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

8 Ways Advanced Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

by Prasad Dindigal, Vice President, Healthcare & Life Sciences, EXL. 11/13/2020 Leave a Comment

8 Ways Analytics Can Help You Decide If Telehealth Should Be Temporary or Permanent

Over the past few months, primarily as a result of the COVID-19 pandemic, telehealth has gone from a “nice-to-have” to a “must-have” for healthcare providers. The surge of COVID-19 patients in the spring, coupled with “stay-at-home” orders in many states, meant that many patients in need of care for chronic conditions and other non-emergent health issues were unable to visit their providers face-to-face.  Telehealth became the emergency solution, aided by relaxation of government regulations
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AI Leads Way to Less False Positives on Remote Cardiac Monitoring Devices, Improved Results

by Fred Pennic 11/03/2020 Leave a Comment

AI Leads Way to Less False Positives on Remote Cardiac Monitoring Devices, Improved Results

What You Should Know: - Cardiac patients and their cardiologists are experiencing a high number of false positives with remote patient monitoring devices as a result of signal artifact providing inaccurate data, which can lead to many complications—other than medical, such as unnecessary tests and increased medical costs. - Ambulatory cardiac monitoring provider InfoBionic has devised a way to decrease false positives and increase efficiency. Remote cardiac monitoring’s false
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Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

by Jasmine Pennic 10/28/2020 Leave a Comment

Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

What You Should Know: -  Innovaccer launches member engagement solution for healthcare payers to drive improvement in healthcare cost and quality boosts member satisfaction and enhances member enrollment and retention. - Innovaccer's solution create member-oriented care plans, enhance connectivity with care managers, and drive interventions for social determinants of health risks through the solution. Innovaccer, Inc., a leading healthcare technology company, has launched its
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Healthify, Algorex Health & Excellus BCBS Tap into SDoH Analytics to Address Social Disparities

by Fred Pennic 10/28/2020 Leave a Comment

Heathify Raises $16M to Expand Social Determinants of Healthcare Platform for Value-Based Care

What You Should Know: - Healthify in partnership with Algorex Health Technologies, announced the results of new social determinants of health (SDoH) population analysis of Excellus BlueCross BlueShield (BCBS) members. - SDoH are non-clinical conditions that significantly affect health outcomes. The analysis identified Excellus BCBS members who are struggling with SDoH such as unstable housing, food insecurity and neighborhood stress – which has enabled Excellus BCBS to develop a targeted
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CMS Direct Contracting Model Options for Value-Based Care

by Vanessa Kuhn, Director of Health Policy, PatientPing 10/26/2020 Leave a Comment

CMS Direct Contracting Model Options for Value-Based Care

The Centers for Medicare and Medicaid Innovation (CMMI) created the Direct Contracting Model to expand opportunities for more diverse providers and healthcare organizations to participate in value-based care arrangements for Medicare fee-for-service (FFS) beneficiaries. The goal of the new model is to create the next generation of risk-sharing arrangements to improve outcomes for patients, lower costs, and ensure high-quality care. In developing the Direct Contracting model and associated
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5 Trends Driving The Future of Healthcare Real Estate in 2020 & Beyond

by Moha Desai, Principal, Healthcare Strategy & Transformation 10/22/2020 Leave a Comment

The COVID-19 pandemic has forever changed patient expectations for healthcare delivery, including offered services and health office operations. Although health systems have remained dynamic in adopting telehealth capabilities, their long-term capital, like real estate and supply chain management (SCM) protocols, have not adapted to match these expectations. Health systems must be aware of current trends in both areas to inform their future decisions.  Divesting in healthcare real estate
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FDA Grants AppliedVR Breakthrough Designation for Virtual Reality Chronic Pain Treatment

by Jasmine Pennic 10/21/2020 Leave a Comment

FDA Grants AppliedVR Breakthrough Designation for Virtual Reality Chronic Pain Treatment

What You Should Know: - FDA awards AppliedVR Breakthrough Device designation for treating treatment-resistant fibromyalgia and chronic intractable lower back pain - AppliedVR’s EaseVRx program helps patients learn self-management skills grounded in evidence-based cognitive-behavioral therapy (CBT) principles and other behavioral methods. AppliedVR, a pioneer advancing the next generation of digital medicine, today announced its EaseVRx product received Breakthrough Device designation
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CommonWell Enables Payer Access to Nationwide Interoperability Network

by Fred Pennic 10/21/2020 Leave a Comment

FHIR-based APIs Health Gorilla Becomes Largest CommonWell Connector

What You Should Know:   - CommonWell Health Alliance enables payer access with the addition of a new service provider, DataFile Exchange to support the operational services specific to the Payment and Health Care Operations use case. CommonWell Health Alliance today announced it is extending its interoperability services to enable additional use cases beyond treatment and patient access, starting with Payment and Health Care Operations data requests. Data File Exchange
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WellSky Acquires CarePort Health from Allscripts for $1.35B

by Jasmine Pennic 10/14/2020 Leave a Comment

WellSky Acquires CarePort Health from Allscripts for $1.35B

What You Should Know: - Health technology leader WellSky has agreed to acquire CarePort Health to power coordinated care transitions for acute and post-acute care patients for $1.35B. - By providing end-to-end visibility across the continuum, WellSky and CarePort can improve outcomes, lower costs, and increase patient satisfaction. WellSky, a global health, and community care technology company, announced today that it has entered into a definitive agreement with Allscripts to
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Virta Adds Prediabetes and Obesity Reversal to Services

by Jasmine Pennic 10/07/2020 Leave a Comment

Virta Expands Offerings to Treat New Group of Chronic Illnesses

What You Should Know: - Virta is expanding its suite of treatment options to include prediabetes reversal, obesity reversal, and type 2 diabetes management. - By making this crucial expansion, Virta can scale its treatment to support the tens of millions of additional patients with prediabetes and obesity, as provide an on-ramp to reversal for those with T2D that aren’t yet ready to reverse.  Virta Health, the leader in type 2 diabetes reversal, today introduced the addition
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