In September, the U.S. House of Representatives passed a bill intended to accelerate patient access to care by streamlining prior authorization (PA) processes. The Improving Seniors’ Timely Access to Care Act mandates the adoption of electronic PA for Medicare Advantage (MA) plans and requires plans to offer greater policy transparency, approval rates, and rationale for denials. With considerable bipartisan support, the legislation has won endorsements from notable leading healthcare trade
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Pearl Health Raises $75M to Expand Value-Based Care Innovation
What You Should Know: - Pearl Health, a leading technology company focused on physician enablement and risk-bearing in value-based care, today announced that it has raised $75M in its oversubscribed Series B funding round, led by Andreessen Horowitz’s Growth Fund and Viking Global Investors, with participation by AlleyCorp, SV Angel’s Growth Fund, and other leading investors. This round brings Pearl’s total funding to date to more than $80M. Value-Based Care Innovation for
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Is AI-Assisted Lung Cancer Diagnosis Right For Your Hospital?
Lung cancer is the leading cause of cancer deaths worldwide, with approximately 1.8 million people dying from this disease each year. Most patients are diagnosed after symptoms have appeared and the disease has progressed to an advanced stage (Stage III or IV), which explains the current worldwide five-year survival rate of just 20 percent. In contrast, the survival rate for small lung tumors that are treated at Stage 1A is as high as 90 percent. This significant difference highlights a critical
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8 Executive Key Takeaways from JP Morgan Healthcare Conference
Mike Serbinis, CEO of League JPMorgan was buzzing this year. Part of that is post-Covid return to conference excitement. Part of that is the fact that healthcare has never been more important. While the economy was challenged in 2022, investors are ready to do business in healthcare. The stakes are getting higher and the opportunity in front of us is massive. Pete Anevski, CEO of Progyny People who are currently struggling with infertility, and those who are looking to start or expand
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Evergreen Nephrology Taps Innovaccer to Transform Kidney Care
What You Should Know: - Evergreen Nephrology, a nephrology-focused value-based care organization, has chosen the Innovaccer® Health Cloud and Innovaccer’s full solution suite to accelerate the transformation of kidney care. - Innovaccer’s cloud-native solutions selected by Evergreen include tools to optimize care management, physician engagement, patient engagement, referral management, advanced analytics, and dashboard-driven insights to optimize delivery of value-based specialty
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22 Executive Digital Health Predictions to Watch in 2023
Jon Bloom, MD, CEO and Co-founder of Podimetrics From a digital health perspective, 2022 was a reset year for many and a serious reality check. We went from sky high growth to the sky is falling, and in 2023 I think this market correction movement will continue forward. To me, the biggest surprise of 2022 was that despite the market tanking, digital health companies continued to truck forward with huge deals. This includes massive acquisitions like Amazon and OneMedical, as well as deals like
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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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20 Executives Share Health IT Predictions to Watch in 2023
We asked several healthcare executives to share their health IT predictions and trends for 2023. Nate Maslak, the co-founder/CEO of Ribbon Health Data Personalization: 38% of consumers want more personalized and inclusive healthcare options. In 2023, we’ll see a greater shift towards healthcare enterprises prioritizing this personalization, by innovating their current data infrastructure to show a range of information that lets a patient make an educated care decision based on what
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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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6 Executive Health Data Predictions to Watch in 2023
Kevin Agatstein, CEO at Kaid Health In 2023 I predict that unstructured medical data, which makes up the majority of a patient’s chart, will become too valuable to ignore by both providers and payers. Driven in part by the growth of Medicare Advantage and oncology, both of which require the data within medical notes rather than just claims and labs data, organizations will start to use their unstructured EMR data in entirely new ways. Rob Cohen, CEO at Bamboo Health In today’s
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