The average Medicare Advantage plan turns over about 10% of its members every year, and for a 100,000 member plan, that can equate to about $110 million in lost premium reimbursements as well as a decline in Star ratings. This is why retaining members is a top priority among health plans. Welltok’s Medicare Retention Solution has helped leading Medicare plans reduce disenrollment rates by up to 30%, improve disenrollment-related Star ratings from 2.5 to 4 and retain up to $97 million
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Predictive Analytics in Healthcare | Health IT | Digital Health | Patient Care Solutions | News, Insights, Analysis - HIT Consultant
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 Artifical Intelligence Solve The Chronic Kidney Disease Epidemic?
Chronic kidney disease (CKD) is a growing epidemic worldwide. Currently, there are 850 million individuals suffering from CKD globally, with 40 million in the United States alone. Of these individuals, 96 percent are not aware of having CKD, as kidney disease often exhibits no symptoms until it has progressed to a late stage.
As this epidemic continues to grow, healthcare providers and organizations are working to determine how artificial intelligence (AI) can be used to analyze electronic
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3 Ways Health Plans Can Leverage Lab Data Analytics
Payers have long realized the value of leveraging disparate data sets to gain greater insight on patients, with popular data sources including claims, electronic health records, and surveys on social determinants and behavioral health.
More recently, health plans have begun to appreciate another source of data that can help them avoid missed revenues, predict emerging conditions and improve risk management: laboratory data. This category includes data on critical health factors such as
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Applied Analytics: Making the Dream of Cost-Controlled Population Health a Reality
Ninety percent of a solution is accurately defining the problem, however, in healthcare, much like nearly every other industry, more time and energy is spent on fixing perceived symptoms rather than identifying root caU.S.es.
Today we will explore the contribution that applied analytics has made and continues to make on bending the dramatic U.S. healthcare cost curve. To do this well we will first explore the primary cost drivers (i.e. root caU.S.es), as to why the U.S. spends more on care than
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2019 MedTech Breakthrough Award Category Winners Announced
MedTech Breakthrough, a market intelligence organization that recognizes the top companies, technologies, and products in the global digital health and medical technology market has unveiled the results of its 2019 MedTech Breakthrough Awards program, showcasing technologies and companies that drive innovation and exemplify the best in medical and health-related technology solutions across the globe.MedTech Breakthrough Awards Program OverviewThe MedTech Breakthrough Awards program is the
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Waystar Acquires Presumptive Charity Scoring Solution PARO
Waystar, a provider of revenue cycle technology, today announced it has acquired PARO, a financial assistance predictive analytics solution designed for the healthcare industry. As part of the acquisition, the PARO solution will be integrated with Waystar’s technology platform to help hospitals better assess charity care, reduce bad debt and meet community benefit requirements.Why PARO?Nonprofit hospitals are required to make reasonable efforts to determine if patients are eligible for financial
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PE Firm Considering Options Including Sale of RCM Provider Waystar
Private multi-asset alternative investment firm Bain Capital is reportedly considering options including the potential sale of revenue cycle management (RCM) company Waystar, Bloomberg reports. In 2018, Bain rebranded RCM companies Navicure and ZirMed as Waystar after merging the two companies together in 2017. Waystar Sale Could Value Company At More Than $3BBain has started early-stage discussions about a potential sale that could value the business at more than $3 billion, according to
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EMV Capital Acquires Predictive Adverse Events Platform Wanda
EMV Capital, a London-based early-stage venture investor announced the acquisition and investment in Wanda Inc., a San Francisco-based digital health startup commercializing advanced clinical decision support software powered by machine learning and real-time patient data analysis. EMV Capital’s investment will enable Wanda to accelerate its growth in the North American market, as well as to enter the UK and European markets.Wanda Inc. BackgroundWanda Founded in 2011 from the results of eight
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5 Disruptive Technologies Driving The Future of Patient Monitoring Solutions
The patient monitoring market is expected to be worth more than $350 billion by 2025, as the focus is likely to move beyond device
sales to solutions, according to a recent Frost & Sullivan's report.
The report, Patient
Monitoring Industry—Analysis of Investment and Trends outlines the
future of patient monitoring across the continuum of care, the shifts in the
market, and investment opportunities.
Evolution of
Patient Monitoring
Patient monitoring has evolved from
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