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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Prior Authorization Reforms Don’t Address the Real Problem. Here’s How AI Can Help.

by Matthew Plack, VP for Innovation and New Solution Strategy, Apixio 11/21/2022 Leave a Comment

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

by Morris Panner, President, Intelerad Medical Systems 11/18/2022 Leave a Comment

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

by Sarah Newton, Head of U.S. Public Sector Health Policy at SAS 11/17/2022 Leave a Comment

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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HLTH22: Bamboo Health Launches Real-Time Care Intelligence Platform

by HITC Staff 11/14/2022 Leave a Comment

Bamboo Health Launches Real-Time Care Intelligence Platform

What You Should Know: - Today at HLTH, Bamboo Health unveils its new Real-Time Care Intelligence™ platform and Smart Signals™ care coordination network to drive whole person care across the spectrum of physical, behavioral and social health needs. - The network improves more than 1 billion patient encounters a year across more than 2,500 hospitals, 8,000 post-acute facilities, 25,000 pharmacies, 32 health plans, 50 state
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Should I Get Another Booster? How Doctors Can Help Patients Navigate the Next Phase of COVID-19

by Dr. Joe Nicholson, Chief Medical Officer at CareAllies 11/14/2022 Leave a Comment

Should I Get Another Booster? How Doctors Can Help Patients Navigate the Next Phase of COVID-19

The general consensus is that COVID-19 in some form is here to stay. As people come to terms with this reality, primary care providers may be getting more questions from patients – especially older and immunocompromised ones – asking for advice on how to handle different situations. Should I get another booster? Can I start traveling? Is it OK to go to a wedding next weekend? How cautious do I need to be in social settings? The answers to these questions aren’t always clear. A lot depends on
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18 HLTH 2022 Predictions from Digital Health Executives to Watch

by Fred Pennic 11/10/2022 Leave a Comment

17 HLTH 2022 Predictions from Digital Health Executives to Watch

Before HLTH 2022 kicks off next week in Las Vegas, we asked 18 digital health executives for their predictions and major themes to expect at HLTH.  1. Keith Reynolds, Chief Operating Officer at Welldoc Access to care is a central focus for healthcare given several factors: a growing population being impacted with chronic conditions, increased resourcing constraints, and growing fatigue and workload among providers. A recent study indicated that it would require a PCP 26.7 hours/ day
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Zelis Acquires Healthcare Payment Reimbursement Solutions Payspan

by Fred Pennic 11/10/2022 Leave a Comment

Zelis Acquires Healthcare Payment Reimbursement Solutions Payspan

What You Should Know: - Zelis, a company modernizing the business of healthcare, announced today the completion of its acquisition of Payspan, a leader in healthcare electronic payment and reimbursement automation services. Financial terms of the transaction were not disclosed. - The acquisition will accelerate Zelis' mission to modernize the business of healthcare through a connected platform and expansion of offerings for healthcare insurers, providers, and their members. Improving
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TytoCare Launches the Home Smart Clinic, the First Remote Primary Care Offering for the Entire Family

by Syed Hamza Sohail 11/09/2022 Leave a Comment

TytoCare Launches the Home Smart Clinic, the First Remote Primary Care Offering for the Entire Family

What You Should Know: - TytoCare, a virtual care company enabling accessible, high-quality primary care from home, today announced the launch of the Home Smart Clinic, a multi-pronged offering delivering health plans and providers a comprehensive range of elements required to launch a truly successful virtual care program without compromises. - The Home Smart Clinic is proven to reduce the total cost of care (TCC) for health plans by 10% on average, to deliver 59% more accurate diagnoses
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Walgreens-Backed VillageMD to Acquire Summit Health for $9B

by Fred Pennic 11/07/2022 Leave a Comment

Walgreens-Backed VillageMD to Acquire Summit Health for $9B – M&A

What You Should Know: Primary care provider, VillageMD has entered a definitive agreement to acquire Summit Health-CityMD, a provider of primary, specialty and urgent care in a blockbuster M&A deal valued at $8.9 billion with investments from Walgreens Boots Alliance (WBA). The combined company will create a multi-payor platform to deliver quality, affordable care for all patients and will enhance WBA’s robust portfolio of leading, integrated healthcare offerings across the care
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Innovaccer Launches ACO Compare to Help ACOs Lower Costs & Increase Care Quality

by Jasmine Pennic 11/03/2022 Leave a Comment

Innovaccer Launches ACO Compare to Help ACOs Lower Costs & Increase Care Quality

What You Should Know:  - Innovaccer, the Health Cloud company, introduced ACO Compare 4.0, the latest version of the company’s popular free tool that enables ACOs to analyze and compare their performance against national and regional benchmarks to help them enhance cost savings and increase the quality of care. - The updated tool is available for ACOs to use at no charge and includes several new features that help providers identify cost drivers that can impact their risk-adjusted per
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