2023, Medicare and RCM - Connected Health Pulse

2023

Medicare

RCM

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Healthcare IT Today

NOVEMBER 5, 2023

Studies and Reports So far in 2023, only 24% of healthcare organizations were able to disrupt a ransomware attack before attackers encrypted their data , according to a Sophos survey. RCM and price transparency company Rivet appointed Erick Sunarto as Vice President of Technology. That’s down from 34% last year.

RCM

RCM Medicare EHR FHIR

Bonus Features – December 24 , 2023 – 74% of orgs automating RCM operations, per-physician revenue exceeding expenses at U.S. hospitals, plus 19 more stories

Healthcare IT Today

DECEMBER 24, 2023

Arizona-based VBCare Network selected Spatially Health for identifying barriers to health equity in Medicare and Medicaid beneficiaries. Chicago-area RML Specialty Hospital chose ScImage to support cloud-based PACS.

RCM

RCM eCare Healthcare IT Mental health

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Trending Sources

Weekly Roundup – July 29, 2023

Healthcare IT Today

JULY 29, 2023

Bonus Features for July 23, 2023: Number of people impacted by data breaches up 56% compared to last year, while CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule. based EMR, RCM, and practice management assets to N. Concierge care platform Gradia Health secured $4.2 million in seed funding.

Healthcare IT

Healthcare IT eHealth Leadership RCM

Bonus Features – May 7, 2023 – Less than 1% of all medical claims include an ICD-10 Z code, 78% of consumers say virtual health is important when considering health plans, and more

Healthcare IT Today

MAY 7, 2023

News CMS has opened the Hardship Exception application period for eligible hospitals and critical access hospitals (CAHs) that participated in the Medicare Promoting Interoperability Program in 2022. Global venture capital funding was just $21 billion in April 2023 , a 56% drop from April 2022, according to Crunchbase.

RCM

RCM EHR Mental health BioTech

Bonus Features – November 26, 2023 – 85% of healthcare orgs boosting IT spending in 2024, 70% of orgs actively considering generative AI, plus 18 more stories

Healthcare IT Today

NOVEMBER 26, 2023

This is due in large part to increased expenses (from 25$ for labor to 90% for maintenance) and revenue reductions from denials (more than 20% from commercial plans and nearly 60% from Medicare Advantage plans). RCM is by far the most popular potential use case, with 58% of all considering the use of generative AI there.

eHealth

eHealth RCM EHR FHIR

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Healthcare IT Today

JULY 23, 2023

News and Studies The 2024 Medicare Physician Fee Schedule Proposed Rule from CMS would continue many of the public health emergency telehealth flexibilities, such as an expanded definition of telehealth practitioners, continued payments to rural health centers and FQHCs, and the expansion of originating sites.

Medicare

Medicare Telehealth Telemedicine RCM

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

Healthcare IT Today

OCTOBER 11, 2023

Welcome to the special HLTH 2023 edition of Healthcare IT Today Bonus Features. Optum and Uber are partnering to make non-urgent medical transportation and healthy food delivery covered benefits for certain Medicare Advantage plans beginning in 2024. Highmark Health tapped Spring Health for increasing access to behavioral health.

Life Science

Life Science EHR BioTech RCM

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. Sales Ohio-based Fisher-Titus chose RevSpring for RCM and payment processing.

Telehealth

Telehealth RCM Public Health EHR

Bonus Features – November 19, 2023 – Critical access hospitals 16% less likely to participate in data exchange, two-thirds of orgs plan to increase AI spending by 25% in the next three years, plus 36 more stories

Healthcare IT Today

NOVEMBER 19, 2023

A Humana study found that Medicare Advantage members covered under value-based care arrangements completed preventive screenings at a 14.6% Azalea Health completed SOC 2 Type 2 Certification for its cloud-based EHR and RCM platform. Oly 51% are confident that hospital rooms are properly disinfected.

eCare

eCare Healthcare IT Interoperability RCM

Bonus Features – August 6, 2023 – 83% of hospitals are collecting SDoH data, 46% of hospitals planning to use large language models in the call center, and more

Healthcare IT Today

AUGUST 6, 2023

Chicago-based RUSH University System for Health chose Cadence for remote monitoring and virtual care for Medicare and Medicaid patients with chronic conditions. EHR and RCM vendor ModMed appointed Denise Ceule as Chief Legal Officer. In addition, Texas-based Midland Community Healthcare Services is transitioning to eClinicalWorks.

