Millions of Americans live with acute and chronic pain that affects every aspect of their lives. Pain by itself is an important marker of how a patient is feeling and indicates what kind of medical intervention might be necessary. The healthcare industry needs a clinically acceptable way to objectively measure pain and since pain is a very complex mixture of biochemistry and genetics and it’s unlikely that a laboratory test that directly quantifies pain will be developed.
Doctors
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Payers| Payer Industry Impact for Patients, Clinicians, and Healthcare Organizations | News, Analysis, Insights - HIT Consultant
KLAS: State of Value-Based Care Reimbursement in 2022 Trends
What You Should Know:
- Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments.
- For their latest report, Value-Based Care Reimbursement 2022, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how
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Telehealth: Addressing The Mental Health Crisis in Kids
Children in America were increasingly struggling with mental health before COVID-19, but the pandemic compounded an already growing crisis. Today in the U.S., nearly one in five children experience a mental health disorder. What’s just as alarming is that for every five children with a mental health disorder, only one will receive treatment.
In October 2021, leading pediatric healthcare associations declared a national emergency in child and adolescent mental health. This declaration was a
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Does Data Hold the Key to Streamlining Provider Credentialing?
Provider credentialing is an essential part of healthcare. A provider cannot work or get paid without a proper license or credential, and yet this highly complex process is still done on paper (also sticky notes on file cabinets, Excel spreadsheets—you get the idea) by many healthcare organizations. Manually credentialing providers adds to an already lengthy process. One expired certificate or a delayed privileging request can prevent a provider from seeing patients for more than 60
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Provider Burnout Has Leveled Out in 2022; Staffing Shortages Rises, KLAS Reports
What You Should Know:
- Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments.
- For their latest report, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how they are moving beyond
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3 Seismic Shifts Transforming Women’s Health – FemTech
My company recently celebrated its 10th anniversary, which prompted me to reflect on the progress of the women’s health sector over the last decade. There has been so much change, so many technological innovations and clinical breakthroughs. And yet, two things haven’t changed all that much. Our outcomes in the U.S. have not improved; in fact they are in decline. This is true whether you are measuring maternal mortality, health equity, or complication rates. And as an industry, we’ve yet to
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Prior Authorization Reforms Don’t Address the Real Problem. Here’s How AI Can Help.
After waiting weeks for an open appointment, John finally gets in to see the orthopedic surgeon to evaluate his acute knee pain. He’s already been off work for over two months and has barely been able to leave the house, popping anti-inflammatory and pain medicine to manage the pain every day.
Suspecting a torn meniscus, the doctor orders an MRI to verify the diagnosis and plan his treatment approach. The nurse begins the process by calling John’s insurance carrier to verify coverage,
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3 Reasons the Cloud is Critical for Ensuring Patient-Centered Care
As the healthcare sector embraces value-based care, the patient – not the procedure – is the central focus for providers. But the move to patient-centered care requires several significant deviations from the status quo.
For example, more personalized treatment is required through information sharing and collaborative decision-making among providers, patients and their families. There is also a greater need to focus on overall physical, mental and emotional well-being of patients, as
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Edifecs Partners with Empowered-Home to Deliver Automated Prior Authorizations
What You Should Know:
- Edifecs and Empowered-Home announced a partnership to provide automated prior authorizations to medical associations, Accountable Care Organizations (ACOs), Independent Physician Associations (IPAs), medical groups, and home health care agencies.
- The Edifecs prior authorization solution combined with the clinical decision support system of patient management software company, Privis Health, forms the backbone of Empowered-Home’s ecosystem. Empowered-Home is
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HLTH22: Turquoise Health Launches Price Transparency Data Solution
What You Should Know:
- Turquoise Health, an end-to-end healthcare pricing platform, today announced Simple Extracts, its first price transparency data product for specialty healthcare businesses. Simple Extracts allows anyone to request and receive precise searches from both the hospital and payer rates data warehouses.
- This new product eliminates the cost and technical barriers specialty businesses encounter by delivering data to customers directly within the Turquoise Health platform.
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