A survey suggests that 71% of accountable care organizations would rather quit the Medicare Shared Savings Program than assume down risks. Although ACOs are leading the transition from volume-based care to value-based care, a lot of them face the lack of confidence in meeting the quality and cost benchmarks. When ACOs don’t have adequate knowledge and control over the network, earning shared savings can be quite challenging. Data from disparate sources such as EHRs, payer claims, PMS and HIEs
Read More
Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
AI in Healthcare: Enhancing Risk Models to Predict the Future Cost of Care
Traditionally, providers and health systems have relied on claims-based risk models, such as the CMS-HCC, ACG, and DxCG, which were built to forecast the risk of populations, but not at an individual level. While these models give a fairly good estimation of the risk of the population, they exhibit unsatisfactory estimation if used to predict the risk at an individual level.Innovaccer Inc., a healthcare data activation company, has taken a major step towards revolutionizing the way we identify
Read More
Analysis: Philips’ Evolution to a Pure-play Healthcare Technology Vendor
The last two-to-three years we have seen Philips complete its transformation into a pure-play healthcare technology vendor. It has reduced its interest in its remaining non-healthcare business Philips Lighting/Signify (now owning only a 16.5% share), made 16 healthcare technology acquisitions since the start of 2017 and organized its internal business units into three core healthcare technology segments, Personal Health, Diagnosis & Treatment and Connected Care. A few weeks ago, several of
Read More
Children’s Mercy Kansas City Taps Innovaccer to Advance Pediatric Value-Based Care
Children’s Mercy Integrated Care Solutions (CMICS), one of the most advanced pediatric health networks in the country and a wholly owned subsidiary of Children’s Mercy Kansas City, partnered with Innovaccer to power its pediatric population health management initiatives for Children’s Mercy’s Pediatric Care Network and Children’s Health Network. CMICS manages nearly 200,000 value-based patients, which is approximately 34% of the pediatric population in the Kansas City area and includes over 60
Read More
Amp Recover CEO Talks The Current State of Digital Health Adoption in Orthopedics, PT, Sports Med
David Nichols is the CEO is of AMP Recover, a health intelligence platform that empowers healthcare organizations with actionable data to improve the patient experience, produce successful outcomes and achieve their business goals. This transition from current workflows to a modern, data-driven approach does not happen overnight. The Atlanta, GA-based company works with providers focused on Injury Prevention, Physical Therapy and Sport, Performance and have developed a sequence of digital
Read More
Revenue Leakage: 3 Methods to Revive Your Charge Integrity Program
Many consider a strong charge integrity program the cornerstone and heartbeat of the revenue cycle. Without an effective charge integrity program, health care providers run the risk of revenue leakage.
According to the Healthcare Financial Management Association, “one percent of net patient revenue is lost due to charge capture errors,” which can add up to multi-millions of dollars for health care organizations. Most providers have not considered or quantified the potential dollars lost when
Read More
Remote Enablement Adoption: The Key to Reshaping Patient Monitoring
The healthcare industry is facing significant pressures around costs and outcomes as it shifts to a value-based care model. To alleviate these concerns, hospitals are looking to technology to help. Over the years, technology has significantly evolved with more connectivity, advanced algorithms and introduction of machine learning and AI. These advancements have greatly improved efficiencies and outcomes in the healthcare industry, yet, along with these benefits, technology also brings a concern
Read More
Signify Health Launches Social Determinants of Health Solution Signify Community
Signify Health, a provider of technology-enabled in-home care and complex care management services, has announced the launch of Signify Community, the first and only social determinants of health (SDOH) solution that ties social interventions to quality, satisfaction, and financial outcomes—including 30% reductions in readmissions and 46% reductions in post-acute care spend for high-utilizer safety net populations.Understanding SDoHSocial determinants of health (SDOH) are complex and
Read More
Geisinger Appoints Dr. Jaewon Ryu as New CEO
Geisinger today announced that its Board of Directors has appointed Jaewon Ryu, M.D., J.D., as president and chief executive officer. Dr.
Ryu, who has served as interim president and CEO since November 2018 and
executive vice president and chief medical officer since September 2016,
becomes the seventh chief executive officer in Geisinger’s 104-year history. He
succeeds David T. Feinberg, M.D., MBA, who left Geisinger earlier this year to
assume a leadership role at Google.
“On
Read More
CredSimple Raises $14M to Redefine The Provider Credentialing Process
CredSimple, the a NYC-based cloud-based healthcare credential verification organization, has raised $14 million in Series B funding led by Questa Capital. The round also included participation from existing investors including Windham Venture Partners who led the company's Series A round and Primary Ventures who co-led its seed investment.Outdated Credentialing ProcessTraditionally, credentialing has run on outdated systems, spreadsheets, and repetitive manual work that only increases work,
Read More
