Many Medicare Advantage health plans (35%) struggle with internal challenges in keeping pace with growth, including technology and infrastructure limitations, according to results of its latest Voice of the Market Survey. In addition, 33.8% struggle with a lack of IT staff or resources to make necessary changes and 29.4% lack the in-house Medicare experts necessary to implement adjustments in response to business fluctuation.The survey was commissioned by HealthEdge and conducted by Survata, an
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Q&A: Dr. Geeta Nayyar Discusses the State of Physician Burnout & EHRs
Before drifting off to sleep, most of us put on pajamas when it’s time to curl up with a good book or binge-watch what’s trending on Netflix—but not today’s doctors.
According to one previous study, physicians spend nearly two hours conducting EHR/paperwork every night at home. This after-hour activity is known in healthcare as “pajama time,” but don’t let the cutesy nickname fool you. Turns out, time spent mired with EHR data is becoming a growing problem for physicians. A subsequent study
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ELLKAY Acquires X-link to Expand Healthcare Interoperability Footprint
ELLKAY, LLC, a provider of healthcare connectivity and interoperability solutions has acquired the assets of Tampa-based Legal Easy, Inc., including the industry-leading X-Link medical software interfacing solution. With the strategic acquisition, ELLKAY expands its healthcare footprint and empowers providers with an easier, more cost-effective way to achieve Promoting Interoperability (PI) objectives and quality measures. In addition, the acquisition strengthens ELLKAY’s core mission of
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John Muir Health to Outsource All Non-Clinical Operations to Optum
John Muir Health has announced a strategic partnership with UnitedHealth Group’s (UHG) division, Optum to outsource their key non-clinical functions, including information technology, revenue cycle management, analytics, purchasing and claims processing. Through Optum’s operational technologies, analytic solutions and tools, and administrative services expertise, the partnership will ensure John Muir Health further advance its clinical and operational performance. The outsourcing agreement will
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Innovaccer Launches a Single Data System to Empower Medicare Advantage Plans
To assist Medicare Advantage plans in eliminating these complications and achieve the top Star Ratings, Innovaccer Inc., a San Francisco-based data activation company, has strengthened its solution for Medicare Advantage plans. The solution for MA plans is a comprehensive suite of solutions designed to solve all grassroots challenges to empower MA plans to ensure healthier patients and increased profits.Rise in Medicare Advantage EnrollmentThe CMS has projected that Medicare Advantage enrollment
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UCLA Spin Out DEARhealth Lands $6M for AI-Powered Pathways for Chronic Care
DEARhealth, a health IT spin-out
from the University of California, Los Angeles (UCLA) has raised $6.8 million
in Series A funding to expand its AI-powered pathway platform for chronic care.
Participants in the Series A funding round include Philips Health Technology
Ventures, Vesalius Biocapital III and Health Innovations.
DEARhealth was founded in
2011 by Daniel Hommes as a research project when a team of UCLA specialists
designed a value-based care program for the management of chronic
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Why Hospital M&A Activity Must Include Plans for EHR Data Integration
John Walton, a data expert who worked under Ross Perot, shares his insights on how organizations can successfully come together without coming undone.
Data—it’s the thread that promises to tie merging healthcare entities together, but more often than not, it can feel more like the primary source of its unraveling. So why are newly merged and acquired health organizations, particularly hospitals, feeling so threadbare?
Despite the belief that such a move will make data sharing easier, evidence to
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Intermountain Launches Value-based Care Spinout Castell
Intermountain Healthcare has formed a new comprehensive health platform company named Castell that will enable other organizations to accelerate their transition from volume to value-based systems of care, while keeping care more affordable and accessible. Rajesh Shrestha has been named as the president and CEO of Castell. In addition to leading Castell, Shrestha serves as vice president and chief operating officer of Community Based Care for Intermountain Healthcare. He has more than two
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ACO Investment Model Reduced CMS Expenditures by $48M
The Accountable Care Organization (ACO) Investment Model (AIM) saved the Centers for Medicare & Medicaid Services (CMS) more than $48M in its first year while promoting improved health care in rural and underserved areas, according to a new study from Abt Associates.The new study reveals that after accounting for the $82.4 million provided to ACOs, AIM reduced CMS expenditures by $48.6 million. Decreases in the number of hospitalizations and use of institutional post-acute care contributed
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Georgia Hospitals Partner with CarePort to Improve Patient Outcomes
Georgia Hospital Health Services, a subsidiary of the Georgia Hospital Association has selected CarePort Health to provide hospitals across the state with a complete suite of solutions to improve care coordination by educating, guiding and monitoring patients moving across the continuum of care.GHHS formally endorses vendors that bring value to their system and understands the importance of transparency throughout care transitions by providing real-time patient data to improve patient outcomes.
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