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Patient Access in Healthcare | Revenue Cycle Management

Specialty Pharma’s Next Big Opportunity: It’s Time for Patient Access to Adopt an Open Protocol

by Yishai Knobel, CEO and co-founder of RxWare 12/01/2022 Leave a Comment

Specialty Pharma’s Next Big Opportunity: It’s Time for Patient Access to Adopt an Open Protocol,

In January 2020, the financial conglomerate Visa announced it was acquiring a relatively unknown startup, Plaid, for $5.3 billion. Corporate acquisitions like these are not uncommon, but someone at the United States Department of Justice took notice of this announcement. Visa had established a stranglehold on financial transactions. The Justice Department moved to stop the acquisition on grounds that Plaid posed “a threat to this monopoly: it has been developing an innovative
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How to Empower Patients With Price Transparency

by Kyle Kiser, CEO, Arrive Health 11/29/2022 Leave a Comment

How To Empower Patients With Price Transparency

The evolution of e-commerce – led by Amazon – has created an intensely savvy consumer population. Amazon’s platform allows users to easily compare products from different vendors to get the best price. People travel to retail stores to try on clothes and shoes, only to purchase them online for less. Even the longest running game show in television history awards points for knowing how much consumer products cost.  Healthcare, on the other hand, does not engender the same kind of
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How Fines Push Hospitals To Go Beyond CMS Price Transparency Rules

by Paul Shorrosh is the CEO and founder of AccuReg 11/28/2022 Leave a Comment

Fines Push Hospitals To Go Beyond CMS Price Transparency Rules

The gamble is over for hospitals that avoided complying with CMS price transparency mandates.  After a slow start since they were implemented more than 18 months ago, CMS has issued 350 warnings for noncompliance, 157 corrective action requests, and finally issued fines to two Georgia hospitals in June. It seems many more will be on the way.  The fines are significant. The first two hospitals faced fines of roughly $880,000 and $214,000. Noncompliant hospitals with 550 beds or
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HLTH22: Curavit Raises $5M for Digital Therapeutics Clinical Research

by Fred Pennic 11/14/2022 Leave a Comment

Curavit Raises $5M for Digital Therapeutics Clinical Research

What You Should Know: - Curavit Clinical Research, a virtual contract research organization (VCRO) that specializes in decentralized clinical trials (DCTs) announced it raised $5M in Series A funding to accelerate its growing portfolio of research in the global digital therapeutics (DTx) market. The round was led by  Osage Venture Partners with additional investment from Royal Street Ventures and Narrow Gauge Ventures.  - The new funding will be used to expand
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Cultivating an Early Warning System in Healthcare Quality Through Bi-Directional Patient-Physician Engagement 

by David Voccola, Sr. Director of Global Strategy at the RWTS Integrated Health Practice at IQVIA & Angela Kennedy, Director of Strategic Operations at IQVIA 10/31/2022 Leave a Comment

Cultivating an Early Warning System in Healthcare Quality Through Bi-Directional Patient-Physician Engagement

Patient advocacy organizations and medical specialty societies can serve as a liaison between patients and providers in bi-directional engagement, closing gaps in the patient journey and ultimately driving innovation for higher quality care.  Patients are the keyholders to an enormous trove of data that is critical to taking the next step in improving the quality of their care. However, patient data collection has been a historically difficult process due to disparate data sources,
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5 Tips for Building Your Revenue Cycle Metrics Constellation

by Peter Angerhofer, Principal at Tegria & Robert Dewar, Chief Revenue Officer at Geisinger Health 10/26/2022 Leave a Comment

Building Your Revenue Cycle Metrics Constellation

If you scan a bright, clear night sky, you will likely pick out familiar shapes.  Depending on your creativity, you might see Ursa Major and Minor or perhaps only the Big Dipper and its little brother.  But those stars are not only entertaining, they also are important points of navigation used by ancient sailors, the Apollo missions, and even the Mars Rover. Just as sailors might choose the North Star to guide them, CFOs and healthcare revenue cycle leaders often seek a simple,
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Humana Taps Cohere Health to Streamline Prior Authorizations for Cardiovascular & Surgical Specialties

by Fred Pennic 10/24/2022 Leave a Comment

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

What You Should Know: - Health insurer Humana has expanded its partnership with Cohere Health to streamline the prior authorization process for cardiovascular care and surgical specialties. Both these care pathways are clinically complex, involving multiple exchanges between primary care physicians and specialists, which can contribute to costly and unnecessary variations in care. - For surgical services, Humana staff will use the Cohere Unify™
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Why It’s Time for Healthcare Organizations to Start Treating Patients Like Consumers

by Emily Goetz, VP of Commercial at Bright.md 10/12/2022 Leave a Comment

Why It’s Time for Healthcare Organizations to Start Treating Patients Like Consumers

When the pandemic disrupted routine procedures and primary care across healthcare, many care delivery organizations believed patients would eventually return to in-person care as they always have once the pandemic was over and restrictions were lifted. Pent-up patient demand for non-emergency, preventative services–everything from cancer screenings to mental health support to birth control to smoking cessation–would eventually draw patients back into the healthcare system. Patients with common
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Bridge The Health Literacy Gap for Your Patients With These Top Tips

by  Doreen DeGroff, MEDITECH Senior Product Director, CereCore 09/29/2022 Leave a Comment

Bridge the Health Literacy Gap for your Patients with these Top Tips

According to the National Assessment of Adult Health Literacy, only 12% of adults in the U.S. have proficient health literacy skills. Healthcare is a unique industry because it is wide-ranging yet highly personalized. Health literacy is important for patients, physicians and their communities. Each of these groups comes together to improve health systems and patient care, which is why mutual understanding and clear communication is vital to patient outcomes. Below, we discuss recommendations
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BrightInsight Adds Xealth, Woebot Health and Claritas Rx to the BrightInsight Ecosystem

by Syed Hamza Sohail 09/28/2022 Leave a Comment

BrightInsight Adds Xealth, Woebot Health and Claritas Rx to the BrightInsight Ecosystem

- BrightInsight, Inc., a global platform for biopharma and medtech regulated digital health solutions, recently announced the expansion of its recently launched BrightInsight Ecosystem, a network of the world’s leading healthcare and technology companies collaborating to solve healthcare’s biggest challenges to drive digital innovation, adoption and engagement. - In addition, BrightInsight is proud to be a part of General Catalyst’s Health Assurance network—comprised of healthcare technology
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