More than three years have passed since the Centers for Medicare & Medicaid Services (CMS) introduced its separately billable non-face-to-face Chronic Care Management (CCM) service. This was intended to help more than two-thirds of individuals on Medicare who suffer from multiple conditions receive more coordinated, regular primary care. The hope was that a focus on managing chronic conditions would contribute to better outcomes for overall population health, improve individual access to
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Global Medical Billing Outsourcing Market to Reach $19.7B by 2026
The global medical billing outsourcing market size is projected to reach USD 19.7 billion by 2026 expanding at a compound annual growth rate (CAGR) of 11.8%, according to a Grand View research report. The report reveals that revenue cycle management (RCM) is one of the most complex components of healthcare IT business driven by challenges in rising healthcare costs, market consolidation, an explosion in clinical documentation, and value-based care initiatives.Key Market Drivers for Global
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Cardiogram’s Wearable Based Monitoring Tool Is Now Covered by Oscar
Cardiogram is a digital health company announced that it's wearable-based monitoring for atrial fibrillation and diabetes is now covered by Oscar Health Insurance, without paying out of pocket. The coverage will help provide end-to-end preventive care: continuous wearable monitoring, convenient testing, contextualized results, and clinical triage.Impact of Chronic ConditionsFor chronic conditions like diabetes, atrial fibrillation, hypertension, and sleep apnea, anywhere between 20–80% of cases
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CPSI to Acquire Patient Engagement Company Get Real Health for $11M
CPSI, a community healthcare solutions company has reached an agreement to acquire Get Real Health, a Rockville, MD-based comprehensive patient engagement platform for $11 million in cash. CPSI is the parent of three companies – Evident, LLC, American HealthTech, Inc. and TruBridge, LLC. The acquisition will allow CPSI to advance their ability to care for patients outside the walls of a community healthcare facility.Value-Based Care Creating New Demands for Patient EngagementValue-based care
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Why 2018 May Have Been A High-Water Mark for Digital Health Funding
Notwithstanding the quite significant stock market turmoil for publicly traded healthcare companies in recent months, the level of private investment activity continued to be quite strong this past quarter. According to Rock Health, 1Q19 registered just under $1.0 billion of investments made in 61 healthcare technology companies, which while below the trailing two year quarterly average of $1.4 billion, still suggests an annual investment pace running toward $4.0 billion. StartUp Health, which
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Plum Healthcare, Netsmart Partner to Develop Integrated Care Solutions for Senior Living
Plum Healthcare Group, a skilled nursing provider has inked a 10-year strategic partnership with health IT company Netsmart to develop integrated care solutions to enhance care delivery for senior living. This joint innovation-based partnership between a technology partner and a senior living provider will be a key component to support Plum as it expands into new service lines and offerings across more than 50 facilities throughout California and Nevada.Plum Healthcare/Netsmart Partnership
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PE Firm Considering Options Including Sale of RCM Provider Waystar
Private multi-asset alternative investment firm Bain Capital is reportedly considering options including the potential sale of revenue cycle management (RCM) company Waystar, Bloomberg reports. In 2018, Bain rebranded RCM companies Navicure and ZirMed as Waystar after merging the two companies together in 2017. Waystar Sale Could Value Company At More Than $3BBain has started early-stage discussions about a potential sale that could value the business at more than $3 billion, according to
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Innovaccer Launches AI-Powered Pediatric Care Management Solution
Innovaccer Inc., a San Francisco-based data activation company, today announced the launch of its Pediatrics Care Management solution specifically designed to bring the entire care network together to fulfill every child’s needs. The solution will assist pediatric care organizations in bringing together information that spans across multiple venues, clinicians, and stages of life.Pediatric-Specific Measures Are Not Widely AvailableValue-based payment reforms have made quite an impact on US
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AllyAlign Health Raises $10M to Power Value-Based Care for Seniors
AllyAlign Health, a Richmond-based developer and administrator of Medicare Advantage special need plans that benefit long-term care providers has raised $10M in strategic funding led by McKesson Ventures. Existing investors Heritage Healthcare Innovation Fund, Health Enterprise Partners and the LinkAge Fund also participated in the financing. This brings the total capital raised to over $41 million.AllyAlign Health BackgroundAllyAlign Health (AAH) began reforming the health system in 2014 by
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How Can Health System Command Centers Reduce Cost Growth?
Scott Newton, DNP, RN, MHA, EMT-P, VP of Care Model Solutions at Teletracking In our decentralized care landscape, health system command centers (HSCC) are coordinating high-quality care through complex and integrated delivery networks (IDN). Recently, command centers were recognized by KLAS and Gartner as a new model of care delivery with the potential to impact clinical, financial, and operational outcomes. That means in addition to improving routine health system operations—and increasing
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