KPMG announced it is integrating social determinants of health (SDoH) data from revenue cycle provider Waystar to KPMG’s Clinical Intelligence (KCI) platform. The integration will harness SDoH data that can help overcome obstacles to medical treatment and affect outcomes to help with care coordination.The Impact of Social Determinants of Health DataSocial, environmental and economic factors – such as transportation, housing, nutrition, and education level – can have a big impact upon medical
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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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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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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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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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The Cost of Medical Device Innovation: Can The U.S. Keep Pace?
Over the last six years, the U.S. Food and Drug Administration has approved a number of highly innovative medical devices that have revolutionized cardiovascular care. These novel devices have provided advanced treatment options, improved quality of life and extended longevity for patients. Unfortunately, reimbursement has often failed to keep up with many of increasingly expensive treatment options, according to a new report released by Vizient. The report, The cost of medical device
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Medsphere Launches Wellsoft Urgent Care EHR, PM/RCM Solution
Medsphere Systems Corporation, a provider of affordable and interoperable healthcare information technology (IT) solutions and services, today announced the launch of their new urgent care EHR solution, Wellsoft Urgent Care. The launch of Wellsoft Urgent Care comes just two months after Medsphere acquired Wellsoft, a Somerset, NJ-based Emergency Department (ED) EHR platform.Wellsoft Urgent Care EHR/PM/RCM Platform OverviewWellsoft Urgent Care’s cloud-based platform features advanced Electronic
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Revenue Cycle Startup Medpilot Nabs $1.7M to Expand Patient Financial Engagement Platform
MedPilot, a patient financial engagement platform working with outpatient facilities, hospitals, revenue cycle management companies, and practice management systems, announced it has raised $1.7 million in funding led by Hudson River Capital Partners, Valley Growth Ventures, Cedars-Sinai, TechStars, and investor Tom Hirschfeld. MedPilot’s will use the latest round of funding to further bolster their team and roll out additional new functionality in their patient financial engagement platform for
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Today’s Behavioral Health Providers are Failing: Why Data Analytics is the Solution
Today, behavioral health is more important than ever. Major news outlets, from The New York Times to The Wall Street Journal, constantly cover the mental health epidemics wracking the nation, be it widespread opioid abuse or the steady, upward creep of suicide and self-harm.Spurred on by the scope and severity of these societal problems (as well as new legislation passed to address them), the behavioral health sector has grown exponentially. Yet this field is not without its problems: despite
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Why Healthcare Marketers Should Care about the Patient Financial Experience
What comes to mind when you think of health system marketing? For most people, it’s dynamic content on the organization’s latest clinical advancements, philanthropic efforts, wellness management and relationship-building efforts within the community it serves. It’s also understanding patients and their motivations, using consumer research and analysis, focus groups, surveys, and other tools. You probably don’t think about the healthcare billing experience.It’s understandable. Frank discussions
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