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Prior Authorization

CVS Health Launches Transform Oncology Care Program, Partners with Tempus

by Jasmine Pennic 12/12/2019 Leave a Comment

CVS Health Launches Transform Oncology Care Program, Partners with Tempus

- CVS Health launches Transform Oncology Care, which includes a comprehensive, first-of-its-kind precision medicine approach to oncology management for payors in collaboration with Tempus.- Transform Oncology Care includes an innovative precision medicine strategy that increases access to broad-panel gene sequencing tests for patients diagnosed with certain advanced-stage cancers. - The program also uses CVS’ local footprint and unique assets to improve patient outcomes and lower costs every
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Waystar Acquires AI-Powered Revenue Cycle Platform Recondo Technology

by Fred Pennic 12/04/2019 Leave a Comment

Waystar Acquires Recondo Technology

- Waystar acquires Recondo Technology, a provider of revenue cycle automated solutions powered by robotic process automated (RPA). - Recondo brings additional artificial intelligence and machine-learning technologies to Waystar’s broad portfolio of solutions.- With new capabilities, improved data efficacy and a larger team, Waystar can help healthcare organizations consolidate vendors and capture more revenue.Waystar, a provider of revenue cycle technology, today announced the acquisition of
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Through EHR Integration, CVS Specialty Launches Specialty Expedite to Streamline Prescription Onboarding

by Fred Pennic 09/25/2019 Leave a Comment

Through EHR Integration, CVS Specialty Launches Specialty Expedite to Streamline Prescription Onboarding

- CVS Specialty launches Specialty Expedite, a pharmacy solution that uses technology to significantly streamline the process and keep patients informed of the status of their prescription along the way. - Streamlined prior authorization and benefits verification process using connectivity with EHR platforms, helping patients get their medications in as little as three days. - Patients are also able to choose how they want to get their specialty medications – at their local CVS
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DrFirst Integrates Adobe Sign With Backline Secure Care Collaboration Platform

by Jasmine Pennic 09/10/2019 Leave a Comment

DrFirst Integrates Adobe Sign With Backline Secure Care Collaboration Platform

- DrFirst and Adobe Sign has announced the integration of Adobe Sign e-signature solution with DrFirst’s Backline secure care collaboration platform, producing the first mobile solution for the healthcare market to offer an e-signature capability. - Using the joint solution, providers can send SMS messages to the mobile devices of patients, caregivers, or other clinicians to share documents that require signatures. - Once received, the patient or provider can tap a link in the text
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DrFirst Integrates with Epic’s Real Time Prescription Benefits Prescribing Workflow

by Fred Pennic 08/01/2019 Leave a Comment

Taking New Medications: Consumers Blame Anxiety on Lack of Time with Physicians

DrFirst, a provider of e-prescribing, price transparency, and medication management solutions announced today that it has entered into an integration agreement with leading EHR provider Epic to make DrFirst’s myBenefitCheck (real-time benefit check) service available to clients in Epic’s RTPB (Real-Time Prescription Benefits) prescribing workflow to help doctors and patients understand the cost of the drugs and drive medication adherence.How myBenefitCheck WorksVia myBenefitCheck, prescribers
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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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Olive, Clinc Partner to Add Conversational AI to Digital Healthcare Employee for Hospitals

by Jasmine Pennic 06/24/2019 Leave a Comment

Olive, Clinc Partner to Add Coversational AI to Digital Healthcare Employee for Hospitals

Olive, the company that introduced healthcare’s AI-driven digital employee has joined forces with Clinc, another trailblazer in Artificial Intelligence (AI), to free up time and resources by adding conversational AI capabilities to its existing technology. The combined offering allows Olive’s digital healthcare employee to bring hospitals and health systems broader applications across revenue cycle, supply chain and other financial and operational departments.   While new technologies
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Surescripts Inks Partnerships with National Health Plans to Streamline Prior Authorization

by Fred Pennic 06/21/2019 Leave a Comment

Surescripts Inks Partnerships with National Health Plans to Streamline Prior Authorization

Surescripts announced that several national, regional and local PBMs and health plans representing virtually all U.S. patients are replacing their manual prior authorization process with Surescripts Electronic Prior Authorization solution. Over the past 18 months, several national, regional and local PBMs and health plans representing virtually all U.S. patients have signed on, increasing the number of insured lives covered by Surescripts Electronic Prior Authorization by nearly 20%.Impact of
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Allscripts Acquires Prescription & Prior Authorization Platform ZappRx

by Jasmine Pennic 06/14/2019 Leave a Comment

Allscripts Acquires Prescription & Prior Authorization Platform ZappRx

EHR vendor Allscripts has reached an agreement to acquire prescription and prior authorization platform ZappRx, according to CNBC. The acquisition will help Allscripts diversify its business outside of electronic medical record (EHR). The company has raised a total of $40M in funding to date.Founded in 2012 by Zoe Barry who previously worked at athenahealth, ZappRx streamlines the complex process required to order specialty medications, increasing efficiencies when collecting and maintaining the
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Humana Integrates Real-Time Benefits Tool with Epic’s E-prescribing Workflow

by Fred Pennic 06/11/2019 Leave a Comment

Humana Integrates Real-Time Benefits Tool with Epic’s E-prescribing Workflow

Humana and Epic today announced an agreement to integrate Humana’s IntelligentRX real-time benefits tool directly into Epic’s e-prescribing workflow. Humana is the first national insurer to collaborate with Epic to bring together patients, providers and payers to power value-based care. The resulting integration will deliver real-time pharmacy data and access to patient’s medical history, which, in turn, will enable cost reduction, improved quality, and increased patient
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