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

Data Reveals Institutional Racism in Healthcare Still Exist, But Providers/Payers Can Change That

by Minal Patel, CEO of Abacus Insights 06/17/2021 Leave a Comment

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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Innovaccer Launches Enterprise Data Platform for Payers on the Innovaccer Health Cloud

by Jasmine Pennic 04/27/2021 Leave a Comment

Innovaccer Launches Enterprise Data Platform for Payers on the Innovaccer Health Cloud

What You Should Know: - Innovaccer, Inc., a San Francisco, CA-based healthcare technology company, has launched its Enterprise Data Platform for payers on the Innovaccer Health Cloud. - The solution will enable healthcare payers to accelerate digital transformation, facilitate interoperability, foster collaboration across stakeholders in the healthcare ecosystem, and comply with regulatory requirements. - Fragmented data and siloed applications have caused inefficiencies for U.S.
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Cohere Health Raises $36M to Automate Prior Authorization Between Payers & Providers

by Jasmine Pennic 04/13/2021 Leave a Comment

Cohere Health Launches with $10M to Increase Transparency Across Care Journey

What You Should Know: - Boston-based health IT company Cohere Health has closed a $36 million Series B funding round led by Polaris Partners, with additional participation from new investors Longitude Capital and Deerfield Management, as well as existing investors Flare Capital Partners and Define Ventures. The round comes less than a year after the company launched, and only 3 months after a Series A extension. - Cohere Health’s AI-based, fully
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Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity

by Healthcare Growth Partners (HGP) 04/12/2021 Leave a Comment

Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity

The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in response.  Within the Health IT industry, the already strong investment and M&A trends seen in 2020 have only accelerated.  Over the course of the quarter, we observed $7 billion in private equity and venture capital investment across 158 companies.  By comparison, Q1 of 2020 saw $3.2 billion and 127 investments.  Health IT
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American Cancer Society, Roundtrip Partner to Enable Transportation for Cancer Patients

by Jasmine Pennic 04/12/2021 Leave a Comment

Roundtrip digital transportation marketplace

What You Should Know: - Healthcare tech & ridesharing company Roundtrip has rolled out its platform with the American Cancer Society (ACS), specifically its 'Road to Recovery' program in order to enable cancer patients to connect to the treatment they need. The goal is to reduce the overall cancer mortality rate by 40% by 2035. - Together, Roundtrip and ACS will work to ease the stressful process of transportation coordination and allow patients to focus
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Does Telemedicine Impede or Help the Patient-Centered Medical Home?

by Dr. Jeanne Armstrong, Chief Medical Information Officer at Allscripts TouchWorks® EHR 04/08/2021 Leave a Comment

Does Telemedicine Impede or Help the Patient-Centered Medical Home?

Traditional patient care patterns have been radically altered by the COVID-19 pandemic. And after more than a year of disruption, it’s doubtful that everyone will revert to those patterns after the pandemic. New habits have been formed, and consumers are more willing to pursue the path of least resistance in obtaining care, such as opting for quick and easy telemedicine appointments. Both patients and clinicians have identified benefits from virtual care approaches. However, this and other
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How a Virtual Care Mindset Leads to Greater Patient Acceptance and Sustainable Telehealth Growth

by Sandeep Pulim, MD, Chief Medical Officer at Bluestream Health 04/07/2021 Leave a Comment

How a Virtual Care Mindset Leads to Greater Patient Acceptance and Sustainable Telehealth Growth

There's no question that the demand for telehealth and virtual care has grown exponentially over the last twelve months. With that growth has come a fundamental shift in the attitude toward virtual care. No longer do patients and providers take a "let's try it" approach—now, it's "we must do it." This is evidenced by the number of telehealth claims filed. In 2020, telehealth claims skyrocketed, increasing by 2,938% in November 2020 versus November 2019 as patients demanded virtual options and as
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Boost Operational, Clinical and Financial Performance with Good Data

by Pete Nelson, Vice President and General Manager, Global Alliances, GHX 04/01/2021 Leave a Comment

There’s an old adage that every challenge is merely an opportunity in disguise. COVID-19 highlighted the healthcare industry’s ongoing challenge with producing clean, standardized data. As the industry looks to rebound from the severe financial impact of the pandemic, there’s a renewed urgency among hospitals and health networks to improve operational efficiency.  The push toward greater operational efficiency – in a time of constrained budgets and resources – has accelerated
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COVID Exposed The Dire Need for Real-Time Healthcare Data Sharing

by Birju Shah, Head of Product for Uber Health & Communities, and Nick Jordan, Founder and CEO, Narrative 03/31/2021 Leave a Comment

COVID Exposed The Dire Need for Real-Time Healthcare Data Sharing

In a world where technology and Big Data can provide us with instantaneous access to our banking transactions, and our financial information and credit reports can be retrieved with a few keystrokes when applying for a mortgage -- trying to get access to our own healthcare data is exasperating.  Beyond exasperating, is the frightening situation when the inability to access up-to-date and accurate information, can result in an aggravated medical condition or even death. Before the
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To Advance Health Equity, Put Real-World Cancer Data to Work

by Dr. Robert S. Miller, Medical Director of CancerLinQ 03/26/2021 Leave a Comment

To Advance Health Equity, Put Real-World Cancer Data to Work

Despite decades of scientific progress against cancer, access to treatment remains highly unequal. Some of the reasons — like institutional racism and poverty — are a reflection of our broader society. Other inequities may go unrecognized but are no less damaging. People with underlying health conditions, for example, may be excluded from clinical trials, preventing them from accessing leading-edge treatments and limiting the evidence available to guide their care. With multiple drivers of
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