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Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

by Dr. Gary Call, Chief Medical Officer at HMS 01/14/2021 Leave a Comment

Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

As healthcare spending continues to rise, so too does the inherent risk for bad actors to take advantage. Today, the United States is estimated to spend nearly 18 percent of its GDP, or $3.6 trillion, on healthcare, and is expected to increase to one-fifth of GDP within the next decade, according to the latest data. This alone provides ample motivation for fraud and abuse. While the full extent of healthcare fraud is difficult to measure, The National Health Care Anti-Fraud Association
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NeuroFlow Secures $20M for Tech-Enabled Behavioral Health Integration Platform

by Fred Pennic 01/13/2021 Leave a Comment

NeuroFlow Secures $20M for Tech-Enabled Behavioral Health Integration Platform

What You Should Know: - NeuroFlow raises $20M to expand its technology-enabled behavioral health integration platform, led by Magellan Health. - NeuroFlow’s suite of HIPAA-compliant, cloud-based tools simplify remote patient monitoring, enable risk stratification, and facilitate collaborative care. With NeuroFlow, health care organizations can finally bridge the gap between mental and physical health in order to improve outcomes and reduce the cost of care. NeuroFlow, a
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Why Hospitals Should Act Now to Create Clinical AI Departments

by John Frownfelter, MD, FACP, Chief Medical Information Officer at Jvion 01/13/2021 Leave a Comment

Why Hospitals Should Act Now to Create Clinical AI Departments

A century ago, X-rays transformed medicine forever. For the first time, doctors could see inside the human body, without invasive surgeries. The technology was so revolutionary that in the last 100 years, radiology departments have become a staple of modern hospitals, routinely used across medical disciplines. Today, new technology is once again radically reshaping medicine: artificial intelligence (AI). Like the X-ray before it, AI gives clinicians the ability to see the unseen and has
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Transforming Care Delivery Through AI-Powered Predictive Surveillance

by John Langton, PhD Director of Applied Data Science, Wolters Kluwer, Health 01/11/2021 Leave a Comment

Transforming care delivery through AI-powered predictive surveillance

Since the onset of the COVID-19 pandemic, hospitals and health systems have pushed forward with innovative technology solutions with great expediency and proficiency. Healthcare organizations were quick to launch telehealth solutions and advance digital health to maintain critical patient relationships and ensure continuity of care. Behind the scenes, hospitals and health systems have been equally adept at advancing technology solutions to support and enhance clinical care delivery. This
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COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

by Fred Pennic 01/08/2021 Leave a Comment

COVID-19 Deferrals Lead to 3 Major Conditions Payers/Providers Must Address in 2021

What You Should Know: - COVID-19 care deferrals lead to three major boomerang conditions that payers and providers must proactively address in 2021, according to a newly released report by Prealize. - COVID-19’s hidden victims—those who avoided or deferred care during the pandemic—will increasingly return to the healthcare system, and many will be diagnosed with new conditions at more advanced stages. Healthcare leaders must act now to keep this boomerang from driving worse outcomes
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CareSource, Healthify Partner to Address Social Determinants of Health in Ohio

by Jasmine Pennic 01/07/2021 Leave a Comment

Healthify, Ride Health Partner to Offer SDOH-Driven Transportation to Vulnerable Populations

What You Should Know: - Healthify and CareSource are teaming up to build a statewide network of community-based organizations in Ohio. - This new network will provide social services to CareSource’s members throughout the state of Ohio with referrals to address Social Determinants of Health (SDoH). CareSource, a nonprofit multi-state managed care plan has partnered with Healthify to build a statewide network of
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Xealth’s CEO Shares Impact of Digital Health in 2020 and What’s Ahead in 2021

by Fred Pennic 01/07/2021 Leave a Comment

Xealth’s CEO Shares Impact of Digital Health in 2020 and What’s Ahead in 2021

HIT Consultant sat down with Mike McSherry, CEO, and co-founder of Seattle-based digital prescription platform Xealth to discuss digital health lessons learned in 2020 and what we can expect in 2021. As Xealth’s CEO, Mike also works with Duke Health, UPMC, Atrium Health, and The Froedtert & the Medical College of Wisconsin health network where he uses his background in digital health to connect patients and care teams outside of traditional care settings.  HITC: In 2021, How can digital
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Intraprise Health Acquires Compliance Solution HIPAA One – M&A

by Jasmine Pennic 01/06/2021 Leave a Comment

M&A: Intraprise Health Acquires Compliance Solution HIPAA One

What You Should Know:  -   Intraprise Health acquires HIPAA One to create comprehensive integrated security risk management and compliance platform for healthcare.  Intraprise Health, a provider of cybersecurity services and solutions and the Protect™ risk management software platform, today announced that it has acquired HIPAA One, a provider of HIPAA compliance automation software. The merger allows Intraprise Health to offer an integrated set of cybersecurity and
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Meaningful Use of Genomics Requires Informatics Beyond EMRs

by Assaf Halevy, Founder and CEO of 2bPrecise 01/06/2021 Leave a Comment

Why EHRs fall short w/ providing valuable genetic insights

Electronic medical records (EMRs) are widely expected to serve as a cornerstone technology that drives the delivery of modern patient care.  But can the EMR alone support all the informatics capabilities required by an ever-evolving healthcare industry? The rapid growth of precision medicine, particularly the use of genetic and genomic information during clinical decision making, is a compelling example that functionality beyond the EMR is required. Not only does genomic data represent a
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DaVita & RenalytixAI Partner for Early Risk Identification to Help Slow Kidney Disease Progression

by Jasmine Pennic 01/05/2021 Leave a Comment

DaVita & RenalytixAI Partner for Early Risk Identification to Help Slow Kidney Disease Progression

What You Should Know: - RenalytixAI and DaVita announce a program partnership that aims to slow kidney disease progression and improve outcomes for the nation’s estimated 37 million adults with chronic kidney disease (CKD). - This is the first clinical-grade program that delivers advanced early-stage prognosis and risk stratification, combined with actionable care management to the primary care level where the majority of kidney disease patients are being seen. - The program will use
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