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Patient Access in Healthcare | Revenue Cycle Management

COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

by Elizabeth Bierbower, Former President of Humana's Group & Specialty Division 11/25/2020 Leave a Comment

Compliance and COVID: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

Healthcare can achieve optimum efficiency when patients are at the center of care. When patients have the necessary information to navigate their care journey, they will choose the path to high-quality care at the lowest costs. Cost-sharing and insurance premiums are rising consistently since the last decade for employer plans, which covers nearly half of the country’s population. Plan members are shouldering a part of the healthcare cost burden, so they want to keep it as low as possible. At
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Nuance Sells Off Transcription and EHR-Go-Live Businesses to DeliverHealth

by Fred Pennic 11/18/2020 Leave a Comment

Nuance Sells Off Transcription and EHR-Go-Live Services Businesses to DeliverHealth

What You Should Know: -   Nuance announced that it’s planning to sell two sections of its healthcare business – Health Information Management (HIM) and Electronic Health Record (EHR) Go-Live Services to a new independent company, called DeliverHealth, in early 2021. - Nuance will be a minority shareholder of DeliverHealth and continue to provide its technology to the company. Nuance Communications, Inc., today announced the planned sale of the Health Information Management (HIM)
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4 Ways to Combat Hidden Costs Associated with Delayed Patient Care During COVID-19

by Matt Dickson, VP of Product, Strategy, and General Manager, Stericycle Communication Solutions 11/06/2020 Leave a Comment

Matt Dickson, VP, Product, Strategy, and Communication Solutions at Stericycle

COVID-19 terms such as quarantine, flatten the curve, social distance, and personal protective equipment (PPE) have dominated headlines in recent months, but what hasn’t been discussed in length are the hidden costs of COVID-19 as it relates to patient adherence.   The coronavirus pandemic has amplified this long-standing issue in healthcare as patients are delaying routine preventative and ongoing care for ailments such as mental health and chronic disease. Emergency care is also
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Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

by Jasmine Pennic 10/28/2020 Leave a Comment

Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

What You Should Know: -  Innovaccer launches member engagement solution for healthcare payers to drive improvement in healthcare cost and quality boosts member satisfaction and enhances member enrollment and retention. - Innovaccer's solution create member-oriented care plans, enhance connectivity with care managers, and drive interventions for social determinants of health risks through the solution. Innovaccer, Inc., a leading healthcare technology company, has launched its
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Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment

by Fred Pennic 10/22/2020 Leave a Comment

Cohere Health Launches with $10M to Increase Transparency Across Care Journey

What You Should Know: - Cohere Health partners with health insurer Humana to modernize the prior authorization process for musculoskeletal treatment across 12 states. - In addition, the company has closed an additional $10M in funding led by Flare Capital Partners and Define Venture, bringing the company’s total funding to $20M. Health insurer Humana has signed an agreement with healthcare collaboration company Cohere Health to improve the prior authorization process for
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Baptist Health Implements First-of-its-Kind ED to PCP Referral Automation

by Jasmine Pennic 10/22/2020 Leave a Comment

Baptist Health Implements First-of-its-Kind ED to PCP Referral Automation

What You Should Know: - Baptist Health deploys first-of-its-kind conversational digital assistant powered by LifeLink for patients who are discharged from the Emergency Department (ED) with referrals. - Since launch, the conversational chatbot solution, which engages patients with mobile messaging to recommend follow-up care, the number of PCP appointment requests have increased by 15%. The technology is integrated into Cerner and Salesforce, personalizing the patient experience by
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CommonWell Enables Payer Access to Nationwide Interoperability Network

by Fred Pennic 10/21/2020 Leave a Comment

FHIR-based APIs Health Gorilla Becomes Largest CommonWell Connector

What You Should Know:   - CommonWell Health Alliance enables payer access with the addition of a new service provider, DataFile Exchange to support the operational services specific to the Payment and Health Care Operations use case. CommonWell Health Alliance today announced it is extending its interoperability services to enable additional use cases beyond treatment and patient access, starting with Payment and Health Care Operations data requests. Data File Exchange
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The Future of Patient Access: From Appointment Reminders to Automated Patient Journeys

by Rick Halton, Vice President of Marketing, Lumeon 10/19/2020 Leave a Comment

The Future of Patient Access: From Appointment Reminders to Automated Patient Journeys

The concept of 'Patient Access' has evolved significantly. We all remember the good old days when patient access was an inbound responsive model – patients dialed into a call center phone number and were connected "round-robin" to the next available staff member with their call script. Then outbound voice and email messages and patient appointment reminders became common, and now access centers have begun to deploy more advanced communication channels such as natural language voice response,
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Clearwave Acquires Digital Patient Access Solutions Odoro

by Jasmine Pennic 10/13/2020 Leave a Comment

Clearwave Acquires Digital Patient Access Solutions Odoro

What You Should Know: - Clearwave acquires Odoro, a provider of digital patient-access solutions that makes the scheduling process easier and more efficient for both healthcare providers and patients. - Clearwave, a pioneer in digital check-in is poised to deliver the industry’s most comprehensive patient-engagement platform with the addition of Odoro’s rich, multi-channel scheduling capabilities. Clearwave, a healthcare industry leader in digital check-in and eligibility
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PreferredOne Becomes First Health Plan to Cover Prescription Digital Therapeutics

by Fred Pennic 09/23/2020 Leave a Comment

PreferredOne Becomes First Health Plan to Cover Prescription Digital Therapeutics

What You Should Know: - PreferredOne teams with Pear to provide its members with covered access to two prescription digital therapeutics (PDTs) for the treatment of substance use disorder (SUD) and opioid use disorder (OUD) - PDTs are a new therapeutic class that uses software to directly treat disease. Like traditional medicines, PDTs are tested in randomized controlled trials demonstrating safety and effectiveness, evaluated and authorized by regulators like FDA, and used under the
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Qualtrics Acquires Press Ganey Forsta for $6.75B to Create the Most Comprehensive AI Experience Platform

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Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

Pfizer and Trump Administration Announce Landmark Agreement to Lower Drug Costs

KLAS Report: Epic's Native Ambient Speech Tool Reshapes Customer AI Strategies

KLAS Report: Epic’s Native Ambient Speech Tool Reshapes Customer AI Strategies

Epic Unveils MyChart Central and New APIs to Advance Interoperability at Open@Epic

Epic Outlines Roadmap for Next-Generation Data Sharing at Open@Epic

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

Epic Launches Comet: A New AI Platform to Predict Patient Health Journeys

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

RevSpring to Acquire Kyruus Health, Creating a Unified Patient Experience

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