What You Should Know:
- Unite Us, the enterprise technology company providing the digital infrastructure to power integrated health and social care, today announced the launch of its Social Care Payments solution.
- Social Care Payments is a first-of-its-kind solution designed to bridge the gap between healthcare funders and community-based organizations (CBOs), enabling social care funding at scale. It is the only end-to-end solution for social care that streamlines the
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Payers| Payer Industry Impact for Patients, Clinicians, and Healthcare Organizations | News, Analysis, Insights - HIT Consultant
Why Medicaid Programs Need to Update Their Information Systems
You don’t have to be a news junkie or political aficionado to know that state unemployment information systems massively failed during the COVID-19 pandemic at a time when they were most desperately needed.
Overwhelmed by a rush of newly laid-off workers, websites crashed and timed out while phone lines were tied up for hours, leading to frustration and delays in benefits payments – harming local economies and imperiling American families.
In Ohio, unemployment overpayments reached
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Viz.ai Awarded 510(k) Clearance for AI-Powered Cerebral Aneurysm Detection Solution
What You Should Know:
- Viz.ai, a San Francisco-based provider of AI-powered intelligent care coordination for stroke, has received FDA 510(k) clearance for Viz ANEURYSM (formerly Viz ANX), the first and only AI-powered cerebral aneurysm detection solution designed to facilitate population screening and enhanced care management.
- The new algorithm uses AI to detect suspected cerebral aneurysms, enabling hospital systems
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GuideWell Becomes First U.S. Payer to Automate Prior Authorizations
What You Should Know:
- GuideWell, one of the 10 largest health insurance providers in the U.S., became the first U.S. payer to automate prior authorization approvals through AI-powered clinical reviews from Olive, resulting in faster care for patients — up to 10 days faster — and greater provider satisfaction.
- After launching a pilot with Olive in Florida, GuideWell saw its time to decision reduced by 10 days when immediate responses were available, decreased unnecessary prior
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WellSky Acquires TapCloud, Health AI Platform to improve Patient Engagement
What You Should Know:
- Today, Wellsky announced the acquisition of TapCloud, a virtual, interoperable, and AI-driven patient engagement platform that allows patients to share symptoms and other health data with providers via virtual visit technology, secure messaging, and remote symptom screening protocols.
- Frequent communication between patients, clinicians, and payers is critical to providing quality care and delivering on value-based care. TapCloud’s interoperable, AI-driven platform
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Medisafe Launches Digital Document Exchange to Speed Up Medication Approvals
What You Should Know:
- Today, Medisafe, a leading digital therapeutics and patient engagement company launches its new Digital Document Exchange module to streamline the medication approval process.
- The solution enables patients to upload and submit required documentation directly through the company's app — speeding complex medication approval processes from an average of 24 days to 10 minutes and allowing patients to begin treatment therapy sooner.
Digital Document Exchange
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Equip Raises $58M for Virtual, Evidence-Based Eating Disorder Treatment
What You Should Know:
Equip, a provider of virtual, evidence-based eating disorder treatment in the U.S., today announced a $58M Series B funding round, bringing the company’s total funding to $75M.
The Series B round was led by The Chernin Group (TCG), an early investor in Headspace and was joined by Tiger Global and General Catalyst, as well as existing investors F-Prime Capital, Optum Ventures, and .406 Ventures. Katie Couric Media invested alongside American soccer champion Alex Morgan
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3 Ways Real-Time ADT Notifications Will Benefit Payers’ Businesses
Payers and providers share goals around emerging healthcare delivery models such as value-based care and accountable care organizations (ACOs). But inadequacies in current payer/provider communication often disrupt the flow of timely care and lead to unnecessary hospital readmissions and poor outcomes. What’s needed in this partnership is the standardized, fluid, real-time exchange of data to help both parties become even more efficient and effective at providing members the proper care at the
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Fraud Schemes in a Telehealth Era: What Healthcare Payers Should Know
What You Should Know:
- Report from Codoxo that finds 10-15% of telehealth claims fall outside of approved CMS codes and indicates a high potential for rapidly increasing fraud schemes (and provider coding errors) in a new telehealth era.
Codoxo, a provider of healthcare artificial intelligence solutions for healthcare payers and agencies, today released a new study revealing that among the 41% of provider specialties showing statistically significant increases for telehealth adoption,
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Data Reveals Institutional Racism in Healthcare Still Exist, But Providers/Payers Can Change That
The vaccine rollout is following patterns that are all too familiar -- but we can change that
Newscasters sounded surprised when they announced for the first time that COVID-19 was disproportionately affecting Black, Indigenous, and people of color. As they presented graphs that showed higher rates of infection, hospitalization, and death, their tone was one of mild shock.
Similar surprise-- and similar graphs-- returned when they reported on the slowed, uneven vaccine rollout in poorer
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