Discovery Health Partners, an industry leader dedicated to helping healthcare payers solve payment and revenue integrity challenges to improve financial outcomes, today announced they have acquired HealthMind, LLC (formerly known as Datametrix Inc.Founded in 2005, HealthMind specializes in pre- and post-payment services that ensure correct payment for both contracted and non-contracted providers using a continuous-looped platform with Dynamic Discovery.Rise of Healthcare SpendingWith U.S.
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Revenue Cycle Management | News, Analysis, Insights - HIT Consultant
Appriss Launches Machine Learning Powered Patient Matching Solution
Patient matching is essential to prevent or quickly identify patients suffering from opioid addiction. This week, Appriss Health has launched ApprissID, a patient record-matching solution based on machine learning and consolidation algorithms within PMP AWARxE, Appriss Health’s prescription drug monitoring program (PDMP) solution that serves 44 PDMPs across the U.S.ApprissID utilizes combinations and segments of various identifiers to connect multiple records together to identify a unique
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BJC HealthCare Taps R1 RCM to Enhance Revenue Integrity Across Enterprise
BJC HealthCare, based in St. Louis, Missouri has selected revenue cycle management (RCM) services company R1 RCM to provide its Revenue Integrity Solutions (RIS), formerly known as Revenue Capture Services (RCS) to support BJC’s affiliated hospitals and affiliated physician group in ensuring appropriate payment for services provided and documented via charge capture, coding review, root cause analysis and education. In addition to R1’s Revenue Integrity Solutions, hospitals and health systems
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Access One Integrates Patient Financing Options with Epic App Orchard
AccessOne, a provider of patient financing options designed to help patients manage their healthcare costs announced that it has joined the Epic App Orchard marketplace. The integration marks AccessOne as the first patient financing company to join the App Orchard and is currently available to hospitals and health systems on the Epic platform.Consumers have reported that more payment options and access to self-service portals are among the top three process changes that would improve
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Quorum Health Taps R1 RCM for End-to-End Revenue Cycle Management Across 26 Hospitals
Quorum Health Corporation, an operator of general acute care hospitals and outpatient services has selected R1 RCM to provide end-to-end revenue cycle management services across Quorum Health’s portfolio of hospitals and outpatient centers. After conducting a competitive vendor selection, Quorum Health selected R1 and anticipates going live in the second half of 2019.Benefits for Quorum HealthR1’s platform integration with existing infrastructure is expected to improve revenue cycle operations
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Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies
Vericred, an NYC-based data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling InsurTech and digital health companies to build innovative solutions that serve the fast-growing Medicare-eligible population.Growth of Medicare Advantage PlansMedicare Advantage – also known as Medicare Part C – is a program in which individuals who qualify for Medicare enroll in certified health plans offered by
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Global Medical Billing Outsourcing Market to Reach $19.7B by 2026
The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a compound annual growth rate (CAGR) of 11.8%, according to a Grand View research report. The report reveals that revenue cycle management (RCM) is one of the most complex components of healthcare IT business driven by challenges in rising healthcare costs, market consolidation, an explosion in clinical documentation, and value-based care initiatives.Key Market Drivers for Global
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Humana Launches First Virtual Primary Care Plan for Members
Health
insurer Humana and virtual care provider Doctor
On Demand has announced the launch of On Hand, an innovative
and affordable health plan that centers on comprehensive virtual primary care
for members. On Hand addresses the
number one reason small businesses don’t offer health insurance-- cost -- by
offering a plan 50% lower than the industry standard monthly premiums.
On Hand Primary Care Plan Overview
Employers and members who
elect this primary care plan will gain access to a
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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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Prisma Health to Optimize Patient Access Post-Merger with Kyruus
Kyruus, a leader in provider search and scheduling solutions for health systems announced that Prisma Health, a newly-formed health system based in South Carolina has selected the company’s provider data management platform to optimize patient access to the health system’s network. The health system will leverage KyruusOneÒ to create a system-wide, digital provider directory and implement ProviderMatch for Access Centers and ProviderMatch for Consumers to help patients find the right providers
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