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

Inaccurate Provider Directories Costs Physician Practices $2.76B Annually

by Jasmine Pennic 11/15/2019 Leave a Comment

Report: Maintaining Provider Directories Costs Physician Practices $2.76B Annually

- Providers spend $2.76 billion each year on provider directory maintenance, a new survey by CAQH found. - For individual practices, this intensive process costs $998.84 per month--the equivalent of one staff day per week. That is time and money that most providers can't afford to waste.- CAQH surveyed 1,240 physician practices last month and just released "TheHidden Causes of Inaccurate Provider Directories"-- a new white paper that details the burdens the survey uncovered and what the industry
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Deloitte, Amazon Web Services Partner to Create New Health Ecosystems Through Data

by Fred Pennic 11/14/2019 Leave a Comment

- Deloitte is now working with Amazon Web Services (AWS) and its new cloud-based service AWS Data Exchange to help organizations quickly and easily find, access and share data from other institutions securely.- Deloitte and AWS Data Exchange together will help organizations and researchers uncover the value created from the vast amounts of data generated throughout the healthcare ecosystem. Most of this data has been inaccessible – and if it is accessible, it’s difficult to find and obtain. -
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Holon Solutions Appoints Jon Zimmerman As New CEO

by Jasmine Pennic 11/11/2019 Leave a Comment

Holon Solutions Appoints Jon Zimmerman As New CEO

- Healthcare IT leader Jon Zimmerman has been named CEO of Holon Solutions to accelerate their transition to value-based care through the adoption of purpose-built technology that solves their biggest challenges. - Value-based care executive selected for his nearly 30 years’ experience in enhancing healthcare interoperability and proven track record in scaling growth-stage companies. Holon Solutions, an Atlanta-based healthcare IT company that liberates healthcare data, today announced it has
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Research: October Health IT M&A Activity, Public Company Performance

by Healthcare Growth Partners (HGP) 11/08/2019 Leave a Comment

Research: October Health IT M&A Activity, Public Company Performance

- Healthcare Growth Partners (HGP) summary of Health IT/digital health merger & acquisition (M&A) activity, and public company performance during the month of October 2019 During the month of October, Health IT continued its evolution into an amorphous market that is increasingly trending away from a specialized niche of healthcare and into a key component of larger sectors such as Enterprise Software, HR Administration, Insurance, Care Delivery, Suppliers, and BioPharma. The
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Payment Integrity: Is AI The Real Answer to Reducing Overutilization?

by Doug Williams, Chief Operating Officer at HMS 11/06/2019 Leave a Comment

How AI is making unnecessary testing a thing of the past

Some experts estimate that $200 billion is wasted each year on unnecessary or excessive medical testing and treatment. This could be up to 40% of the unnecessary spending in the system today.  Despite the extreme focus to reduce the total amount spent on healthcare, why does extensive spending on unnecessary or excessive tests or procedures continue? The easy answer is because it is often difficult to spot what is unnecessary or excessive. There are certainly moments when overutilization of
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Fueling EHR Innovation by Outsourcing e-Prescribing Development

by G. Cameron Deemer, President of DrFirst 11/05/2019 Leave a Comment

Fueling EHR Innovation by Outsourcing e-Prescribing Development

Health IT software – and EHRs in particular – are widely criticized for their inefficient workflows and unfriendly user interfaces. Unhappy end-users may blame EHR vendors for failing to deliver great software, perhaps not realizing that health IT companies struggle to balance limited financial and human resources and must choose between meeting ever-changing regulatory demands and creating innovative updates that improve the user experience.  Consider this: every year, vendors must make dozens
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3 Digital Solutions Driving The Primary Care Practice for the 21st Century

by Jasmine Pennic 11/01/2019 Leave a Comment

3 Solutions Driving The Primary Care Practice for the 21st Century

- Latest Chilmark report evaluates new patient-facing AI tools, remote care platforms and telehealth solutions for impact to primary care infrastructures.- The 33-page report covers in-depth primary care tech such as chatbots, AI assistants and symptom checkers as well as behavioral health platforms.- Report includes 11 short profiles of major and promising vendors, with three to four vendors identified per solution type that includes product differentiators and vendor-specific impact on access,
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Validic, Trapollo Partner to Offer Hardware & Software Services Supporting Remote Patient Monitoring

by Fred Pennic 10/31/2019 Leave a Comment

Validic, Trapollo Partner to Offer Hardware & Software Services Supporting Remote Patient Monitoring

- Validic and Trapollo are teaming up to offer comprehensive hardware and software services supporting remote patient monitoring (RPM). - The collaboration combines Validic's strengths in data connectivity and analytics with Trapollo's strengths in hardware provisioning and logistics.Validic, a market leader in solutions for personal health data, and Trapollo, a Cox Business company and a leading provider of managed services for telehealth and remote health monitoring, announced today a
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Provider Credentialing: A Problematic Process Driving Costs and Delays

by Jim Dougherty, CEO and Co Founder at Madaket Health 10/31/2019 Leave a Comment

Provider Credentialing: A Problematic Process Driving Costs and Delays

On a typical day, the average physician sees about 19 patients for roughly 22 minutes each. That’s a busy day and anything that interrupts that schedule is a problem for them and their staff.  One of the things that does disrupt that rhythm is payer paperwork, which is a significant driver of administrative burden and waste in healthcare. Administrative transactions between providers and payers include a wide range of tasks performed by many different entities, but one piece of the puzzle
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Mastercard Unveils Suite of Healthcare Solutions to Detect Fraud & Protect Health Data

by Jasmine Pennic 10/28/2019 Leave a Comment

Mastercard Unveils Suite of Healthcare Solutions to Detect Fraud & Protect Health Data

- Mastercard unveils new suite of healthcare solutions to move beyond cards and reimagining how its technology and capabilities can benefit the healthcare ecosystem. - Mastercard Healthcare Solutions will develop and provide the tools needed to protect detect fraud, waste, and abuse, capture more revenue, and protect patient health data.Mastercard today unveiled Mastercard Healthcare Solutions, a new suite of products dedicated to helping healthcare partners detect fraud, waste, and abuse,
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