What You Should Know:
- Health Gorilla, a Health Information Network and interoperability provider, has been selected by MEDITECH as the technology platform for Traverse Exchange Canada — a first-of-its-kind interoperability network that will enable the seamless flow of health information between participating organizations across Canada.
- Powered by Health Gorilla’s Health Interoperability Platform, Traverse Exchange Canada will ensure that comprehensive clinical information is
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Payers| Payer Industry Impact for Patients, Clinicians, and Healthcare Organizations | News, Analysis, Insights - HIT Consultant
The Desire for Cost Savings Driving Key Trends in Healthcare Market
The healthcare market underwent significant changes during the pandemic as patients rethought how they received care, including opting for more telehealth and deferred elective procedures, but patient care is now normalizing as patients return to the office. However, payers are working to reduce the cost of care to reel in healthcare costs and keep premiums lower to remain competitive, driving key changes.
Ambulatory Surgery and Home Care
Surgeries are increasingly moving away from
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Solera Health Launches First-of its-kind Women’s Health Offering for Payers & Employers
What You Should Know:
- Solera Health announced the launch of the most comprehensive Women's Health network of digital and community point solutions for payers and employers.
- Solera’s unique Women’s Health network covers the full spectrum of women’s health needs, including those underserved by today’s market, to bring more access to women who need it, when they need it.
Solera’s New Women’s Health Network with 5
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Aspen RxHealth Launches Clinical Pharmacy Services Platform for Payers
What You Should Know:
- Aspen RxHealth recently announced the launch of Alliance by Aspen RxHealth, a clinical pharmacy services model serving payers across the nation.
- For the first time, the new model will allow health plans' in-house pharmacy teams to utilize Aspen RxHealth's proprietary platform and support services to complete pharmacy consultations for their member or patient populations—eliminating the need for a sizable investment to create a homegrown
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Payers Must Increasingly See The Consumer As The Customer
Last year, the average annual premium for employer-sponsored family health coverage rose 4% to $22,221—including employer and worker contributions—according to the Kaiser Family Foundation. While employers are most often the ones selecting the health plan options and insurance for employees, the worker is the one who is left to navigate the healthcare continuum (including their true cost of care). In a recent study, 96% of patients indicated that the quality of their financial experience
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Bain Capital PE Makes Strategic Investment in CitiusTech
What You Should Know:
- CitiusTech, a leading provider of technology and consulting services to healthcare and life sciences companies, today announced a strategic growth investment from Bain Capital Private Equity (“Bain Capital”).
- Bain Capital joins Baring Private Equity Asia (“BPEA”), which acquired a majority stake in CitiusTech in 2019, as a significant shareholder to accelerate the Company’s growth. Financial terms of the private transaction were not disclosed.
Technology-Driven
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Quality vs. Quantity: The Case for Clinician-Centric Technology
Care providers continue to face mounting pressures – from increasing staffing shortages to balancing patient needs across in-person and virtual settings and managing pent-up patient demand. Rather than navigating through fragmented digital solutions that feed care providers disparate data, more and more clinicians now rely on connected technology to access the care context, i.e. the right patient data translated into reliable actionable insights at the right point in their workflow.
To truly
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Medical Gaslighting Remains Rampant for Women: Whose Job Is It To Stop It?
Have you ever gone to a medical appointment, knowing and feeling with certainty that something is wrong, only to have a doctor downplay and write off your symptoms?
Medical gaslighting, a relatively new, non-clinical term, refers to the practice of minimizing or dismissing a patient’s symptoms, concerns, or experiences. Often, symptoms are written off as psychological in nature, or patients are told that what they are experiencing isn’t serious or that it is normal.
The problem
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Health IT for Emerging “Payviders”
Though doubts about the benefits of the “payvider” model certainly exist, the success of recent payer-provider partnerships showcases the potential of these programs to improve the patient and provider experience. A study of Aetna’s integrated program, for example, found that plan members could realize significant savings for high-cost chronic conditions and experience fewer hospital admissions. A similar report from Cigna echoed these conclusions, finding that integrated benefit plans resulted
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Why Data is at the Heart of Value-Based Care Success
The saying “you cannot manage what you cannot measure” applies to all aspects of healthcare delivery, but it is especially true in value-based care. After all, payers, providers, and the patients they care for need to know what high-value care looks like at an individual level – and how it can be applied at the population level.
Delivery and technology infrastructure. All too often, data is captured in disparate systems, forcing administrative staff – or, worse, physicians and nurses – to
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