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
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
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
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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
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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
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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
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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
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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
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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
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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,
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Applied Analytics: Making the Dream of Cost-Controlled Population Health a Reality
Ninety percent of a solution is accurately defining the problem, however, in healthcare, much like nearly every other industry, more time and energy is spent on fixing perceived symptoms rather than identifying root caU.S.es.
Today we will explore the contribution that applied analytics has made and continues to make on bending the dramatic U.S. healthcare cost curve. To do this well we will first explore the primary cost drivers (i.e. root caU.S.es), as to why the U.S. spends more on care than
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