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

Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

by Sanjula Jain, PhD., Chief Research Officer, Trilliant Health 07/25/2022 Leave a Comment

Impact of Applying Law of Small Numbers to the Telehealth Industry & Why Its Unsustainable

Driven by headlines and incomplete, misleading data that favor a telehealth narrative, health systems and healthcare investors must start asking "who" is actually supporting waning demand. The healthcare industry is no stranger to the 80/20 rule. The principle says 80% of an effect is driven by 20% of a cause, and in healthcare, it usually refers to there being a specific cohort of the population (e.g., the chronically ill) driving the majority of care utilization and costs. More recently,
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Amazon to Acquire One Medical for $3.9B

by Fred Pennic 07/21/2022 Leave a Comment

Amazon to Acquire One Medical for $3.9B

What You Should Know: Today Amazon and One Medical announced that they have entered into a definitive merger agreement under which Amazon will acquire One Medical. Under terms of the agreement, Amazon will acquire One Medical for $18 per share in an all-cash transaction valued at approximately $3.9 billion, including One Medical’s net debt. One Medical Background One Medical is a human-centered, technology-powered U.S. primary care organization
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Can Health Plans Lead Us Towards Data-Driven Health Equity?

by Jessica Bonham-Werling, Payer and Provider Solutions Marketing at Redox 07/20/2022 Leave a Comment

Can Health Plans Lead Us Towards Data-Driven Health Equity?

The Institute for Healthcare improvement indicates that twice as many healthcare organizations cite health equity as a top priority today when compared to 2019. It may feel like the COVID-19 pandemic just made us collectively realize that health disparities exist, but they have been acknowledged in academic, government, and philanthropic spheres for over 4 decades. While I would love to debate if our collective realization was blissful ignorance or intentional avoidance, I will save those
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3 Lessons Learned to Build A More Resilient Pharmacy

by Dennis Wright, Sr. Director of Product Marketing at Omnicell 07/11/2022 Leave a Comment

3 Lessons Learned to Build A More Resilient Pharmacy

Winston Churchill had great insight when he said, “Never let a good crisis go to waste.” Although he was talking about seizing opportunities during the darkest hours of World War II, there are parallels to today, especially when thinking about the COVID-19 pandemic. Healthcare organizations have learned—and continue to learn—much about the strengths and weaknesses of the U.S. healthcare system during a prolonged crisis. It would be unfortunate if we didn’t use this information to usher in
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Why Health Plans Are Vital to Health Equity

by Rachael Jones, SVP of Performance Analytics and Quality at Cotiviti 06/28/2022 Leave a Comment

Why Health Plans Are Vital to Health Equity

In Florida, where Black residents are three times more likely to be hospitalized or die from asthma-related complications than white residents, one researcher’s efforts to “strip away the jargon” related to asthma treatment strengthened patients’ engagement in a year-long clinical trial. The impact: development of an asthma regimen to help combat disparities in asthma management and outcomes. The results are one example of the gains that can be made in addressing health inequities—differences
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Olive Launches Autonomous Revenue Cycle (ARC) Suite

by Fred Pennic 06/27/2022 Leave a Comment

Olive Launches Autonomous Revenue Cycle (ARC) Suite

What You Should Know: - Olive, the automation company creating the Internet of Healthcare, today launched its Autonomous Revenue Cycle (ARC), the company's flagship Revenue Cycle Management (RCM) suite of solutions. - Olive's ARC is designed to handle tedious, time-consuming administrative tasks in the revenue cycle, allowing healthcare organizations to get paid quicker while reducing the risk of uncompensated care. Automate the Revenue Cycle Management Process Managing revenue
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TDS Acquires PrescribeWellness from Tabula Rasa HealthCare in $140M Deal

by Healthcare M&A Activity 06/24/2022 Leave a Comment

TDS Acquires PrescribeWellness from Tabula Rasa HealthCare in $140M Deal

What You Should Know: - Transaction Data Systems (TDS), the leader in pharmacy software solutions has acquired PrescribeWellness from Tabula Rasa HealthCare in a deal worth up to $140M. - Further, TDS’s plans to accelerate product innovation will create solutions to further optimize pharmacy workflows, support real-time clinical interventions and expand patient engagement opportunities to clients. Acquisition Benefits for TDS TDS connects community pharmacies through its
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Innovaccer Joins the CARIN Alliance to Advance Interoperability

by Fred Pennic 06/24/2022 Leave a Comment

Innovaccer Joins the CARIN Alliance to Advance Interoperability

What You Should Know: - Today, Innovaccer Inc., the Health Cloud company, announced that it has joined the CARIN Alliance (CARIN), a multisector collaborative working to rapidly advance the consumer-directed exchange of health information to improve the interoperability of healthcare data. - Innovaccer will participate as a member of the multisector alliance to advance healthcare data sharing, enabling consumers, patients, and caregivers easier access to health
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Turquoise Health Integrates Price Transparency Data with Ribbon Health

by Jasmine Pennic 06/21/2022 Leave a Comment

Turquoise Health Raises $20M for Healthcare Pricing Platform, Launches Direct Contracting Platform

What You Should Know: - Ribbon Health, an API data platform for the healthcare industry that powers care decisions, and Turquoise Health, a provider of structured data on the cost of care to make pricing data both transparent and accessible to patients, announced an integration partnership. - By integrating Turquoise Health's price transparency data into the Ribbon Health platform, healthcare companies will be able to effectively navigate patients to cost-effective and high-quality
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3 Ways Health Plans Can Improve Sleep Health for their Members

by Dr. Melissa Lim, Chief Medical Officer at Somnology. 06/20/2022 Leave a Comment

3 Ways Health Plans Can Improve Sleep Health for their Members

Getting a good night’s sleep should have nothing to do with having a great health plan — but it often does.  While some individuals can improve their sleep by making small changes, many who suffer from serious, chronic sleep disorders need a higher level of care and ongoing treatments, and many health plans offer insufficient benefits. For example, Medicare covers sleep diagnostic tests under strict conditions, if patients are referred by a physician. Other health plans have denied
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