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

Cognizant to Integrate TriZetto with Microsoft Cloud for Healthcare

by Strategic Partnerships 04/06/2023 Leave a Comment

Philips, Cognizant Partner to Develop Digital Health Solutions to Providers, Researchers and Patients

What You Should Know: - Cognizant expands partnership with Microsoft to give healthcare payers and providers easy access to cutting-edge technology solutions, streamlined claims management, and improved interoperability to optimize business operations and deliver better patient and member experiences. - As part of the expansion, Cognizant and Microsoft will work together to build an integration roadmap between Cognizant's TriZetto healthcare products with Microsoft Cloud for
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Value-Based Administration Enables All VBC Network Stakeholders to Benefit

by Rahul Sharma, CEO & Lynn Carroll, COO at HSBlox 04/03/2023 Leave a Comment

Value-based Administration Enables All VBC Network Stakeholders to Benefit

Despite holding the promise of delivering superior patient outcomes while lowering healthcare costs, many providers remain reluctant to embrace value-based care (VBC) reimbursement models. Progress toward VBC adoption hasn’t achieved its potential yet, hovering around 60% of all payment models from 2018 to 2021, with the remaining 40% comprised of traditional fee for service (FFS). Though some providers simply are hesitant to abandon the FFS model that has served them well, others are leery
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Uber Health Embeds Same-Day Prescription Delivery Into Its Care Platform 

by Syed Hamza Sohail 03/30/2023 Leave a Comment

Uber Health Embeds Same-Day Prescription Delivery Into Its Care Platform

What You Should Know: Uber Health, Uber’s healthcare arm, today announced same-day prescription delivery on its HIPAA-supported, centralized platform.For the first time, those using Uber Health—including healthcare providers and health plans—will be able to manage prescription delivery from any pharmacy in their service area through the same platform they already use to coordinate transportation for patients. This launch enables providers to offer a full suite of care solutions that
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How Search Makes Clinical Natural Language Processing Useful in the Real World

by Kevin Agatstein, CEO, of KAID Health & Dimitri Linde, Clinical AI Specialist at KAID Health 03/24/2023 Leave a Comment

How Search Makes Clinical Natural Language Processing Useful in the Real World

Clinical Natural Language Understanding (cNLU), the technology by which computers extract meaning from clinical text, is quickly becoming a common feature in the healthcare IT landscape. In 2021, 30% of surveyed healthcare organizations were either using or exploring the technology.  (Gradient Flow, 2021). Similar adoption is occurring in the UK as well. (Wu et. al, Nature, 2022). Today, cNLU is being applied to billing/coding, trial enrollment, registry creation, clinical decision support,
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Key Challenges and Solutions to Enhance the Post-Procedure Experience

by Syed Hamza Sohail 03/24/2023 Leave a Comment

KEY CHALLENGES AND SOLUTIONS TO ENHANCE THE POST-PROCEDURE EXPERIENCE

What You Should Know: - Abbott today released the latest installment in the company’s multi-year Beyond Intervention series of global healthcare market research designed to uncover challenges that arise within the patient journey of people living with cardiovascular disease and to identify opportunities for patient care improvement. - The latest report stems from a survey of more than 2,000 patients, physicians and healthcare leaders, and reveals
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Accenture Report Reveals Staggering Health Inequities and the Role of US Healthcare Ecosystem in Addressing Them 

by Syed Hamza Sohail 03/24/2023 Leave a Comment

New Accenture Report Reveals Staggering Health Inequities and the Role of US Healthcare Ecosystem in Addressing Them

What You Should Know: - Health equity – or the lack thereof – is one of the biggest challenges facing US healthcare organizations today. - A new report from Accenture, US health inequity: beyond the statistics, analyzes the role US healthcare ecosystem participants can play in addressing health inequities due to race and ethnicity. The statistics are staggering.  Analysing Key Trends Concerning Health Inequities  To understand the human and economic
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Flume Health Launches Tool to Remedy Health Insurers’ Fatigue

by Jasmine Pennic 03/24/2023 Leave a Comment

Flume Health Launches Tool to Remedy Health Insurers’ Fatigue

What You Should Know: - Flume Health, a healthcare technology company for payer operations launches Flume Relay to systematize the complex solution integration process involved in designing, launching, and administering a health plan. - Flume Relay aims to solve payers’ greatest limitation: the integrations and real-time data exchange with the plethora of vendors and systems that make up a health plan. Health Plan Vendor Fatigue Health plans are experiencing vendor fatigue at an
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17 Execs Share How Health IT Can Address Clinician Burnout, Staffing, & Capacity

by Fred Pennic 03/23/2023 Leave a Comment

Survey: Clinician Burnout Is A Public Health Crisis Demanding Urgent Action

Clinician shortage has reached a new level of urgency as we face rising demand and healthcare costs, according to a recent Accenture report. Healthcare workers are increasingly burned out and leaving the industry altogether in droves. Those who remain to do the work are overburdened.  We ask seventeen healthcare IT executives for their insights on how health IT solutions could potentially help address clinician burnout, clinician staffing shortages, and deal with capacity. Staffing levels
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5 Trends to Look for in Healthcare Cost Transparency

by Paul Ketchel, CEO of MDsave 03/23/2023 Leave a Comment

High Inflation is Driving the Deferment of Necessary Medical Care

Over two years have passed since the hospital price transparency rule was enacted. Unfortunately, America still struggles with high, painfully opaque pricing across healthcare that hurts employers, workers, patients, and taxpayers. The Centers for Medicare and Medicaid Services recently announced that in 2021, the nation spent $4.3 trillion on healthcare, nearly twice the average of other nations in the developed world. Noncompliance and price gouging still exist in a market where consumers are
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Healthcare in Denial: The State of Claims in 2023

by Clarissa Riggins, Chief Product Officer, Experian Health 03/21/2023 Leave a Comment

Healthcare in Denial: The State of Claims in 2023

How do you solve a persistent and growing problem like claims denials? It’s been a hot topic for revenue cycle management professionals for years that’s only getting hotter with the increasing pressures of staffing shortages, challenges with staff turnover and training and ever-changing policies and protocols at the government and payer levels.  On the macro-economic level, denials contribute mightily to the growing problem of uncompensated care in America, currently estimated at $43
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