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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant

Medsphere Acquires Healthcare Relationship Management Platform Marketware

by Fred Pennic 01/25/2021 Leave a Comment

Medsphere Acquires Healthcare Relationship Management Platform Marketware

What You Should Know: - Medsphere, a provider of affordable clinical IT systems and support services announced it has acqauired healthcare relationship management and analytics company Marketware. Medsphere Systems Corporation today announced the acquisition of Marketware, Inc., a leading developer of robust software tools focused on managing healthcare relationships and analyzing a wide variety of data to augment existing competitive advantage. The Marketware suite supports hospitals
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Intelligent Automation of the Revenue Cycle: How an Integrated Platform Approach Yields Financial Results

by Sean Barrett, Senior Vice President, Product and Digital Transformation, R1 RCM 01/25/2021 Leave a Comment

Intelligent Automation of the Revenue Cycle: How an Integrated Platform Approach Yields Financial Results

Healthcare provider networks are experiencing enormous pressure to manage financial margins and invest in contactless patient experiences. With overall financial losses projected to exceed $323 billion as a result of COVID-19, a projected $200 billion in administrative waste due to revenue cycle inefficiencies, and increasing pressure to meet digital consumerism demands, it is essential for health systems to find ways to streamline processes, maximize their revenue cycles and cut costs. These
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4 Quick Tips for Getting COVID-19 Claims Paid Promptly

by Lillian Phelps, Sr. Director of Product Management, Availity 01/07/2021 Leave a Comment

4 Quick Tips for Getting COVID-19 Claims Paid Promptly

As the COVID-19 pandemic has gripped the world, many providers have adopted an all-hands-on-deck approach and mentality for treating COVID-19 patients, stretching their resources to the breaking point.  We have heard about the frontline heroes who have sacrificed their own health and safety to treat patients and, in less-fortunate scenarios, comfort patients in their last moments as they were quarantined from loved ones.  What has been less recognized is the work and sacrifice
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UnitedHealth Group Acquires Change Healthcare to Combine with OptumInsight for $13B

by Fred Pennic 01/06/2021 Leave a Comment

Change Healthcare Acquires Credentialing Tech Docufill to Improve Administrative Efficiency

What You Should Know: - UnitedHealth Group has reached an agreement to acquire Change Healthcare in a deal valued at more than $13 billion, marking the first major acquisition of 2021. - Change Healthcare will be combined with OptumInsight to advance a more modern, information, and technology-enabled healthcare platform. UnitedHealth Group’s has reached an agreement to acquire healthcare technology leader Change Healthcare for more than $13B. As part of the acquisition,
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2020’s Top 20 Digital Health M&A Deals Totaled $50B

by Fred Pennic 12/31/2020 Leave a Comment

2020’s Top 20 Digital Health M&A Deals Totaled $50B

Teladoc Health and Livongo Merge The combination of Teladoc Health and Livongo creates a global leader in consumer-centered virtual care. The combined company is positioned to execute quantified opportunities to drive revenue synergies of $100 million by the end of the second year following the close, reaching $500 million on a run-rate basis by 2025. Price: $18.5B in value based on each share of Livongo will be exchanged for 0.5920x shares of Teladoc Health plus cash consideration of
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Gleaning Insights for COVID-19: Why Claims and Clinical Data Matter

by Emad Rizk, M.D., President, CEO & Chairman of the Board, Cotiviti 12/15/2020 Leave a Comment

Navigating Healthcare’s Uncertain Future: Three Data-Driven Approaches for Payers

Healthcare organizations continue to rely heavily on data analytics to try to improve COVID-19 outcomes and public health. Since the novel coronavirus became widespread in the U.S., healthcare data scientists have leveraged clinical and claims data to pinpoint which underlying conditions put patients at higher risk of complications from COVID-19. Health systems are mining clinical data to predict surges in COVID-19 cases and looking at key factors—including increases in hospital website traffic,
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COVID-19: How Hospitals Can Create Better Inpatient Bed Capacity through Math

by Dr. Pallabi Sanyal-Dey, Associate Professor of Medicine at UCSF 12/08/2020 Leave a Comment

COVID-19: How Hospitals Can Create Better Inpatient Bed Capacity through Math

Since the beginning of the COVID-19 pandemic, key elements of hospital operations such as managing inpatient bed capacity, and access to ventilators and PPE have taken center stage. The general public got a crash course on what hospitals need in order to function successfully when disaster hits, and daily news and discussions were centered around ICU bed capacity as cases accelerated across the country. The nightmarish predictions and reality led to the development of creative measures to
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M&A: Olive Acquires AI Prior Authorization Company Verata Health

by Fred Pennic 12/03/2020 Leave a Comment

Olive Acquires AI Prior Authorization Company Verata Health

What You Should Know: - On the heels of $225.5 million dollars in funding and a $1.5B valuation this week, Olive today announced its acquisition of Verata Health to create a combined AI prior authorization solution for providers and payers under the Olive name. - Prior authorization is a $31 billion dollar issue in healthcare, and one of the top reasons patient care is delayed. Olive is now able to reduce write-offs by over 40% and cut turnaround times for prior authorizations by up to
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Healthcare M&A: DAS Health Acquires Randall Technology Services

by Jasmine Pennic 12/01/2020 Leave a Comment

DAS Health Acquires Health IT and Medical Billing Conglomerate

What You Should Know: - DAS Health Ventures acquires healthcare and managed IT company Randall Technology Services (RandallTech). - This acquisition adds Allscripts® PM and EHR solutions to the DAS portfolio of supported products, and DAS Health has now added additional staff in Texas that will create opportunities for greater regional support of its entire solutions portfolio. DAS Health Ventures, Inc., an industry leader in health IT and management, announced today it completed
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Hospital Sustainability Demands that Revenue Integrity Move Front and Center

by Vasilios Nassiopoulos, VP of Platform Strategy and Innovation, Hayes 11/23/2020 Leave a Comment

Hospital Sustainability Demands that Revenue Integrity Move Front and Center

Razor-thin operational margins coupled with substantial and ongoing losses related to COVID-19 are culminating in a perfect storm of bottom-line issues for U.S. hospitals and health systems. A study commissioned by the American Hospital Association (AHA) found that the median hospital margin overall was just 3.5% pre-pandemic, and projected margins will stay in the red for at least half of the nation’s hospitals for the remainder of 2020.  The reality is that an increase in
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