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

Can Digital Health Bridge The Low-Income Gap?

by Rey Villar, Founding Partner at HealthChampion 12/18/2019 Leave a Comment

Can Health IT Bridge The Low-Income Gap?

We’ve known for a few years that income correlates with health in a major way. From the length of life to stroke risk to self-reported health status, the more access, opportunity, and means of upward mobility a person has, the better their projected health outcomes.  Waves of organizations are stepping up to help put things on a better course. Accountable and managed care organizations like Upward Health are working with payers, providers, and local governments to bring doctors, nurses, and
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Cerner Integrates Change Healthcare Solutions to Automate Acute Case Management

by Jasmine Pennic 12/17/2019 Leave a Comment

Cerner Integrates Change Healthcare Solutions to Automate Acute Case Management

- Cerner integrates Change Healthcare InterQual Connect medical review and InterQual AutoReview into its EHR and acute case management solution. - Case management innovation supports medical review automation to lessen the administrative burden and increase focus on patient care.Change Healthcare today announced that Cerner Corporation, a global healthcare technology company, has integrated Change Healthcare’s InterQual Connect Medical Review Service and InterQual AutoReview into its Acute Case
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VerityStream Acquires CredentialMyDoc for $9M in Cash

by Fred Pennic 12/16/2019 Leave a Comment

VerityStream Acquires Credentialing & Provider Enrollment Solution CredentialMyDoc for $9M in Cash

- VerityStream acquires CredentialMyDoc, a Savannah, GA-based web-based, software for credentialing and provider for $9M in cash. - The acquisition of CredentialMyDoc bolsters VerityStream’s leadership position in the outpatient facility market segment.VerityStream, f/k/a Verity, a wholly owned subsidiary of HealthStream (Nasdaq: HSTM), which is focused on delivering enterprise-class solutions that are transforming credentialing, enrollment, privileging, and evaluations for healthcare
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Express Scripts Launches First Digital Health Formulary for Apps & Devices

by Fred Pennic 12/12/2019 Leave a Comment

Express Scripts Launches First Digital Health Formulary for Apps & Devices

- Express Scripts launches its first digital health formulary that will allow employers and health plans to effectively manage a fast-growing segment of healthcare while improving access for patients.- Starting in January 2020, Express Scripts Digital Health Formulary will initially include 15 solutions for remote monitoring services and digital therapeutics that aid in the management of eight of the country's most common chronic conditions: diabetes, prediabetes, hypertension, asthma, pulmonary
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Corrona Acquires Patient Experience Company HealthiVibe

by Fred Pennic 12/10/2019 Leave a Comment

Corrona Acquires Patient Experience Company HealthiVibe

- Corrona acquires patient experience company HealthiVibe to further expand its presence in the patient experience marketplace. - HealthiVibe uses a systematic, evidence-based process to help pharmaceutical clients spearhead patient engagement initiatives at every stage of the product lifecycle.Corrona, LLC, a provider of real-world observational and syndicated registry data, announced today that it has acquired HealthiVibe, LLC, an Arlington, VA-based patient experience company. Financial
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Analysis: November 2019 Health IT M&A Activity, Public Company Performance

by Healthcare Growth Partners (HGP) 12/06/2019 Leave a Comment

Analysis: November 2019 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 November 2019We did a doubletake when we noticed all of the HGP healthcare indices climbed approximately 10% during the month of November.  Year-to-date, the S&P 500 is up over 25% and the HGP healthcare indices are all hovering in that range.  In the two month period since September, when talk of universal healthcare reached
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5 Reasons Why A Single, Integrated EHR Will Not Solve Interoperability

by Kimberly Howland, PhD, Chief Product Officer at Diameter Health 12/06/2019 Leave a Comment

Why Interoperability Cannot Be Solved with Homogenous EHRs

A recent survey of health system IT, informatics, business, and clinical staff revealed that less than 40% of healthcare executives believe their organizations successfully share clinical data with external health systems, payers, and other partners. When asked what steps their organizations are taking to address interoperability challenges, 60% of respondents reported their organizations were moving to a single, integrated EHR. In addition to costing tens or hundreds of millions of dollars,
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Philips, Humana Partner on 2 Pilot Programs to Improve Care for At-Risk Medicare Advantage Members

by Jasmine Pennic 12/04/2019 Leave a Comment

 - Philips and Human collaborate on new pilot programs designed to help support independent living for at-risk Medicare Advantage members by providing 24/7 access to care. - Humana is identifying a pilot group of members with severe CHF. Philips is providing members with kits that include an interactive tablet that syncs data from connected measurement devices via wireless technology. - Humana is identifying members who are at-risk and offering them Philips Lifeline medical alert service,
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Waystar Acquires AI-Powered Revenue Cycle Platform Recondo Technology

by Fred Pennic 12/04/2019 Leave a Comment

Waystar Acquires Recondo Technology

- Waystar acquires Recondo Technology, a provider of revenue cycle automated solutions powered by robotic process automated (RPA). - Recondo brings additional artificial intelligence and machine-learning technologies to Waystar’s broad portfolio of solutions.- With new capabilities, improved data efficacy and a larger team, Waystar can help healthcare organizations consolidate vendors and capture more revenue.Waystar, a provider of revenue cycle technology, today announced the acquisition of
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Digital Transformation In Healthcare Is Not Happening As Fast As It Should — And There’s One Reason No One is Talking About

by Juan Pablo Segura, Co-founder of Babyscripts 12/04/2019 Leave a Comment

Digital Health - Is It Worth It? How to Calculate ROI in Digital Health

At first glance, the healthcare field seems to be a goldmine for digital innovation. An overextended workforce, outdated protocols, hundreds of wasted hours in administrative tasks, a patient population that is wide open to digital solutions, a multitude of inefficiencies and redundancies — the opportunities for digital overhaul in healthcare are myriad. Yet every year the graveyard of digital health tools gets more crowded as innovators fail to overcome healthcare’s uniquely complex barriers to
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