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Payers| Payer Industry Impact for Patients, Clinicians, and Healthcare Organizations | News, Analysis, Insights - HIT Consultant

Healthcare PE Firm Heritage Group Launches $300M Health Tech Fund

by Fred Pennic 01/14/2021 Leave a Comment

Heritage Group

Partners David McClellan, Rock Morphis, Paul Wallace (Left to Right) What You Should Know: - Healthcare private equity firm Heritage Group launches a $300M fund to invest in high-growth healthcare services and technology companies. - Heritage is backed by some of the leading healthcare organizations in the nation, including large provider systems, payers, and healthcare service providers. Heritage Group, a Nashville, TN-based healthcare-focused private equity firm, today
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NeuroFlow Secures $20M for Tech-Enabled Behavioral Health Integration Platform

by Fred Pennic 01/13/2021 Leave a Comment

NeuroFlow Secures $20M for Tech-Enabled Behavioral Health Integration Platform

What You Should Know: - NeuroFlow raises $20M to expand its technology-enabled behavioral health integration platform, led by Magellan Health. - NeuroFlow’s suite of HIPAA-compliant, cloud-based tools simplify remote patient monitoring, enable risk stratification, and facilitate collaborative care. With NeuroFlow, health care organizations can finally bridge the gap between mental and physical health in order to improve outcomes and reduce the cost of care. NeuroFlow, a
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Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

by Fred Pennic 01/12/2021 Leave a Comment

Net Health Acquires Post-Acute Analytics Platform PointRight – M&A

What You Should Know: -  Net Health acquires post-acute market analytics platform PointRight to deepen the company’s analytics capabilities, post-acute presence, and support for SNF networks. Net Health, a provider of cloud-based software for specialty medical providers across the continuum of care, today announced that it has acquired PointRight Inc., a leading provider of analytics and data-driven tools for the post-acute market. The acquisition adds to Net Health’s expanding
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COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

by Fred Pennic 01/08/2021 Leave a Comment

COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

What You Should Know: - COVID-19 care deferrals lead to three major boomerang conditions that payers and providers must proactively address in 2021, according to a newly released report by Prealize. - COVID-19’s hidden victims—those who avoided or deferred care during the pandemic—will increasingly return to the healthcare system, and many will be diagnosed with new conditions at more advanced stages. Healthcare leaders must act now to keep this boomerang from driving worse outcomes
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Xealth’s CEO Shares Impact of Digital Health in 2020 and What’s Ahead in 2021

by Fred Pennic 01/07/2021 Leave a Comment

Xealth’s CEO Shares Impact of Digital Health in 2020 and What’s Ahead in 2021

Mike McSherry, CEO & Co-founder of Xealth HIT Consultant sat down with Mike McSherry, CEO, and co-founder of Seattle-based digital prescription platform Xealth to discuss digital health lessons learned in 2020 and what we can expect in 2021. As Xealth’s CEO, Mike also works with Duke Health, UPMC, Atrium Health, and The Froedtert & the Medical College of Wisconsin health network where he uses his background in digital health to connect patients and care teams outside of traditional
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4 Quick Tips for Getting COVID-19 Claims Paid Promptly

by Lillian Phelps, Sr. Director of Product Management, Availity 01/07/2021 Leave a Comment

4 Quick Tips for Getting COVID-19 Claims Paid Promptly

Lillian Phelps, Sr. Director of Product Management, Availity As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point.  We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, in less-fortunate scenarios, comfort patients in their last moments as they were quarantined from loved
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UnitedHealth Group Acquires Change Healthcare to Combine with OptumInsight for $13B

by Fred Pennic 01/06/2021 Leave a Comment

Change Healthcare Acquires Credentialing Tech Docufill to Improve Administrative Efficiency

What You Should Know: - UnitedHealth Group has reached an agreement to acquire Change Healthcare in a deal valued at more than $13 billion, marking the first major acquisition of 2021. - Change Healthcare will be combined with OptumInsight to advance a more modern, information, and technology-enabled healthcare platform. UnitedHealth Group’s has reached an agreement to acquire healthcare technology leader Change Healthcare for more than $13B. As part of the acquisition,
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2020’s Top 20 Digital Health M&A Deals Totaled $50B

by Fred Pennic 12/31/2020 Leave a Comment

2020’s Top 20 Digital Health M&A Deals Totaled $50B

Teladoc Health and Livongo Merge The combination of Teladoc Health and Livongo creates a global leader in consumer-centered virtual care. The combined company is positioned to execute quantified opportunities to drive revenue synergies of $100 million by the end of the second year following the close, reaching $500 million on a run-rate basis by 2025. Price: $18.5B in value based on each share of Livongo will be exchanged for 0.5920x shares of Teladoc Health plus cash consideration of
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CIO: 3 Rules for Meeting ONC/CMS Interoperability, While Improving Cybersecurity

by Scott Galbari, CTO & Drew Ivan, Chief Product and Strategy Officer, Lyniate 12/31/2020 Leave a Comment

CIO: 3 Rules for Meeting ONC/CMS Interoperability, While Improving Cybersecurity

Scott Galbari, CTO, LyniateDrew Ivan, Chief Product and Strategy Officer, Lyniate Healthcare data security has been a growing concern for CIOs for the last year or so, as hackers are increasingly targeting health information. Now, with a global pandemic forcing a shift to telemedicine and remote work, and new rules from the ONC and CMS introducing more regulatory burden, healthcare CIOs have more to manage than ever. Fortunately, it is possible to roll out new capabilities while
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30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

by Fred Pennic 12/30/2020 Leave a Comment

30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various institutions, geographies, patient demographics, and medical scanners. The sensitivity and selectivity of these models are outperforming AI models
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