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

Telehealth and COVID-19: Overcoming New Challenges for Providers and Payers

by Ed Adamson, Director of Strategy & Insight at Star 07/31/2020 Leave a Comment

Anthem, Samsung, American Well Partner to Provide Plan Members Access to Telehealth Services

Telehealth has quickly transformed the healthcare industry. Rather than scheduling an appointment, waiting up to a few weeks, and going to a doctor's office or another healthcare facility, we can now access many types of care from the convenience of our smartphones.  However, telehealth has also brought in its own set of new challenges that must be overcome for it to be successful in the long term. Below, we explore five of the biggest issues telemedicine faces and offer insights on how
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Open APIs in Healthcare: The Future of Data Integration Report

by Fred Pennic 07/28/2020 Leave a Comment

Open APIs in Healthcare: The Future of Data Integration Report

What You Should Know: - The latest Chilmark Research report examines how data-oriented APIs are contributing to development and integration efforts across healthcare from the perspective of the developer. - Reeling from the impact of the COVID-19 pandemic and seeking more effective ways to implement new functionality, healthcare enterprises of all kinds are looking to alternatives for prevailing development and integration practices. Unlocking value from the data scattered across
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Avoid COVID-19 Modeling Pitfalls by Eliminating Bias, Using Good Data

by Kim Babberl, Product Consulting Group Director at MedeAnalytics 07/28/2020 Leave a Comment

Avoid COVID-19 Modeling Pitfalls by Eliminating Bias, Using Good Data

COVID-19 models are being used every day to predict the course and short- and long-term impacts of the pandemic. And we’ll be using these COVID-19 models for months to come. While many of us in healthcare are not epidemiologists or data scientists, we’re all sifting through the data to get a handle on how many people are going to get sick, how many will end up in the hospital or on a ventilator, and ultimately, how many people will die.  Government agencies are using models to set public
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Sharecare Acquires WhiteHatAI to Enhance Healthcare Payment Integrity

by Fred Pennic 07/27/2020 Leave a Comment

Sharecare Acquires AI Company WhiteHatAI to Enhance Healthcare Payment Integrity

What You Should Know: - Sharecare acquires WhiteHatAI to provide health plan and provider clients with additional capabilities to ensure healthcare payment integrity  - WhiteHatAI’s ability to detect erroneous claims before they are paid will help Sharecare’s health plan partners reduce costs associated with FWA. - Sharecare will integrate WhiteHatAI’s capabilities to foster deeper engagement by enabling patients to both verify recent medical procedures and report
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Virtual Behavioral Health Could Reduce Costs, Improve Patient Outcomes, Report Finds

by Fred Pennic 07/24/2020 Leave a Comment

Virtual Behavioral Health Could Reduce Costs, Improve Patient Outcomes, Report Finds

What You Should Know: - A new Accenture report called “Breakthrough Behavioral Health Access: Think Virtual” finds that the use of virtual behavioral health could expand care for more than 53 million Americans facing these conditions. - Demand for behavioral health specialists significantly outweighs current availability; in addition to severe wait times of 25 days for first clinical appointments, we are projected to have a shortage of 250,000 behavioral health and mental health
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Healthify, Ride Health Partner to Offer SDOH-Driven Transportation to Vulnerable Populations

by Jasmine Pennic 07/21/2020 Leave a Comment

Healthify, Ride Health Partner to Offer SDOH-Driven Transportation to Vulnerable Populations

What You Should Know: Healthify, a social determinants of health company (SDOH), announced a national partnership with Ride Health to offer transportation to medical and non-medical services for people faced with transportation barriers. - Each year, an estimated 3.6 million Americans do not obtain medical care due to transportation issues such as cost, lack of access to vehicles and inadequate public transportation. These barriers are particularly prevalent among poor communities,
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Curavi Health, CarePointe, U.S. Health Systems Merge to Form Arkos Health to Power Virtual Care for Seniors

by Jasmine Pennic 07/15/2020 Leave a Comment

Curavi Health, CarePointe, U.S. Health Systems Merge to Form Arkos Health to Power Virtual Care for Seniors

Curavi Health, CarePointe, U.S. Health Systems announced a merger agreement to form Arkos Health. Arkos Health will provide virtual care solutions and health insights to vulnerable populations across the United States. These three entities will become wholly-owned subsidiaries of Arkos Health, and the executive leadership teams will be merged. UPMC will continue to own a financial stake in Arkos Health, while remaining both a customer and service provider.  CarePointe, founded in 2015 and
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Emtiro Health Taps Innovaccer to Leverage the FHIR-Enabled Data Activation Platform

by Jasmine Pennic 07/14/2020 Leave a Comment

Emtiro Health Taps Innovaccer to Leverage the FHIR-enabled Data Activation Platform

What You Should Know: - Emtiro Health, an innovative population health company in North Carolina has selected Innovaccer to deliver data-powered solutions to enhance the efficiency and effectiveness of care delivery.  - Powered by Innovaccer’s FHIR-enabled Data Activation Platform, Emtiro Health will create unified patient records that drive comprehensive, whole-person care management, no matter where they are on the care continuum. The FHIR-enabled Data Activation Platform will also
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4 Ways Healthcare Organizations Can Establish Partnerships to Drive Innovation

by Eric Nilsson, CTO, The SSI Group 07/14/2020 Leave a Comment

Nebraska Medicine’s experience points to four ways healthcare organizations can establish partnerships with vendors that drive innovation and performance excellence.

With public and private healthcare spending significantly outpacing that of other countries, U.S. hospitals face intense pressure to find new ways to capture greater value. More and more, organizations are finding that partnerships with existing vendors can help unlock next-level performance gains in a transformative environment. Take Nebraska Medicine, for example. In the early 2000s, the health system created multidisciplinary committees to boost revenue integrity and adopted new revenue
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8 in 10 Consumers Stated COVID-19 Made Telehealth “Indispensable” in Healthcare Delivery

by Jasmine Pennic 07/13/2020 Leave a Comment

8 in 10 Consumers Stated COVID-19 Made Telehealth “Indispensable” in Healthcare Delivery

What You Should Know: - 8 in 10 consumers said COVID-19 made telehealth “an indispensable part of the healthcare system, according to a new study commissioned by Change Healthcare. - 2020 Change Healthcare - Harris Poll Consumer Experience Index reveals 65% said they plan to use telehealth more after the pandemic, and 78% said COVID-19 has shown how badly the U.S. needs more telehealth options. A majority of consumers agreed COVID-19 will fundamentally change healthcare delivery
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