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Patient Access in Healthcare | Revenue Cycle Management

An Inside Look at Payer Compliance with CMS’ Patient Access API Rule

by John Kelly, Principal Business Advisor, Edifecs 11/23/2021 Leave a Comment

An Inside Look at Payer Compliance with CMS’ Patient Access API Rule

The healthcare industry is now closer than ever to its quest for true interoperable data exchange. July 1, 2021 was the enforcement date for the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule. The rule requires that all healthcare payer organizations participating in a CMS program allow members to download and share their data using API’s (Application Programming Interface). This
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Is the Smartphone Key to Unlocking Frictionless Patient Registration?

by Daniel Cidon, CTO, NextGate 11/02/2021 Leave a Comment

Smartphones Key to Unlocking Frictionless Patient Registration

Since the beginning of healthcare’s digital revolution, organizations have been striving to achieve the Triple Aim of healthcare: better outcomes, lower costs, and improved patient experiences.   While reimbursement reforms and regulatory actions have helped realize measurable gains in population health and overall spending, progress on the patient experience piece hasn’t always been as clear-cut. Firstly, patient satisfaction is a hard concept to quantify.  And the
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How Hospitals Can Help Patients Meet Financial Obligation While Driving Revenue Excellence

by Randall Shafer, EVP and Head of Hospital Business at Firstsource 11/02/2021 Leave a Comment

How Hospitals Can Help Patients Meet financial Obligation While Driving Revenue Excellence

Medical debt in the US has reached crisis proportions.  According to a recent study published by JAMA Network, unpaid healthcare bills are one of the largest sources of debt for Americans, reaching $140 billion last year.  The impact is not limited to patients. Healthcare providers are feeling the pinch as well. On average, uncompensated care accounts for approximately 8% of a hospital’s expenses.   The inability to pay medical bills is strongly correlated with a lack of
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Cerner Launches RevElate Patient Accounting for Rev Cycle Portfolio

by Fred Pennic 10/06/2021 Leave a Comment

Cerner Launches RevElate Patient Accounting for RCM Portfolio

What You Should Know: - Today Cerner announced the launch of Cerner RevElate™, the company’s go-forward patient accounting product that will bring new and enhanced capabilities to the Cerner® revenue cycle management portfolio.  - Cerner RevElate is expected to preserve and advance the clinically driven capabilities of Cerner Millennium® while adding scalable, enterprise capabilities of Soarian® Patient Accounting software.
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Salesforce Rolls Out Care from Anywhere to Improve Patient Access

by Fred Pennic 08/09/2021 Leave a Comment

Salesforce Rolls Out Care from Anywhere to Improve Patient Access and Deepen Relationships

What You Should Know: - Salesforce launches care from anywhere, new innovations that help organizations get closer to their patients, members, and customers in an always-on, digitally-enhanced healthcare system. By tapping into these innovations, they can streamline operations and ultimately, drive better health outcomes. In addition to care from anywhere, Salesforce is also rolling out: - Remote Patient Exception Monitoring for Health Cloud, which surfaces data and insights from
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Tegria, Cedar Partner to Humanize the Patient Financial Experience

by Jasmine Pennic 08/06/2021 Leave a Comment

Tegria, Cedar Partner to Humanize the Patient Financial Experience

What You Should Know: - Tegria, a Seattle-based healthcare technology, and services company, and Cedar, a New York City-based healthcare financial technology platform, announced the formation of a strategic partnership. The partnership will bring Cedar's consumer-facing financial engagement platform to Tegria customers and deliver Tegria's robust revenue cycle management expertise to Cedar's extensive client base, enabling a seamless, intuitive, and dependable financial experience for both
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Relatient Merges with Patient Access Platform Radix Health, Raises $100M+

by Jasmine Pennic 08/05/2021 Leave a Comment

Relatient Merges with Patient Access Platform Radix Health, Raises $100M+

- Today, Relatient, Inc., the leading SaaS-based, patient engagement platform, announced the signing of a definitive agreement to merge with Radix Health, a data-driven platform that helps medical practices and hospital groups optimize scheduling, patient access, and self-scheduling. Financial terms of the merger were not disclosed. - In addition, Relatient has raised $100+ million of additional growth equity capital from its existing investor, Brighton Park Capital, and its affiliates. -
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M&A: Komodo Health Acquires Breakaway Partners to Improve Patient Access

by Fred Pennic 07/26/2021 Leave a Comment

M&A: Komodo Health Acquires Breakaway Partners to Improve Patient Access

What You Should Know: - Today, Komodo Health announces the acquisition of Breakaway Partners to improve patient access to effective therapies. The acquisition brings together Komodo’s Healthcare Map and software suite with Breakaway Partners’ industry-leading formulary data, policy criteria, and analytics software to create the industry’s first prescription drug access business solution based on a comprehensive, real-time view of real-world outcomes and
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Beacon Health Launches Digital Patient Access Experience via Kyruus ProviderMatch Platform

by Jasmine Pennic 06/15/2021 Leave a Comment

What You Should Know: - Beacon Health System, a non-profit health system serving northern Indiana and southern Michigan, has launched a new digital patient access experience through the Kyruus ProviderMatch platform. The health system is now making it easier for both new and existing patients to search for care system-wide online, as well as self-schedule appointments with a growing number of providers. - After building its new enterprise-wide provider directory with Kyruus for its more
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Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity

by Healthcare Growth Partners (HGP) 04/12/2021 Leave a Comment

Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity

The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in response.  Within the Health IT industry, the already strong investment and M&A trends seen in 2020 have only accelerated.  Over the course of the quarter, we observed $7 billion in private equity and venture capital investment across 158 companies.  By comparison, Q1 of 2020 saw $3.2 billion and 127 investments.  Health IT
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