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

3 Takeaways From The 2019 HIMSS & Health 2.0 European Conference

by Michael Liberty, Sr. Market Analyst at Signify Research 07/19/2019 Leave a Comment

The HIMSS & Health 2.0 European Conference attracted over 2,600 delegates from 64 countries to Helsinki in June 2019. While there was a strong focus on healthcare in the Nordics, the conference brought with it a wide variety of vendors from across the globe all looking for new opportunities on the show floor. Our key takeaway – the goal to change mindsets in Europe towards how healthcare can be improved through the use of technology. We look at a few examples below, namely:- Developing
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Waystar Acquires AI Firm Digitize.AI to Tackle Prior Authorizations

by Fred Pennic 07/10/2019 Leave a Comment

Waystar Acquires AI Firm Digitize.AI to Tackle Prior Authorizations

Bain-Capital-backed revenue cycle management company Waystar is acquiring Digitize.AI, an artificial intelligence firm, to enable faster and smarter prior authorizations in healthcare – one of the largest pain points for both providers and consumers.Financial Impact of Prior AuthorizationsPrior authorizations, the process by which insurance companies and payers determine if they will cover a prescribed procedure or medication, are meant to help patients avoid surprise bills and unexpected
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Can AI Transform Patient Care from Reactive Craft to Strategic Art?

by Ori Geva, Co-founder and CEO, Medial EarlySign 07/09/2019 Leave a Comment

Can AI Transform Patient Care from Reactive Craft to Strategic Art?

Personalized Analytics is becoming essential in healthcare, stemming from the movement from fee-for-service to a value-based market. The need to preempt and prevent disease on a more personal level, rather than merely reacting to symptoms, has created a significant opportunity for machine learning-based applications. This “analytics of one” approach (using advanced mathematical models and artificial intelligence techniques) is already impacting several key areas: 1. Medical imaging is utilizing
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Rock Health Report: Is 2019 The Year of the Digital Health IPO?

by Fred Pennic 07/02/2019 Leave a Comment

Rock Health Report: Is 2019 The Year of the Digital Health IPO?

Digital health funding reached a new record of $4.2 billion across 180 deals in the first half of 2019, according to Rock Health, a full-service venture fund dedicated to digital health. The digital health sector is on track for an $8.4B year in 2019—and may even break 2018’s annual funding total. The report also validates the continued trend of the large $100M+ mega deals, attributing to 30% of venture funding in H1 2019. The 2019 Midyear Digital Health Market Update reflects a maturing digital
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Belong.Life Raises $14M to Expand AI-Powered Social Network for Cancer Patients

by Jasmine Pennic 07/02/2019 Leave a Comment

Belong.Life Raises $14M to Expand AI-Powered Social Network for Cancer Patients

Belong.Life, creators of the "Belong - Beating Cancer Together" mobile app, the world's largest social network and navigator app for cancer patients, caregivers and healthcare professionals announced it has raised $14M in Series B funding led by IQVI. The Series B round also included participation from The Group Ventures and other existing investors.Founded in 2015 by noted entrepreneurs Eliran Malki, Irad Deutsch and Ohad Rubin after each lost relatives to cancer, Belong - Beating Cancer
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J.D. Power to Publish First-Ever Telehealth Satisfaction Study Focused on 3 Categories

by Jasmine Pennic 06/27/2019 Leave a Comment

J.D. Power to Publish First-Ever Telehealth Satisfaction Study

J.D. Power, a global leader in consumer insights, advisory services, and data and analytics announced its plan to launch its first-ever Telehealth Satisfaction Study in November 2019.Why Telehealth Satisfaction?As new value-based payment models continue to re-define the consumer healthcare experience, the use of telehealth as a lower-cost form of medical consultation has skyrocketed in popularity. Among the commercially insured, telehealth visits increased 261% between 2015 and 20171 and the
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Healthcare’s Uncertain Future: 3 Data-Driven Approaches for Payers

by Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti 06/27/2019 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Nine out of 10 healthcare leaders expect disruptive pressures to increase tremendously in the year ahead, according to a recent survey. However, fewer than half believe their organizations are prepared to withstand these forces. In an era of transformation—in which traditional business models are continually being revamped in response to pressures such as consumerism, policy changes, and the market entrance of non-traditional healthcare players such as Amazon and Apple—payers face daunting
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PE Firm Acquires Secure Health Information Exchange Company Vyne

by Jasmine Pennic 06/26/2019 Leave a Comment

PE Firm Acquires Secure Health Information Exchange Company Vyne

Vyne, a provider of secure health information exchange and electronic healthcare communication management has been acquired by The Jordan Company, L.P., a middle-market-focused private equity firm with original capital commitments in excess of $11 billion. This new investment supports Vyne’s commitment to providing market-leading healthcare technology and support to thousands of dental practices, hospitals and major health systems across the United States.Expansion Plans for VyneThe acquisition
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CommonWell Health Alliance Taps Change Healthcare for Clinical Interoperability Services

by Jasmine Pennic 06/26/2019 Leave a Comment

Change Healthcare Acquires Credentialing Tech Docufill to Improve Administrative Efficiency

Change Healthcare has been awarded a six-year contract by CommonWell Health Alliance to continue to provide clinical interoperability services. This agreement allows Change Healthcare to pave the way for health IT interoperability that reduces cost barriers, meets federally mandated requirements and sets the stage for innovations to better address value-based payment and patient needs.Value-based Payment & Transparency Driving the Need for Clinical Interoperability ServicesIn recent years,
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Change Healthcare: Applying AI Could Identify Up to 35% of Denials Prior to Submission

by Fred Pennic 06/24/2019 Leave a Comment

Change Healthcare Claims Lifecycle AI Could Identify Up to 35% of Denials Prior to Submission

Change Healthcare AI can help providers identify problem claims and prevent denials before they happen, avoiding costly rework, delays, and improving revenue flow.Today Change Healthcare announced that it has applied its Claims Lifecycle Artificial Intelligence (AI) technology to its claims management suite with the introduction of Assurance Reimbursement Management™ Denial Propensity Scoring and Revenue Performance Advisor Denial Prevention. With performance enhanced by Claims Lifecycle AI,
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