- HMS Holdings Corp acquires Accent, a payment accuracy, and cost containment business from Intrado Corporation for approximately $155 million.- Accent’s offerings include comprehensive prospective and retrospective claims accuracy solutions, which incorporates both cost avoidance and overpayment recovery services.- Addition of service provider to commercial and Medicare Advantage health plans to expand the breadth of HMS’ prospective and retrospective claims accuracy services.HMS Holdings Corp.
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Mastercard Unveils Suite of Healthcare Solutions to Detect Fraud & Protect Health Data
- Mastercard unveils new suite of healthcare solutions to move beyond cards and reimagining how its technology and capabilities can benefit the healthcare ecosystem. - Mastercard Healthcare Solutions will develop and provide the tools needed to protect detect fraud, waste, and abuse, capture more revenue, and protect patient health data.Mastercard today unveiled Mastercard Healthcare Solutions, a new suite of products dedicated to helping healthcare partners detect fraud, waste, and abuse,
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Report: Poor Digital Experiences Are Driving Consumers to Switch Providers
- Consumer frustration is driving more than 2 in 5 U.S. people to consider switching their providers over the lack of digital engagement.- Outdated provider billing processes and a lack of digital payment options & plans are major contributing factors to late/missed payments, and the overall digital transformation of healthcare administration has been a major sore spot within U.S. healthcar- Younger healthcare consumers are significantly more frustrated, more likely to stop seeing providers
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Simplee Integrates Patient Financial Engagement Platform with Cerner RCM Solution
- Simplee integrates their patient financial engagement platform with Cerner’s revenue cycle management portfolio and consumer technology. - The integration makes it simple, efficient for providers to transform medical billing and payments into consumer-friendly experience.Simplee and Cerner Corporation today announced a new relationship aimed at price transparency, convenient billing and personalized payments options for consumers. Healthcare organizations will soon be able to use this
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Dysfunctional Patient Billing Major Distraction for Patients & Clinicians
Dysfunctional patient billing is a major distraction for both patients and clinicians, according to recent research conducted by HIMSS in partnership with OODA Health. The research report reveals patients are distracted by bills and payment concerns resulting in a lower level of compliance and adherence to medical plans. Clinicians are distracted by clerical/financial tasks that limit time with or take time away from patients. This research complicates the simple construct of patient billing as
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Report: Health Systems Are Struggling to Simplify Patient Billing & RCM Processes
Today’s health systems are prioritizing patient financial experiences, yet many still struggle to simplify patient billing and align it with revenue cycle management (RCM), according to an in-depth study, commissioned by patient payment and engagement platform Cedar and conducted by The Health Management Academy (The Academy). The Cedar and Academy study examined practices at 20 of the top 100 U.S. health systems including qualitative and quantitative analyses of 23 senior executives
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Kaiser Appoints First Chief Digital Officer, Teladoc’s New COO, Castlight Health CEO, Other Health IT Appointments
Kaiser Permanente has appointed Prat Vemana as its first chief digital officer for Kaiser Foundation Health Plan and Hospitals. In this newly created role, Vemana will lead the ongoing development and execution of Kaiser Permanente's digital vision and strategy, in collaboration with internal health plan, hospital, and medical group teams.
Atlantic Health System has named Dr. Sylvia Romm as Chief Innovation Officer. In her new role, Romm will be responsible for building new partner
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Patientco Joins Epic App Orchard Marketplace to Power Seamless Payment Experience
Patientco, a next-generation patient payment tech company has joined the Epic App Orchard Marketplace with two payments solutions:1. Patientco Patient Payments is a solution that supports self-service payments via MyChart.2. Patientco Encrypted Device Integration, which allows staff to collect payments without leaving the Epic workflow. Epic App Orchard IntegrationPatientco Patient Payments is directly embedded in Epic’s MyChart, enabling patients to pay their healthcare bills how they prefer,
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Cedar Unveils New Insurance Features for Patient Payment Platform
Cedar has announced the expansion of its patient payment and engagement solution, Cedar Pay, with innovative features designed to guide patients to the best resolution for common insurance-related issues.Patients are half as likely to pay claims with unexpected insurance adjustments (such as common denials) than they are for standard adjustments (such as a deductible), as identified by Cedar data. The gap is driven by the failure of most billing communications to proactively give patients the
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Applied Analytics: Making the Dream of Cost-Controlled Population Health a Reality
Moshe Starkman, Senior Director, Value Based Reimbursement, nThrive
Ninety percent of a solution is accurately defining the problem, however, in healthcare, much like nearly every other industry, more time and energy is spent on fixing perceived symptoms rather than identifying root caU.S.es.
Today we will explore the contribution that applied analytics has made and continues to make on bending the dramatic U.S. healthcare cost curve. To do this well we will first explore the primary cost
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