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

Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management

by Vijay Kotte, EVP of Physician Services at R1 RCM 09/01/2020 Leave a Comment

Maximizing Telehealth Success: How to Optimize Operations & Revenue Cycle Management

In COVID-19’s wake, providers’ financial recovery will be crucial yet daunting. U.S. hospitals and health systems stand to collectively lose $36.6 billion between March and June 2020 alone. Physician practices also face serious financial challenges as they recoup revenues that declined up to 55 percent and patient volume that decreased 60 percent. Amid these hardships, telehealth has emerged as a widely accepted vehicle for care delivery – providing a way for healthcare organizations to
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Dignity Health Management Services to Leverage Innovaccer’s FHIR-enabled Data Activation Platform

by Jasmine Pennic 08/25/2020 Leave a Comment

Dignity Health Management Services to Leverage Innovaccer’s FHIR-enabled Data Activation Platform

What You Should Know: - Dignity Health Management Services (DHMSO), the largest health system in the state of California to transform their network health data into actionable insights. - With this partnership, the organization will leverage Innovaccer’s FHIR-enabled Data Activation Platform to better manage healthcare services for its attributed patients. Dignity Health Management Services (DHMSO), a healthcare management company part of CommonSpirit Health, that helps
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Report: Modern Revenue Integrity Solutions Driving Payment Performance

by Jasmine Pennic 08/19/2020 Leave a Comment

Report: Modern Revenue Integrity Solutions Driving Payment Performance

What You Should Know: - New Chilmark Research report on revenue integrity in healthcare reveals a transitional market making strides to address the new burdens of modern care economics. - The ongoing COVID-19 public health emergency underscores the imperative need for automation and reduced administrative costs even clearer. Revenue cycle has and continues to be one of the most difficult challenges in healthcare. These issues manifest in the claims process of submission,
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Bridge Connector Lands $25.5M to Expand Healthcare Integration Platform

by Fred Pennic 08/18/2020 Leave a Comment

Bridge Connector

What You Should Know: - Bridge Connector raises $25.5 million in Series B funding to advance interoperability layer for healthcare organizations as demand for integrated health data intensifies during COVID-19 pandemic. - The investment will support the growth of Destinations, the company’s new integration-platform-as-a-service (iPaaS) that connects health data systems using use-case-based interoperability blueprints to speed integrations with major vendors. Bridge Connector, a
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Waystar Acquires Medicare RCM Company eSolutions at $1.3B Valuation

by Fred Pennic 08/13/2020 Leave a Comment

Waystar Acquires Medicare RCM Company eSolutions at $1.3B Valuation

What You Should Know: - Revenue cycle management provider Waystar acquires eSolutions, a provider of Medicare and Multi-Payer revenue cycle management, workflow automation, and data analytics tools at a $1.3B valuation. - The acquisition will create the first unified healthcare payments platform with both commercial and government payer connectivity, resulting in greater value for providers. Waystar, a provider of healthcare payments software, today announced a definitive agreement
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Envisioning a 5G-Powered Retail-Healthcare Hub

by Mitzi Amon, Director of Healthcare Marketing at Vertiv 08/12/2020 Leave a Comment

Envisioning a 5G-Powered Retail-Healthcare Hub

If you’ve been to a big-brand grocery or department store recently, you probably noticed some form of healthcare outlet – or maybe you didn’t. These in-store pharmacies and clinics have become so omnipresent, right there next to the diapers, dog food, and green beans, that unless you use them, you may not notice them at all.  This convergence of healthcare and retail has been happening for a few years and represents one of the fastest-growing corners of the healthcare market. In fact, retail
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Top 5 RCM Challenges for Healthcare Executives in the COVID-19 Era and Beyond

by Brian Robertson, CEO at VisiQuate 08/11/2020 Leave a Comment

Top 5 RCM Challenges for Healthcare Executives in the COVID-19 Era and Beyond

There have been many memorable “where were you?” events since the 21st century began. But few can match the COVID-19 pandemic, at least from a healthcare perspective.  The effect on healthcare (and healthcare executives) has been particularly profound since our industry is in the center of everything. From the search for personal protective equipment (PPE) to setting up secure wings and field hospitals to instantly redeploying nurses from other floors to the emergency department (ED),
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Analysis: July Health IT M&A Activity; Public Company Performance

by Healthcare Growth Partners (HGP) 08/07/2020 Leave a Comment

Analysis: July Health IT M&A Activity; Public Company Performance

– Healthcare Growth Partners’ (HGP) summary of Health IT/digital health mergers & acquisition (M&A) activity, and public company performance during the month of July 2020. While a pandemic ravages the country, technology valuations are soaring.  The Nasdaq hit an all-time high during the month of July, sailing through the 10,000 mark to post YTD gains of nearly 20%, representing a 56% increase off the low water mark on March 23.  More notably, the Nasdaq has outperformed
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Ginger Lands $50M to Expand On-Demand Mental Health Support Platform

by Fred Pennic 08/06/2020 Leave a Comment

Ginger Lands $50M to Expand On-Demand Mental Health Support Platform

What You Should Know: - Ginger announces $50 Million in Series D funding to expand access to its on-demand mental healthcare system led by Advance Venture Partners and Bessemer Venture Partners; joined by Cigna Ventures and existing investors. - Company has more than tripled revenue over the past year, now brings access to on-demand mental healthcare to millions around the world through 200+ employer clients and leading health plans. Ginger, a San Francisco, CA-based provider of
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How Times of Crisis Spur Needed Change in Healthcare Delivery

by Christina Perkins, VP Product Management and Strategy for NaviNet, NantHealth 08/04/2020 Leave a Comment

How Times of Crisis Spur Needed Change in Healthcare Delivery

As the COVID-19 pandemic continues to change healthcare operations in the world, foundational systems are being adapted to meet these new demands. Sometimes it takes extreme circumstances to see the cracks in a system. COVID-19 has exposed areas with more room for improvement in the healthcare system, such as optimizing operational efficiency. Organizations and individuals have changed their interactions, processes, ways of working, treatment plans, and even foundational technology. As the
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