Change Healthcare today unveiled InterQual® 2019, the latest edition of the company's flagship clinical decision support solution. The new release builds on Change Healthcare’s tradition of continuous innovation in content and technology. Among the new features is support for ‘Hospital in the Home’ programs, which have gained traction as an alternative option to acute inpatient stays. This latest edition also advances the technology in InterQual AutoReview™ with Episode Day One review
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant
Improving Social and Cultural Determinants of Health Through Technology
In a perfect world, every individual would have equal access to adequate healthcare services regardless of socioeconomic status or cultural background. In the real world, both play a significant role in the level and quality of care a person might receive. It is critical that the healthcare industry as a whole remains cognizant of social and cultural determinants as it continues to innovate and transition towards value-based care models.
We have long been aware of the care challenges faced by
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UnitedHealth Launches New Bundled Payment Program for Maternity Care
UnitedHealthcare, a UnitedHealth Group, today introduced a new bundled payment program for maternity care to help support the well-being of moms and babies before and after delivery by closing gaps in care and encouraging healthy, full-term pregnancies. The new bundled payment program will help close gaps in care and encourage healthy, full-term pregnancies, supporting moms’ and babies’ health and reducing risks of complications before and after delivery.
Bundled Payment Method
The
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Digital Health – Is It Worth It? How to Calculate ROI in Digital Health
The results are in. A 2019 PEGA survey asked 2,000 U.S. consumers how they felt about recent trends in healthcare, and the response was overwhelming — they want a personal touch, and they want it digital. Not only that, but the survey also revealed that communications from healthcare organizations actually drive a patient’s desire to improve their health, fueling the popular opinion that technology is the magic key to patient engagement. What the survey fails to reveal, though, is why the
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Vericred Launches Medicare Advantage API to Support Insur Tech & Digital Health Companies
Vericred, an NYC-based data services platform powering the digital distribution of health insurance and employee benefits, announced today a Medicare Advantage rating API enabling InsurTech and digital health companies to build innovative solutions that serve the fast-growing Medicare-eligible population.Growth of Medicare Advantage PlansMedicare Advantage – also known as Medicare Part C – is a program in which individuals who qualify for Medicare enroll in certified health plans offered by
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Physician Practices Strategy to Developing A Strong Chronic Care Management (CCM) Program
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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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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