Faced with shifting regulations, growing administrative complexity, high-dollar claims, and the looming potential of audits, payment integrity is an increasingly important priority for payers. Payers realize that when they make the correct payments to providers initially, they increase trust, reduce provider abrasion, and lower appeal rates.
Traditionally, many health plans have outsourced payment integrity work to vendors who perform reviews, and then return the results to those health
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17 Executive Hospital/Health System Predictions to Watch in 2023
Vijay Kedar, Co-Founder and CEO at Tomorrow Health
Health systems will realize their challenges are not transitory but systemic: This year saw health systems facing a myriad of compounding threats – from historic inflation exacerbating their cost structures, front-line clinician burnout driving widespread labor shortages, and increased capacity issues that left patients in hospital facilities one full day longer than in the prior year. As the financial markets turned south, many institutions
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Edifecs and 3M Partner on Integrated Value-Based Payment Solution
What You Should Know:
- 3M Health Information Systems and Edifecs (a global health IT solutions provider) announced a collaboration and new unique solution for providers and payers that will accelerate the adoption of value-based payment (VBP) models.
- A new, combined solution that will overcome barriers that have previously prevented rapid adoption of VBP models. This advanced approach will allow payers and providers to quantify the value of preventing negative events and allocate
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5 Executives Share Their Behavioral Health Predictions for 2023
As the start of the new year kicks off, we asked 5 healthcare executives to share their top predictions and trends for 2023.
Dr. Yusuf Sherwani, Co-Founder and CEO of Quit Genius
Employers will expand SUD treatment for employees: For example, Cigna more than doubled Evernorth’s Behavioral Health Network in recent months, and employers are now the ones driving demand for better behavioral health benefits for their employees. Employees with substance use disorder have become a financial
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Key Multi-Cloud Takeaways & Mistakes to Avoid for Healthcare CIOs
Healthcare has lagged in its adoption of multi-cloud—but that might not be a bad thing. Here are the top multi-cloud takeaways for healthcare CIOs, and the key mistakes to avoid.
It’s no secret that the healthcare sector has been one of the slowest to adopt enterprise cloud computing, even with the moderate increase we saw as a result of the urgent shift to telehealth and remote working during the pandemic.
But that’s understandable: healthcare is one of the most highly regulated
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Omada Health, Intermountain, Castell to Establish Integrated, Virtual Care Option for Diabetes Management and Prevention
What You Should Know:
- Omada Health and Castell, an Intermountain value-based care subsidiary, announced a first-of-its kind partnership – creating a new, integrated virtual care model to reach and help more at-risk patients through proven prevention and Diabetes programs.
The new virtual care model expands the access of Omada’s Diabetes Prevention Program and Diabetes Program to patients and caregivers receiving care from Intermountain Healthcare’s primary care providers
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Franciscan Health to Deploy Innovaccer Health Cloud to Eliminate “Data Islands”
What You Should Know:
Today Innovaccer, Inc., the Health Cloud company, announced that Franciscan Health, a 12-hospital system with facilities in Indiana and Illinois, is deploying Innovaccer® Health Cloud to enhance risk-based contract performance and to launch a next-generation experience platform to deliver sophisticated customer and patient relationship management strategies.
- Franciscan Health plans to leverage Innovaccer Health Cloud’s Data Activation Platform to integrate
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Liver Cancer Awareness – Here’s What You Need to Know in 2023
By the end of 2022, nearly 42,00 new cases of primary liver cancer will be diagnosed in the United States. In fact, liver cancer incidence rates have more than tripled since 1980, marking an increased need for better detection and diagnosis.
We might not talk about liver cancer as much as we do breast or lung cancer, but it’s a real threat to millions of Americans – and we need to continue spreading awareness.
Early detection is especially critical in treating liver cancer.
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Why We Need Deflection to Reduce Overdose Deaths (and Drug Diversion) in 2023
The United States is still reeling from a devastating opioid epidemic. The Centers for Disease Control and Prevention (CDC) report that death from drug overdoses reached just under 108,000 between 2020 and 2021. That is enough to fill over four professional baseball stadiums.
This staggering number of overdose deaths is due to many factors, including the sale of counterfeit medications and illegal drugs that often contain deadly doses of illicitly manufactured fentanyl and other
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NuraLogix Unveils Telehealth Platform Performing Continuous Health/Vital Signs During Video Calls
What You Should Know:
- NuraLogix, global pioneers of contactless health monitoring whose technology can take over 30 medical-grade health vitals using any video-enabled device, unveils Anura™ Telehealth, a platform that performs continuous health and vital sign measurements while on a video call.
- This is the latest addition to its AnuraTM platform that uses conventional video cameras to extract facial blood flow information to accurately calculate a host of medical vitals and health
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