Doctors didn’t attend medical school to spend their waking hours managing or waiting for prior authorizations (PA), but these days it feels like that’s all they are doing.
A recent American Medical Association survey found that 90 percent of responding physicians believe that the “administrative burden related to PA requests has risen in the last five years, with most saying it has ‘increased significantly.’” As healthcare continues its acceleration toward value-based reimbursement models,
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Prior Authorization
CVS Health, UCLA Health Partner to Bolster Hospital Capacity for COVID-19
What You Should Know:
- CVS Health announced it is working with hospitals and providers, including major systems like UCLA Health, to support their solutions for creating much-needed hospital bed capacity during the pandemic.
- Hospitals around the country are expanding their capacity to meet the anticipated needs as a result of the COVID-19 pandemic.
- Current estimates project that hospitals nationwide need to increase capacity by more than 36,000 hospital beds.
- In addition,
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3 Ways to Build a Back-to-Basics Approach to Revenue Cycle Management
Sixty-nine percent of healthcare revenue cycle leaders say they will put more money toward technologies that boost revenue integrity, eliminate human error and unlock greater efficiency in the year ahead, an HFMA/Navigant analysis found. But for many organizations, the biggest untapped opportunity to improve performance comes down to a single word: data.
For all the buzz at about the ways in which digital innovation and automation could transform revenue cycle management, healthcare
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HHS Issues Strategies & Recommendations to Mitigate EHR-Related Clinician Burden
- HHS issues new report outlining the key sources of EHR-related burden, as well as strategies and recommendations to achieve burden reduction goals for healthcare providers.
- The HHS report reflects additional input from the more than 200 comments submitted in response to the draft strategy and recommendations.
As part of the
ongoing efforts to strengthen the relationship between patients and their
doctors, the U.S. Department of Health and Human
Services (HHS) issued
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CAQH CORE Approves Two-Day Rule to Accelerate Prior Authorization Process
- CAQH CORE participating organizations--consisting of healthcare providers, health plans, vendors, government entities, associations and standard-setting organizations--have come together to pass a national two-day time limit for plans to request additional info and make final decisions on prior authorization requests.
- Prior authorizations are the most costly, time-consuming administrative transaction for providers. And when the process takes too long, it can delay patient care.
- Over
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Roundtrip Taps Redox to Provide Complete View of Patient’s Transportation Journey
- Redox partners with Roundtrip digital transportation marketplace to ensure patients get to appointments. - With Redox ensuring total interoperability across healthcare data source systems, Roundtrip can compile a complete view of a patient’s transportation journey between care settings and offer insights to improve outcomes.Roundtrip, a digital transportation marketplace for providers and patients, announced today its strategic partnership with Redox, a healthcare integration platform for
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Top 60 Health IT/Digital Health Mergers & Acquisitions in 2019
- From Google's acquisition of Fitbit to Philips acquisition of Carestream Health's health IT business, here is a look at some of the biggest health IT/digital health mergers & acquisitions in 2019 by each quarter.
Q1 M&A Activity
Johnson & Johnson Acquires Auris Health for $3.4B to Expand Digital Surgery Portfolio
Johnson & Johnson acquiresAuris Health, a developer of robotic technologies for $3.4 billion in cash. Auris Health is a privately-held developer of
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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
- 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
- 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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