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

Health Gorilla Becomes Largest Interoperability Provider in Puerto Rico

by Fred Pennic 12/03/2019 Leave a Comment

Health Gorilla Expands Clinical Interoperability Efforts in Puerto Rico

- Health Gorilla expands clinical interoperability efforts in Puerto Rico with four new partners adopting its secure interoperability solution. - Through its expanded client base and patient reach, Health Gorilla has become the largest interoperability solutions provider in Puerto Rico.Health Gorilla, a Silicon Valley-based secure interoperability solution, announced today new partners that have adopted its technology platform to advance clinical interoperability efforts in Puerto Rico. Health
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Despite Deployment Challenges, Healthcare Cloud Adoption Is On The Rise

by Jasmine Pennic 12/03/2019 Leave a Comment

Despite Deployment Challenges, Healthcare Cloud Adoption Is On The Rise

- Cloud adoption in healthcare is accelerating amid deployment challenges, according to the results of a recent survey conducted by HIMSS Media in collaboration in Perficient and Red Hat. - The blinded HIMSS Technology Outlook Survey: The Outlook for Cloud finds healthcare organizations are already deploying or planning to deploy a significant share of their healthcare information technology (HIT) workload to the cloud.Cloud adoption continues to accelerate in healthcare, a fact reflected in the
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Innovaccer Appoints Former Kaiser Permanente CTO Mike Sutten as Chief Digital Officer

by Fred Pennic 11/27/2019 Leave a Comment

Innovaccer Appoints Former Kaiser Permanente CTO Mike Sutten as Chief Digital Officer

- Innovaccer appoints Mike Sutten as their new Chief Digital Officer to refine Innovaccer’s strategy to build on the mission of a connected care continuum that ensures patient data is available to providers across the care experience. - Sutten brings more than 25 years of technology leadership with Kaiser Permanente, Fortune 500 organizations and the Central Intelligence Agency. Innovaccer Inc., a healthcare technology company has appointed Mike Sutten as their new Chief Digital Officer to
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10 Factors Radiologists Should Consider When Selecting AI Vendors

by Dr. Sanjay M. Parekh Ph.D. , Sr Market Analyst at Signify Research Ltd. 11/22/2019 Leave a Comment

10 Factors Radiologists Should Consider When Selecting AI Vendors

With over 150 independent software vendors developing machine learning solutions for medical imaging, sorting through the plethora of options to select vendors is a challenge. Here are 10 factors radiologists should consider (and questions they should ask) before partnering with vendors providing AI solutions for medical imaging. 1. Clinical Relevancy The foremost consideration for healthcare providers adopting AI into their clinical workflow is relevancy. Does the AI solution truly
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Can Consumer Price Transparency in Healthcare Live Up to the Hype?

by Meg Koepke, Vice President of Strategy at NovuHealth 11/22/2019 Leave a Comment

Meg Koepke, Vice President of Strategy at NovuHealth

There has been a lot of discussion in recent weeks and months about price transparency in healthcare. The idea is simple—payers and providers reveal the rates they pay or charge for health services in order to help consumers make better choices. Despite the hype surrounding price transparency, it will undoubtedly come with a whole set of realities and limitations—there are a variety of factors that go into setting prices, and in many cases, the prices that get posted don’t reflect the price
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HMS Holdings Corp to Acquire Payment Accuracy Company Accent for $155M

by Fred Pennic 11/21/2019 Leave a Comment

HMS Holdings Corp to Acquire Payment Accuracy Company Accent for $155M

- HMS Holdings Corp acquires Accent, a payment accuracy, and cost containment business from Intrado Corporation for approximately $155 million.- Accent’s offerings include comprehensive prospective and retrospective claims accuracy solutions, which incorporates both cost avoidance and overpayment recovery services.- Addition of service provider to commercial and Medicare Advantage health plans to expand the breadth of HMS’ prospective and retrospective claims accuracy services.HMS Holdings Corp.
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Home Care Provider Mavencare Launches Digital Enterprise Partner Access Portal

by Jasmine Pennic 11/21/2019 Leave a Comment

Mavencare Launches Digital Enterprise Partner Access Portal

- Mavencare launches digital partner access portal, Mavencare Plus, to address an industry-wide disconnect between providers and payers.- HIPAA compliant portal gives care managers access to critical real-time patient information saving time, promoting better care coordination, and improving health outcomes for Mavencare home care patients.- Mavencare Plus will be rolled out to enterprise partners over the coming months in Toronto, New York City, and the Greater Boston area.Mavencare, a New
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XSOLIS Acquires Real-Time, Secure Messaging Platform MEDarchon

by Jasmine Pennic 11/20/2019 Leave a Comment

XSOLIS Acquires HIPAA Compliant Secure Messaging Platform MEDarchon

- XSOLIS acquires MEDarchon, a health tech firm focused on HIPAA-compliant, real-time secure messaging for hospitals.- The MEDarchon acquisition will extend its operational impact within the hospital and gives new modalities to support nurses and physicians for XSOLIS.- MEDarchon clients will experience no immediate change in service or support.XSOLIS, a Nashville, TN-based company channeling healthcare data into predictive intelligence and action, today announced that it has acquired MEDarchon,
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InterSystems, Virtusa Partner to Enhance Patient Data Integration

by Jasmine Pennic 11/20/2019 Leave a Comment

InterSystems, Virtusa Partner to Enhance Patient Data Integration

- InterSystems and Virtusa Corporation partner to enhance the healthcare data integration capabilities of its vLife™ life sciences platform.- The Collaboration will create an advanced platform for healthcare data management, research and analytics.InterSystems, and Virtusa Corporation, a global provider of digital strategy, digital engineering, and IT services and solutions have announced their partnership in an effort to drive positive patient outcomes while reducing cost through improved
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RCM: Getting the Most from Your State’s All-Payer Claims Database

by Samir Panchal, Consultant, Freed Associates 11/18/2019 Leave a Comment

RCM: Getting the Most from Your State’s All-Payer Claims Database

This past year, California became the latest (and largest) state to legislatively mandate an all-payer claims database (APCD). As the name implies, an APCD is a statewide repository of all claims information from a state’s health care payers, including both commercial and government. The intent of an APCD is to help policymakers and others better understand the drivers of health care use and costs and spot usage trends across networks, facilities, and geographies. An APCD could also help assess
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