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How eClinicalWorks Agentic AI Is Helping Revenue Cycle Leaders Improve Financial Performance
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Value-Based Care| VBC-Related News, Analysis, Insights - HIT Consultant

Value-Based Care in Action: BCBS AZ Shared Savings Program Outperforms Cohorts Across Cost & Quality Measures

by Fred Pennic 11/02/2018 Leave a Comment

Value-Based Care in Action: BCBS AZ Shared Savings Program Outperforms Cohorts Across Cost & Quality Measures

BCBS AZ’s value-based care program outperformed cohort across cost and quality measures, underscoring program’s effectiveness at improving population health.Change Healthcare and ACO Partner released the results for the first complete plan year of its novel shared value-based care savings program with Blue Cross Blue Shield of Arizona (BCBS AZ). More than 600 in-network primary care providers treated over 41,500 patients through 2017 leading to the program remitting a total of $1 million to 603
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AMA-RAND Study: Physician Payment Models are Becoming More Complex

by Fred Pennic 10/26/2018 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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HHS Unveils International Pricing Index to Lower Medicare Part B Drugs for Patients

by Fred Pennic 10/25/2018 Leave a Comment

Behavioral Health Can We Balance Civil Liberties with Mental Health Treatment?

The U.S. Department of Health and Human Services, through the Centers for Medicare & Medicaid Services (CMS), today announced unveiled the “International Pricing Index” (IPI) payment model to reduce what Americans pay for Medicare Part B prescription drugs.Under the IPI model, described in an Advance Notice of Proposed Rulemaking (ANPRM), Medicare’s payments for select physician-administered drugs would shift to a level more closely aligned with prices in other countries. Overall savings for
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Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery

by Jasmine Pennic 10/24/2018 Leave a Comment

Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery

Mingle Analytics Inc., a provider of Medicare quality reporting, and SilverVue, Inc., a supplier of care management software, today announce their merger. Mingle Health is a new company focused on transforming value-based care delivery by solving the pain points in quality reporting while improving patient outcomes and strengthening practice health.Together, Mingle Health will deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices,
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Why Are Hospitals Still Using CDs to Exchange Medical Images with Patients?

by Mohammed Shoura, Founder and CEO at PaxeraHealth 10/24/2018 Leave a Comment

Why Are Hospitals Still Using CDs to Exchange Medical Images with Patients?

For nearly two decades, CDs have been the primary medium for medical image exchanges between providers and patients. In the mid-1990’s, CDs provided a solution to the point-of-care and transportation issues of bulky, static film and reports. Recent years have brought a widespread adoption of electronic methods for storing and sharing information in the healthcare sector---namely EMR and now interoperability. Despite the rapid (and necessary) adoption of HIT, CDs remain the primary means of
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R1 Expands Physician Practice Footprint with CarePoint Health and Holston Medical Group

by Jasmine Pennic 10/22/2018 Leave a Comment

R1 RCM, End-to-End Revenue Cycle Management Services Phreesia Partner to Provide Seamless Front-End Patient Experience

Hatred of billing and payment processes is a time-honored tradition in healthcare. Two of the biggest reasons it’s so frustrating as a patient are the lack of transparency and digital elements that we expect out of any typical consumer experience. R1, a provider of technology-enabled revenue cycle management (RCM) services is working to change this, announcing today its continued expansion into the physician practice market with the addition of CarePoint Health, one of the largest privately-held
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Validic Launches Statistics Engine to Drive Population Health Analytics from Patient Generated Health Data

by Fred Pennic 10/19/2018 Leave a Comment

iGlucose Integrates with Validic's Data Connectivity Platform to Simplify Diabetes Management

Validic, a Durham, NC-based patient-generated health data integration, and analysis platform, today announced the release of Validic Statistics Engine that will offer new opportunities for patient-generated health data in care delivery and management. The Statistics Engine enables organizations to easily derive individual or population-level trends and anomalies from PGHD. Making Patent-Generated Health Data (PGHD) Actionable for CliniciansBeyond optical character recognition, there are many
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DexCom Integrates Continuous Glucose Monitoring Data with Validic Data Connectivity Platform

by Fred Pennic 10/17/2018 Leave a Comment

DexCom Integrates Continuous Glucose Monitoring Data with Validic Data Connectivity Platform

DexCom, Inc., a provider of continuous glucose monitoring (CGM) solutions, announced a partnership with data integration platform Validic. As part of the partnership, DexCom will integrate CGM data from Dexcom’s cloud API is integrated into the Validic’s connectivity platform to establish a multi-measure platform to stream in-home clinical data directly into clinical workflows and systems. This partnership is part of a larger effort to improve the interoperability of clinical systems and provide
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HMS’ Jennifer Forster Talks Leveraging Social Determinants of Health to Improve Population Health Outcomes

by Erica Garvin, Contributing Editor 10/03/2018 Leave a Comment

HMS’ Jennifer Forster explains how payers can cut costs and improve population health outcomes by incorporating social determinants of health (SDoH) into the mix.While the future of precision medicine is often associated with advances in genomics, there is more to consider when it comes to developing personalized treatment and PHM efforts. In fact, considering social determinants of health (SDoH), a recent and growing trend in predictive analytics, is gaining traction.A new study in Population
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Innovaccer’s Healthcare Data Platform Helps ACOs Save More Than $264M Annually

by Fred Pennic 10/02/2018 Leave a Comment

Revenue Integrity Dysfunctional Patient Billing Major Distraction for Patients & Clinicians 6 Metrics to Improve Hospital Revenue Cycle ROI_revenue cycle makret

Innovaccer, a San Francisco-based healthcare data platform company, proudly announced the success of its partner accountable care organizations (ACOs) that achieved over $264 million in savings across 1 million managed lives. The data has been gathered from different commercial insurance providers and the Medicare Shared Savings Program performance data for 2017.According to CMS’ results, ACOs in P.Y. 2017 have achieved about $314 million in Medicare savings. More than 60% of the 472 ACOs
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