A quick, efficient, and well-managed revenue cycle creates a solid foundation for a profitable medical organization. That’s why if you’re responsible for ensuring the health of your organization's revenue cycle and you are not using AI for medical coding, you are not doing your job. Let me explain. Some RCM professionals may see medical coding as a small portion of the revenue cycle; however, its reach is wide. The quality and accuracy of medical coding can either negatively or
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
5 Behavioral Health Trends Coming Into Focus in 2023
For the past two years, behavioral health in the U.S. has taken center stage, but the true impact of COVID-19 on families is just now coming into focus. The lingering effect of the pandemic combined with social stressors on top of life’s daily pressures is all taking its toll on mental health. Instead of declining post-pandemic, as a nation, we’re continuing to see an increase in the number of people struggling with some form of anxiety and depression.Among some of the hardest hit are
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UpStream Raises $140M to Expand Value-Based Care Model Nationwide
What You Should Know: - Value-based care provider UpStream raises $140M in Series B funding co-led by Coatue and Dragoneer with additional participation from other top healthcare and technology investors, including Avidity Partners, Define Ventures and Mubadala. This round brings its total funding to nearly $185M to date. - UpStream supports physicians operating under full-risk, value-based arrangements who are providing care to seniors on Medicare with an integrated platform that
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M&A: Carenet Health Acquires Stericycle Communication Solutions
What You Should Know: - Carenet Health, a leading provider of 24/7 and on-demand patient engagement solutions, today announced it has acquired Stericycle Communication Solutions, an industry leader in patient engagement technology and solutions and a service of Stericycle, Inc. The companies’ combined capabilities create the industry’s most comprehensive patient experience platform. - This acquisition emphasizes Carenet’s commitment to providing better healthcare for all, as the combined
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KLAS: State of Value-Based Care Reimbursement in 2022 Trends
What You Should Know: - Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments. - For their latest report, Value-Based Care Reimbursement 2022, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how
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Provider Burnout Has Leveled Out in 2022; Staffing Shortages Rises, KLAS Reports
What You Should Know: - Value-based care (VBC) has been established as a priority among healthcare organizations and payers as participants have gained more experience in managing their quality metrics and contracts, ultimately realizing returns on their investments. - For their latest report, KLAS talked to 54 healthcare executives—including CEOs, CFOs, CIOs, CMIOs, COOs, VPs and directors of population health, and VPs of analytics—to gauge how they are moving beyond
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3 Seismic Shifts Transforming Women’s Health – FemTech
My company recently celebrated its 10th anniversary, which prompted me to reflect on the progress of the women’s health sector over the last decade. There has been so much change, so many technological innovations and clinical breakthroughs. And yet, two things haven’t changed all that much. Our outcomes in the U.S. have not improved; in fact they are in decline. This is true whether you are measuring maternal mortality, health equity, or complication rates. And as an industry, we’ve yet to
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Prior Authorization Reforms Don’t Address the Real Problem. Here’s How AI Can Help.
After waiting weeks for an open appointment, John finally gets in to see the orthopedic surgeon to evaluate his acute knee pain. He’s already been off work for over two months and has barely been able to leave the house, popping anti-inflammatory and pain medicine to manage the pain every day. Suspecting a torn meniscus, the doctor orders an MRI to verify the diagnosis and plan his treatment approach. The nurse begins the process by calling John’s insurance carrier to verify coverage,
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3 Reasons the Cloud is Critical for Ensuring Patient-Centered Care
As the healthcare sector embraces value-based care, the patient – not the procedure – is the central focus for providers. But the move to patient-centered care requires several significant deviations from the status quo. For example, more personalized treatment is required through information sharing and collaborative decision-making among providers, patients and their families. There is also a greater need to focus on overall physical, mental and emotional well-being of patients, as
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We Need to Use Data to Maximize Home and Community-Based Services for Our Most Vulnerable
Millions of children and adults living with intellectual or developmental disabilities (ID/DD) rely on long-term services and support (LTSS) offered through the state Medicaid program to meet their complex health needs. Medicaid LTSS enables many to achieve personal goals and lead fulfilling lives. These individuals are often some of the most vulnerable, highest-cost clients in the healthcare system. But for many, these services are not attainable, nor is the process easy to
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