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Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

by Abhinav Aggarwal, Sr. Director, Encounter Submission and Risk Adjustment Solutions at Edifecs 01/27/2020 Leave a Comment

Why Government-Supported Health Plans Must Make Encounter Submissions A Top Priority in 2020

Encounter data such as diagnosed clinical conditions and services, or items delivered to healthcare consumers to treat these conditions is the key to success for all healthcare organizations participating within the government space. Whether doctors or hospitals are submitting data for medical services rendered under Medicare Advantage, the Affordable Care Act’s state exchanges or Medicaid, encounter data is used for payment reimbursement and reconciliation between the health plan and the
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3 Trends Driving Healthcare Mergers & Acquisitions (M&A) Activity in 2020

by Erica Garvin 01/22/2020 Leave a Comment

3 Trends Driving Healthcare Mergers & Acquisitions (M&A) Activity in 2020

Livingstone’s Ryan Buckley shares insights behind the prevalent healthcare M&A trends of 2020 and its impact on U.S healthcare. The New Year often brings with it an essence of transformation. This year, U.S. healthcare’s metamorphosis is now more than a decade old, as it continues to shed its antiquated legacy systems and siloes to embrace a different kind of entity—one that hopes to establish weight in value-based care at a scale robust enough to substantiate it.
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Validic, Humana Launch Health Incentive Program to Support Device Connectivity

by Fred Pennic 01/22/2020 Leave a Comment

Validic, Humana Launch Health Incentive Program to Support Device Connectivity

- Validic and Humana form partnership to launch a health incentive program to support Medicaid and Medicare communities with device connectivity. - As part of this engagement, Humana and Validic plan to expand the devices and data points available in Humana’s Go365 wellness and rewards program to address additional health barriers, such as nutrition, smoking cessation, mental health and more.Humana Inc., a health insurer company and well-being company and Validic, the market leader in platforms
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Steward Health Care System to Deploy MEDITECH Expanse EHR Across 35 Hospitals

by Fred Pennic 01/21/2020 Leave a Comment

Steward Health Care System to Deploy MEDITECH Expanse EHR Across 35 Hospitals

- Steward Health Care System recently signed to implement MEDITECH Expanse EHR in 18 sites located across Arizona, Texas, Utah, Arkansas, and Louisiana.  - The implementation is a part of Steward’s “One Platform” strategy to bring all 35 hospitals under a one single, integrated, enterprise EHR. Health IT company MEDITECH announces it will extend its 20-year partnership with Steward Health Care System, which recently signed to implement the MEDITECH Expanse EHR platform in 18 sites located across
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Do We Know When Medical Devices Fail?

by Leon Lerman, Cynerio Co-Founder and CEO 01/20/2020 Leave a Comment

Do We Know When Medical Devices Fail?

Since 2015, the FDA and the US Department of Homeland Security have been releasing warnings about products that due to their vulnerabilities threaten patient safety. This includes MRI machines and drug infusion pumps that supply patients with a wide diversity of drugs, including insulin, antibiotics, chemotherapy drugs, and pain relievers.  The interconnectivity of smart devices with medical clinical systems leaves them vulnerable to security breaches just like any other networked computing
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UChicago Medicine Selects Life Image’s Breast Health Data Tool

by Jasmine Pennic 01/20/2020 Leave a Comment

UChicago Medicine Selects Life Image’s Breast Health Data Tool

- UChicago Medicine working with Mammosphere by Life Image to allow patients easy, secure access to their breast imaging and to support the WISDOM Study to establish screening guidelines. - Mammosphere was developed to support women throughout their entire breast health journey, including contributing to scientific research. By offering patients this digital tool, patients in the WISDOM Study will have additional tools to support their long-term commitment to the research.Life Image, the world’s
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CLEW Lands $20M to Expand AI-Powered Critical Care Platform in the US Market

by Fred Pennic 01/16/2020 Leave a Comment

CLEW Lands $20M to Expand AI-Powered Critical Care Platform in the US Market

- CLEW closes a $20M Series B round of funding to scale US operations and commercialize CLEW’s critical care platform. - CLEW is a real-time AI analytics platform designed to help providers make better informed clinical decisions by predicting life-threatening complications across various medical care settings.CLEW, a digital health startup announced that it has successfully concluded its Series B funding, bringing the total capital raised to over $20 million. The round was led by Pitango
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Leveraging AI and Machine Learning to Advance Interoperability in Healthcare

by Wilson To, Head of Worldwide Healthcare BD & Patrick Combes, Worldwide Technical Leader - Healthcare and Life Sciences at Amazon Web Services (AWS) 01/15/2020 Leave a Comment

Leveraging AI and Machine Learning to Advance Interoperability in Healthcare

(Left- Wilson To, Head of Worldwide Healthcare BD, Amazon Web Services (AWS) & Patrick Combes, Worldwide Technical Leader - Healthcare and Life Sciences at Amazon Web Services (AWS)- Right)Navigating the healthcare system is often a complex journey involving multiple physicians from hospitals, clinics, and general practices. At each junction, healthcare providers collect data that serve as pieces in a patient’s medical puzzle. When all of that data can be shared at each point, the puzzle is
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EarlySign, Maccabi Healthcare Launches AI-Powered Flu Vaccination Campaign

by Fred Pennic 01/14/2020 Leave a Comment

EarlySign Unveils Commercial Availability of AI Diabetes Risk Predictors Algorithm

- Medial EarlySign unveils the first clinical implementation of its AI-based solution to identify unvaccinated individuals at high-risk of developing serious flu-related complications.- Developed in collaboration with leading Israeli HMO Maccabi Healthcare Services, the implementation utilizes existing EHR data to identify and stratify patients at high risk.Medial EarlySign,  a Israeli-based provider of machine learning-based solutions to aid in the early detection and prevention of high-burden
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How Multi-Payer Portals Incent Providers to Better Manage Their Data

by Mark Martin, Director of Payer solutions, Provider Data management for Availity 01/14/2020 Leave a Comment

Prior Authorizations: A Single Source of Truth for Provider Data Management

Mark Martin, Director of Payer Solutions for Availity Value-based healthcare demands meaningful payer-provider collaboration. However, burdensome administrative processes and inefficient solutions stunt the ability of payers and providers to share data, manage risk, validate credentials, process claims, control costs and optimize the consumer experience. These information bottlenecks are most acute in the area of provider data management (PDM). Each year, payers and providers spend more than
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