Former ONC Chief and Assistant Secretary at HHS joins “Inside Healthcare” investing platform focused on identifying and nurturing digital health innovation. Dr. Karen DeSalvo, who served as National Coordinator for Health Information Technology and Assistant Secretary for Health (Acting) during the Obama administration is joining LRVHealth as an executive advisor. LRVHealth is an early-stage venture platform exclusively focused on finding, investing in and building disruptive new digital health,
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Payers| Payer Industry Impact for Patients, Clinicians, and Healthcare Organizations | News, Analysis, Insights - HIT Consultant
Change Healthcare Launches Automated Analytics Solution for Payers to Support Diagnosis Coding Accuracy
Change Healthcare today introduced Dx Gap Advisor, a new automated analytics solution on the company’s Intelligent Healthcare Network that helps health plans and their providers ensure complete, accurate, and compliant risk adjustment data capture. Dx Gap Advisor automatically identifies possible undocumented diagnosis codes and alerts providers to appropriately address the identified risk adjustment gaps. As a result, health plans can avoid manual chart reviews, ensure accurate and complete
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Today’s Behavioral Health Providers are Failing: Why Data Analytics is the Solution
Today, behavioral health is more important than ever. Major news outlets, from The New York Times to The Wall Street Journal, constantly cover the mental health epidemics wracking the nation, be it widespread opioid abuse or the steady, upward creep of suicide and self-harm.Spurred on by the scope and severity of these societal problems (as well as new legislation passed to address them), the behavioral health sector has grown exponentially. Yet this field is not without its problems: despite
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AMA-RAND Study: Physician Payment Models are Becoming More Complex
According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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Why Healthcare Marketers Should Care about the Patient Financial Experience
What comes to mind when you think of health system marketing? For most people, it’s dynamic content on the organization’s latest clinical advancements, philanthropic efforts, wellness management and relationship-building efforts within the community it serves. It’s also understanding patients and their motivations, using consumer research and analysis, focus groups, surveys, and other tools. You probably don’t think about the healthcare billing experience.It’s understandable. Frank discussions
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Value-based Care Success: 7 Stages of the Health Data Life Cycle
Back in the day – the late 1960s, when social norms and the face of America was rapidly changing – a familiar public service announcement began preceding the nightly newscast. “It’s 10 p.m. Do you know where your children are?” Today, as the healthcare landscape changes rapidly with a seismic shift from the fee-for-service payment model to value-based care models, there’s a similar but new clarion call for quality healthcare: “It’s 2018. Do you know where your data is?”Compliance with the
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Centivo Raises $34M to Launch Next-Gen Self-Funded Health Plan
Centivo, a new type of self-funded health plan built specifically for employers and their employees and families has raised $34 million in Series A funding led by Bain Capital Ventures. The round also included participation from F-Prime Capital Partners, Maverick Ventures, Bessemer Venture Partners, Ingleside Investors, Rand Capital, Grand Central Tech Ventures, Oxeon Investments, and several individual investors, including industry veterans Jim Foreman, Ken Goulet, and Kevin Hill.Founded in
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KPMG: Data Aggregation Biggest Barrier to Population Health Implementation for Payers, Providers
]The biggest individual barrier to implementing a population health program is data aggregation and standardization from multiple sources for providers and payers, according to a recent KPMG survey. The survey results that population health management programs aimed at improving quality and access to care while reducing costs for a designated group of patients, are taking hold at health plans and providers. Healthcare provider and health plans see this happening despite challenges associated
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How Millennials Lead the Way to Healthcare Innovation
Editor's Note: Mark Haddad is VP of Consulting for the Microsoft group at SADA Systems, a full-service cloud migration and IT consulting services company, offering cloud solutions, managed services, technical services. Statisticians, researchers and workplace experts love to talk about how different Millennials are than the rest of us as workers and consumers. There have been numerous studies about the potential impact of this group on the healthcare industry, since healthcare defies nearly
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Healthcare Analytics Market to Reach $18.7B by 2020
The global healthcare analytics market is expected to reach $18.7 Billion by 2020 from $5.8 Billion in 2015, according to a new market research report by MarketsandMarkets. Among end users, the healthcare providers segment is expected to grow at the highest CAGR during this forecast period. The demand in this market is highly driven by federal mandates such as the implementation of EHRs and ICD-10 code sets, shift towards value-based medicine, and the increased focus on quality care and reduced
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