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

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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How to Build A Tech-Enabled Flu Immunization Program That Works

by Andrew Reeves, COO at BioIQ 10/25/2019 Leave a Comment

How to Build A Tech-Enabled Flu Immunization Program That Works

While the weather is warm, preventing the flu is usually not top of mind for most healthcare consumers. But for health plans, it’s never too early to start planning for the impending 2019-2020 season. Ideally, people will be vaccinated in the early fall, allowing sufficient time to build antibodies before the season is in full swing.  One of the challenges faced by health plans is designing a flu immunization program that addresses the low vaccination rates for adults in the U.S. Among adults
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How Value-Based Care is Changing the Way You Build Digital Health Companies

by Sean Walker, Partner at The Bowdoin Group, Josh Gottlieb (Managing Director, Digital Health) at The Bowdoin Group, and Michelle Mattson-Hamilton, Associate Principal at ST Advisors 10/24/2019 Leave a Comment

After years of talk, fee-for-service payment models are finally being challenged in a real way. With value-based care, providers are reimbursed based on patient health outcomes rather than the number of patients they see, which has begun to pass the burden of cost from insurers and employers to providers and patients. Fundamentally, value-based care requires vendors as well as providers to operate differently, but new revenue models and a new approach to hiring deserve special consideration. In
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AVIA Lands $22M to Expand Healthcare Innovation Network to New Markets

by Fred Pennic 10/23/2019 Leave a Comment

AVIA Lands $22M to Expand Healthcare Innovation Network to New Markets

- AVIA raises $22M to expand its leading healthcare innovation network to expand its service offerings and reach new markets. - Specifically, AVIA will tap into the new funds to grow its offerings in areas including consumerism, population health, and risk management, and to reach new markets such as pediatric hospitals and payers.- Members of the AVIA Innovator Network access unique insights, participate in collaborative strategic initiatives, and engage in consulting services to increase speed
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7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines

by Weaver Hickerson, CEO, LightSpeed Technology Group 10/21/2019 Leave a Comment

7 Best Practices to Improve Professional Fee Revenue Cycle for Better ED Bottom Lines

Most healthcare organizations partner with physician services groups for niche coverage. While outsourced medical services are available across all specialties, common areas for external physician support include anesthesia, radiology, wound care, and emergency medicine. However, when outsourced physician services are used, challenges to ensure accurate reimbursement for both components of care—the hospital portion and the physician’s professional fee—increase.  Snafus are largely attributable
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Why SDoH Data Is Key For Developing Population Health Strategies

by Elizabeth Marshall, MD, MBA, Director of Clinical Analytics at Linguamatics, an IQVIA company 10/16/2019 Leave a Comment

Simplifying Population Health Management and the Identification of Social Determinants with NLP

The healthcare industry has come a long way in its appreciation of non-clinical factors impacting a patient’s overall well-being, such as social determinants of health (SDoH). However, the industry has made less progress when it comes to gathering information on individual patients’ social determinants, analyzing the details and – most importantly – translating the findings into actionable information that healthcare organizations (HCOs) can use to improve population health management. One
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McKesson, Aetion Partner on Real-World Evidence (RWE) in Cancer Research

by Jasmine Pennic 10/15/2019 Leave a Comment

Google Cancer Research

- Aetion and McKesson announced a strategic collaboration focused on advancing the use of real-world evidence (RWE) in cancer research. - Relationship pairs Aetion Evidence Platform and McKesson’s robust oncology data sets to accelerate regulatory-grade oncology studiesAetion and McKesson, today announced a strategic collaboration focused on advancing the use of real-world evidence (RWE) in cancer research to benefit patients, regulators, the biopharma industry, and payers. The partnership will
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California Physician Practices to Use Apple Watches to Advance Physician-Patient Communication

by Fred Pennic 10/14/2019 Leave a Comment

Notable Health Launches Voice-Powered Assistant for Physicians on Apple Watch

- Healthcare services company for physicians Altais partners with Notable Health to use intelligent automation to enhance the patient experience.- Notable Health’s A.I.-driven platform uses Apple Watches and smartphone devices to advance physician-patient communications and streamline administrative tasks.- Notable’s AI-powered platform is a game-changer for clinicians previously spending hours on redundant administrative tasks. The platform—which seamlessly integrates with legacy EHR
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Amazon Textract Is Now HIPAA Eligible, Extracts Text/Data From Scanned Docs

by Fred Pennic 10/11/2019 Leave a Comment

Amazon Textract Is Now HIPAA Eligible, Extracts Text/Data From Scanned Docs

- AWS announced that Amazon Textract, a Machine Learning (ML) service that automatically extracts text and data from scanned documents, is now HIPAA-eligible.- Amazon Textract will make it easy for customers to accurately and securely process millions of documents in a matter of hours, saving time and lowering processing costs.- Cerner, Fred Hutchinson Cancer Research Center and The American Heart Association are already exploring new ways use the power of ML to automate their current workloads
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Evolent Health Achieves NCQA Population Health Program Accreditation

by Jasmine Pennic 10/10/2019 Leave a Comment

Evolent Health

- Evolent Health becomes the first company ever to achieve Population Health  Program Accreditation from NCQA with the status of Accredited–3 years. - The Population Health Program Accreditation is the third NCQA Accreditation Evolent has achieved in 2019, with Evolent having also earned 3-Year Accreditation in both Utilization Management and Case Management in 2019. - Three years is the longest accreditation time period NCQA designates for organizations.Evolent Health, a company providing an
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