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

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

by Juan Pablo Segura, Co-founder of Babyscripts 05/08/2019 Leave a Comment

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

The results are in. A 2019 PEGA survey asked 2,000 U.S. consumers how they felt about recent trends in healthcare, and the response was overwhelming — they want a personal touch, and they want it digital.  Not only that, but the survey also revealed that communications from healthcare organizations actually drive a patient’s desire to improve their health, fueling the popular opinion that technology is the magic key to patient engagement. What the survey fails to reveal, though, is why the
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Physician Practices Strategy to Developing A Strong Chronic Care Management (CCM) Program

by Zachary Blunt, Sr. Manager of Product Management, Population Health at Greenway Health 05/06/2019 Leave a Comment

Zachary Blunt

More than three years have passed since the Centers for Medicare & Medicaid Services (CMS) introduced its separately billable non-face-to-face Chronic Care Management (CCM) service. This was intended to help more than two-thirds of individuals on Medicare who suffer from multiple conditions receive more coordinated, regular primary care. The hope was that a focus on managing chronic conditions would contribute to better outcomes for overall population health, improve individual access to
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5 Opportunities to Increase Electronic Exchange of Medical Documentation

by Fred Pennic 05/06/2019 Leave a Comment

5 Opportunities to Increase Electronic Exchange of Medical Documentation

Today, 84 percent of “attachments” sharing medical information between providers and health plans are exchanged through mail or fax, resulting in administrative inefficiency and delays in patient care, according to a new white paper released by CAQH CORE. The white paper, “CAQH CORE Report on Attachments: A Bridge to a Fully Automated Future to Share Medical Documentation“ highlights challenges associated with the exchange of medical information and supplemental documentation used for healthcare
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Fitbit Health Solutions Business Grew 70%, $30.5M in Revenue in Q1 2019

by Fred Pennic 05/01/2019 Leave a Comment

Fitbit Health Solutions Business Grew 70%, $30.5M in Revenue in Q1 2019

Fitbit today released its Q1 2019 earnings reporting revenue of $272 million, GAAP net loss per share of $(0.31), non-GAAP net loss per share of $(0.15), GAAP net loss of $(79) million, non-GAAP net loss of $(38) million, cash flow from operations of $(68) million and free cash flow of $(74) million.Q1 2019 Fitbit Health Solutions EarningsFitbit Health Solutions business grew 70% YOY with revenue of $30.5M, which was an important contributing factor to the company’s positive momentum overall in
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Cardiogram’s Wearable Based Monitoring Tool Is Now Covered by Oscar

by Fred Pennic 04/26/2019 Leave a Comment

Cardiogram’s Wearable Based Monitoring Tool Is Now Covered by Insurer Oscar

Cardiogram is a digital health company announced that it's wearable-based monitoring for atrial fibrillation and diabetes is now covered by Oscar Health Insurance, without paying out of pocket. The coverage will help provide end-to-end preventive care: continuous wearable monitoring, convenient testing, contextualized results, and clinical triage.Impact of Chronic ConditionsFor chronic conditions like diabetes, atrial fibrillation, hypertension, and sleep apnea, anywhere between 20–80% of cases
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CMS Primary Cares Initiative With 2 New Payment Models Launches

by Jasmine Pennic 04/24/2019 Leave a Comment

How Will The Primary Care Model Evolve in 2015

On Monday, CMS Secretary Alex M. Azar II announced the launch of CMS Primary Cares—an initiative with two sets of new payment models that will enroll a quarter or more of traditional Medicare beneficiaries and a quarter of providers in arrangements that pay for keeping patients healthy, rather than ordering procedures.New Primary Care Payment Models1. The Primary Care First path will allow smaller primary care practices to be paid a simple, flat stream of revenue for each patient. When a patient
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InterSystems Unveils New HealthShare Provider Directory with Unified Care Record

by Jasmine Pennic 04/17/2019 Leave a Comment

InterSystems Unveils New HealthShare Provider Directory with Unified Care Record

InterSystems has announced the 2019.1 version of the HealthShare® product suite of connected health solutions. The newest member of the suite is the HealthShare Provider Directory, which offers a single source of truth for provider demographic and professional relationship information.Impact of Inaccurate Provider InformationInaccurate provider information has consequences – for patients, payers, and the providers themselves. Wrong telephone numbers and location information limits access to
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Value-based Care in America: A Table View of State-by-State Initiatives

by Fred Pennic 04/16/2019 Leave a Comment

Value-based care programs are flourishing across the U.S., with a seven-fold increase in the number of states implementing such initiatives in the past five years, according to a new Change Healthcare report. The report, Value-Based Care in America: State-by-State is the second national study of state healthcare payment programs that reveal 48 states have now implemented value-based care or payment programs, 50% of those programs are multi-payer in scope, and just four states have little or no
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Bridge Connector Raises $20M to Solve Health IT Interoperability Challenges

by Fred Pennic 04/16/2019 Leave a Comment

Bridge Connector Raises $20M to Solve Health IT Interoperability Challenges

Bridge Connector, a Nashville, TN-based company offering data-driven workflow automation to solve health IT interoperability challenges, has raised $20 million in funding from Axioma Ventures. Their business model aims to create an ecosystem where all health care organizations, regardless of size, can equitably reap the benefits of connected data systems.Sense of Urgency to Achieve Data Interoperability in HealthcareA shared sense of urgency to achieve data interoperability in healthcare,
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2 in 3 Physicians Plan to Use Remote Patient Monitoring in the Future

by Fred Pennic 04/15/2019 Leave a Comment

According to a new study from the Consumer Technology Association (CTA), 68 percent of physician strongly intend to use remote patient monitoring technology in the future. The study, Connected Health and Remote Patient Monitoring: Consumer and Industry Use asked 2,004 U.S. adults about their use of remote patient monitoring technologies in addition to healthcare providers that included 100 primary care physicians, 60 endocrinologists and 40 nurses. CTA also surveyed reimbursement stakeholders
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