This past year, California became the latest (and largest) state to legislatively mandate an all-payer claims database (APCD). As the name implies, an APCD is a statewide repository of all claims information from a state’s health care payers, including both commercial and government.
The intent of an APCD is to help policymakers and others better understand the drivers of health care use and costs and spot usage trends across networks, facilities, and geographies. An APCD could also help assess
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Commonwealth Healthcare Corporation to Upgrade to Medsphere’s CareVue EHR
- Commonwealth Healthcare Corporation (CHCC) will implement Medsphere’s CareVue electronic health record (EHR) and revenue cycle management (RCM) platform. - Based on Saipan, the capital of the Commonwealth of the Northern Mariana Islands, CHCC is the primary organizer of acute and ambulatory healthcare services for the islands of Rota, Saipan, and Tinian.Commonwealth Healthcare Corporation (CHCC) will implement the Medsphere’s CareVue electronic health record (EHR) and revenue cycle management
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Price Transparency: Why Hospitals Need to Focus On Understanding Their Data
This year, hospital price transparency took a front seat after CMS issued a new set of rules and requirements. While they haven’t been written into law just yet, these rules will help set a framework for the kinds of requirements that are likely to become standard soon. With that in mind, now is the time to begin preparing for the inevitable. Creating a proactive response to the new changes as well as the evolving competitive environment and expected a response from consumers is essential for
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Research: October Health IT M&A Activity, Public Company Performance
- Healthcare Growth Partners (HGP) summary of Health IT/digital health merger & acquisition (M&A) activity, and public company performance during the month of October 2019
During the month of October, Health IT continued its evolution into an amorphous market that is increasingly trending away from a specialized niche of healthcare and into a key component of larger sectors such as Enterprise Software, HR Administration, Insurance, Care Delivery, Suppliers, and BioPharma.
The
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Payment Integrity: Is AI The Real Answer to Reducing Overutilization?
Some experts estimate that $200 billion is wasted each year on unnecessary or excessive medical testing and treatment. This could be up to 40% of the unnecessary spending in the system today.
Despite the extreme focus to reduce the total amount spent on healthcare, why does extensive spending on unnecessary or excessive tests or procedures continue? The easy answer is because it is often difficult to spot what is unnecessary or excessive.
There are certainly moments when overutilization of
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DAS Health Acquires Health IT Company Automated Medical Systems
- DAS Health acquires health IT company Automated Medical Systems to strengthen its position in the U.S. health IT market. - The acquisition enhances its product offerings, including adding Henry Schein’s MicroMD® to their Electronic Health Records (EHR) portfolio.DAS Health, a Tampa, FL-based provider of health IT and management solutions announced the acquisition of Automated Medical Systems, a healthcare IT company based in Valdosta, GA, with clients in Florida, Georgia, Tennessee, Texas and
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How Intelligent Automation Can Address 3 Revenue Cycle Challenges
Artificial intelligence (AI) has received a lot of buzz and been positioned as the central healthcare technology needed to solve many financial challenges and digitally transform internal operations. However, if you’re looking for practical solutions that can address variable activities and complete work with a high level of quality, today, healthcare organizations should look to intelligent automation.
Here’s why: True AI attempts to mimic human cognition. As such, AI remains
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Premier Acquires Medpricer for $35M to Optimize Savings in Purchased Services
- Premier acquires Medpricer’s technology solution that enables purchased services savings across a total addressable acute care market of $160 billion. - Cloud-based platform provides purchased services management technology, including pricing benchmarks, RFP templates and other supplier data. - Acquisition enables healthcare providers to better manage third-party contracts to improve financial performance.Premier Inc., a healthcare improvement company, has acquired Medpricer, a
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eSolutions Acquires Medidal to Strengthen Its Position in Hospital Revenue Recovery
- eSolutions acquires Medidal, a provider of Transfer DRG, Payer Search, and Pharmacy Reimbursement solutions for an undisclosed sum. - As healthcare reimbursement challenges continue to increase, eSolutions adds to its revenue cycle expertise with new capabilities that ensure providers are paid accurately. eSolutions, an Overland Park, KS-based healthcare technology company working to strengthen providers’ revenue health, announced that it has acquired Medidal, a provider of Transfer DRG, Payer
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CHG Healthcare Acquires Physician Credentialing Company Modio Health
- CHG Healthcare has acquired physician credentialing company Modio Health for an undisclosed term. - Modio and CHG are combining forces to improve credentialing for CHG employees and the thousands of providers and healthcare facilities it works with, making the process faster, safer, and more cost-effective.Healthcare staffing company CHG Healthcare has acquired Modio Health, a San Francisco, CA-based physician credentialing provider. The acquisition will improve credentialing for Change
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