIT Governance: 7 Key Metrics for Your Quarterly Report Card

Healthcare organizations use data to support decision-making for nearly every area of operations. But what about your security and compliance strategy? What metrics are the most valuable to determine how your organization should allocate funding for health IT projects related to governance, risk, and compliance? Top Seven Metrics to Gather For A Quarterly Report Card With an ocean of data at your fingertips, it’s best to determine the metrics that will best support your strategy, and any budget
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Livongo Teams Up with MDLIVE & Doctor On Demand to Offer Telehealth Services

by Jasmine Pennic 10/28/2019 Leave a Comment

State of Connecticut Launches of Livongo for Diabetes Management Program through State Health Plan

- Livongo announced a partnership with telehealth companies MDLIVE and Doctor On Demand to enable access to virtual acute and primary care services for people living with chronic conditions. - Livongo will begin by offering telehealth within the Livongo for Behavioral Health solution in January 2020 and will soon expand to additional use cases including medication management for diabetes, hypertension, and other opportunities to effectively close gaps in care. Livongo Health, an Applied Health
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AVIA Launches Partner Network with Cerner, Deloitte, AHA, HFMA

by Jasmine Pennic 10/28/2019 Leave a Comment

AVIA Lands $22M to Expand Healthcare Innovation Network to New Markets

Healthcare innovation network AVIA launches AVIA Partner Network for health systems to gain access to proprietary insights and resources.American Hospital Association, Deloitte, Cerner Corporation, and the Healthcare Financial Management Association among leading organizations collaborating to accelerate digital transformation in healthcare.AVIA, the nation’s leading healthcare innovation network, today announced the launch of the AVIA Partner Network, which brings together several prominent
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Sun Genomics Delivers Personalized Probiotics In Only 6 Weeks to Address Gut Health Issues

by Fred Pennic 10/25/2019 Leave a Comment

Sun Genomics Delivers Personalized Probiotics In Only 6 Weeks to Address Gut Health Issues

- Sun Genomics launches personalized probiotic solution to identify and address individual gut health issues to improve the health of millions of Americans. - Solution delivers precise probiotic formula required for each person to address their own unique gut health issues in just six weeks. - Sun Genomics Floré includes a kit to collect a micro-stool sample, a full microbiome analysis report, and a 90-day supply of precision probiotics.Sun Genomics today launched the first customized
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Cognoa Launches Pivotal Study of Diagnostic Aid for Autism

by Fred Pennic 10/25/2019 Leave a Comment

Cognoa Awarded FDA Breakthrough Designations for Diagnostic and Digital Therapeutic Devices for Autism

- Cognoa launches a pivotal study to demonstrate the effectiveness of its diagnostic aid for autism spectrum disorder (ASD).- The results of this pivotal study will be the basis for the submission to the FDA in 2020.  - The Cognoa digital diagnostic aid has the potential to become the first cleared medical device to help diagnose autism intended to be used by pediatricians and primary care physicians.Cognoa, a Palo Alto, CA-based pediatric behavioral health company developing digital medicines,
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How Value-Based Care is Changing the Way You Build Digital Health Companies

by Sean Walker, Partner at The Bowdoin Group, Josh Gottlieb (Managing Director, Digital Health) at The Bowdoin Group, and Michelle Mattson-Hamilton, Associate Principal at ST Advisors 10/24/2019 Leave a Comment

After years of talk, fee-for-service payment models are finally being challenged in a real way. With value-based care, providers are reimbursed based on patient health outcomes rather than the number of patients they see, which has begun to pass the burden of cost from insurers and employers to providers and patients. Fundamentally, value-based care requires vendors as well as providers to operate differently, but new revenue models and a new approach to hiring deserve special consideration. In
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Data: The Foundation For Collaborative Leadership To Deliver High-Value Care

by Karen Conway, Vice President, GHX and Li Ern Chen, MD MSCS 10/23/2019 Leave a Comment

Data: The Foundation For Collaborative Leadership To Deliver High-Value Care

The move to a healthcare system that rewards the value delivered to patients vs. the volume of services performed is no easy task. Healthcare providers, including hospitals and physicians, face decreasing reimbursements as both commercial and government payors implement new payment models designed to more closely align the activities of various organizations and practitioners involved in patient care. Better coordination has been found to both improve the quality and lower the cost of care,
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