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

Brainlab Acquires Patient-Centered Outcomes Platform VisionTree

by Fred Pennic 01/23/2020 Leave a Comment

Brainlab Acquires Patient-Centered Outcomes Platform VisionTree

- Brainlab acquires VisionTree Software Inc., a San Diego, CA-based provider of modular, cloud-based, patient-centered outcomes platform for specialty patient care, engagement and research. - The established ePRO solution will complement the Brainlab cloud-based infrastructure and registry solution aiming to deliver patient engagement and even more comprehensive quality reporting.- Brainlab will continue to invest in the VTOC platform aiming to facilitate data collection across all available
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Beyond Healthcare Data; Shifting the Focus to Non-Healthcare Data

by Drew Ivan, EVP of Product and Strategy of Rhapsody 01/21/2020 Leave a Comment

Beyond Healthcare Data; Shifting the Focus to Non-Healthcare Data

The recently proposed information blocking rule from the ONC and CMS has thrust interoperability into the spotlight like nothing has in recent years, making it a hot topic for media fodder, and a major concern for organizations — necessitating renewed attention to data-sharing practices.  The conversation surrounding this new rule has implied that information blocking is the result of healthcare organizations intentionally withholding data. However, more often than not, information blocking is a
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

by Fred Pennic 01/13/2020 Leave a Comment

Change Healthcare Unveils Breakthrough All-Payer Medical Claim Attachments Capability

- Change Healthcare unveils industry’s first nationwide solution that allows providers to submit documents and data, like claims attachments, electronically to all health plans in both the Medical and Workers’ Compensation market segments.- This new claim attachments solution also sets the stage for new additional uses of Artificial Intelligence.Today Change Healthcare announced major new enhancements to its medical claim attachments solution. These enhancements will create the industry’s first
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How Software Solutions Can Help ASCs Maximize the Revenue Cycle in 2020

by Tara Vail, Chief Operating Officer, HST Pathways 01/09/2020 Leave a Comment

How Software Solutions Can Help ASCs Maximize the Revenue Cycle

In the modern health care environment, health care executives must be careful custodians of precious resources. Yet in December 2018, 26 percent of hospitals still lacked an effective healthcare revenue cycle solution. Other research has found that over 60 percent of hospitals and health systems are not realizing optimal value from their electronic health record (EHR ) system, causing the organizations to collaborate with other vendors and outsourcing companies to improve revenue cycle
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Kyruus Lands $42M to Expand Patient-Providing Matching Solutions for Health Systems

by Fred Pennic 01/08/2020 Leave a Comment

Kyruus

- Kyruus, a provider search and scheduling solutions company raises $42 million in a Series D round led by Venrock and Highland Capital Partners, with financing from other VCs such as Providence Ventures and Salesforce Ventures. - Kyruus will tap into the new funds to enhance its product suite for health systems and forge partnerships with payers and large employers, as consumers also seek providers via those entities.Kyruus, a Boston, MA-based suite of patient-provider matching solutions for
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Change Healthcare Launches API & Services Connection to Spur Healthcare Innovation

by Jasmine Pennic 01/07/2020 Leave a Comment

Change Healthcare Launches API & Services Connection to Spur Healthcare Innovation

- Change Healthcare has just announced the launch of API & Services Connection, a of library of APIs that spans the Change Healthcare broad portfolio of solutions and includes AI, Medical Network, Payments, Pharmacy, and RCM products.- Now available on the AWS Marketplace, the new library gives healthcare innovators instant access to the same clinical, financial, operational, and patient experience services that power Change Healthcare’s portfolio of HIT solutions. - Now, innovative
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3 AI Trends for 2020: Moving Beyond Dazzle to High-Impact Collaboration

by Jordan Bazinsky, EVP and Administrative Officer for Cotiviti 01/03/2020 Leave a Comment

3 AI Trends for 2020: Moving Beyond Dazzle to High-Impact Collaboration

From the first artificial skin to driverless cars that navigate busy streets with ease, 2019 brought a dazzling array of artificial intelligence (AI) discovery. In 2020, the progress made toward AI-fueled collaboration will be as critical as AI innovation—especially in healthcare. We’ve reached a point where AI has proven its utility. In radiology, for example, AI is well-oriented to interpret diagnostic imaging studies, with FDA approval given to AI algorithms that diagnose a collapsed lung or
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Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

by Fred Pennic 12/31/2019 Leave a Comment

Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020

As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020. Robbie Hughes, Founder, and CEO, Lumeon “Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
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Top 60 Health IT/Digital Health Mergers & Acquisitions in 2019

by Fred Pennic 12/27/2019 Leave a Comment

Kareo Sells Managed Billing Services Business to Health Prime International

- From Google's acquisition of Fitbit to Philips acquisition of Carestream Health's health IT business, here is a look at some of the biggest health IT/digital health mergers & acquisitions in 2019 by each quarter. Q1 M&A Activity Johnson & Johnson Acquires Auris Health for $3.4B to Expand Digital Surgery Portfolio Johnson & Johnson acquiresAuris Health, a developer of robotic technologies for $3.4 billion in cash. Auris Health is a privately-held developer of
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