EHR

EHR Interoperability RCM HIE

Bonus Features – April 30, 2023 – 68% of providers say improving patient collections is a high priority, hospital expenses have increased 2x the Medicare IPPS reimbursement rate since 2019, and more

Healthcare IT Today

APRIL 30, 2023

from 2019 to 2022 – or more than double the rate of increase for Medicare IPPS reimbursement (7.5%). RCM vendor medaptus is collaborating with Fresenius Kabi to offer hospitals financial reimbursement software for infusion services. RCM vendor Savista hired Warren Jacobson as Vice President of Client Revenue Cycle.

Medicare

Medicare RCM Healthcare Cybersecurity Healthcare IT

Telehealth Startup OpenLoop Raises $15 Million to Streamline Virtual Care Delivery

Healthcare IT Today

MARCH 27, 2023

New Payer Coverage and Revenue Cycle Management With 250 million patient lives covered under 600+ of the nation’s top payers, including Medicare, Medicaid and every major private insurer, OpenLoop is also announcing today a new Payer Coverage & RCM service. Originally announced March 15th, 2023

Telehealth

Telehealth RCM HIPAA Digital Health

Bonus Features – January 8, 2023 – Omnibus bill extends telehealth expansion through end of 2024, 60% of solution providers pouring all event marketing money into in-person events, and more

Healthcare IT Today

JANUARY 8, 2023

The biggest news for healthcare IT was the extension of telehealth expansion under Medicare through the end of 2024. Urine was the talk of CES 2023, with at-home urine testing company Vivoo and smart device maker Withings both releasing smart toilets. 29, 2022, President Biden signed the omnibus spending bill. Partnerships.

Telehealth

Telehealth Healthcare IT Primary Care Leadership

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, and More!

Healthcare IT Today

OCTOBER 8, 2023

Claims on the community care program, Connect for Life (CFL), from Wider Circle preventing 8 ED visits per 1,000 members, saving $103 Per Engaged Member Per Month net savings for Medicare Advantage members, and more have been validated in a recent review from Milliman.

eCare

eCare Primary Care RCM Patient Experience

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Bonus Features – December 24 , 2023 – 74% of orgs automating RCM operations, per-physician revenue exceeding expenses at U.S. hospitals, plus 19 more stories

Trending Sources

Weekly Roundup – July 29, 2023

Bonus Features – May 7, 2023 – Less than 1% of all medical claims include an ICD-10 Z code, 78% of consumers say virtual health is important when considering health plans, and more

Bonus Features – November 26, 2023 – 85% of healthcare orgs boosting IT spending in 2024, 70% of orgs actively considering generative AI, plus 18 more stories

Bonus Features – July 23, 2023 – Number of people impacted by data breaches up 56% compared to last year, CMS keeps temporary telehealth expansion in 2024 Medicare fee schedule, and more

Bonus Features, HLTH Edition – October 11, 2023 – Announcements from Best Buy, General Catalyst, Google Cloud, Microsoft, Walgreens, and more

Bonus Features – November 12, 2023 – 93% of clinicians use RPM in cardiac care rehab, telehealth flexibilities remain in place until the end of 2024, plus 25 more stories

Bonus Features – November 19, 2023 – Critical access hospitals 16% less likely to participate in data exchange, two-thirds of orgs plan to increase AI spending by 25% in the next three years, plus 36 more stories

Bonus Features – August 6, 2023 – 83% of hospitals are collecting SDoH data, 46% of hospitals planning to use large language models in the call center, and more

Bonus Features – April 30, 2023 – 68% of providers say improving patient collections is a high priority, hospital expenses have increased 2x the Medicare IPPS reimbursement rate since 2019, and more

Telehealth Startup OpenLoop Raises $15 Million to Streamline Virtual Care Delivery

Bonus Features – January 8, 2023 – Omnibus bill extends telehealth expansion through end of 2024, 60% of solution providers pouring all event marketing money into in-person events, and more

Bonus Features – October 8, 2023 – 67% of Women are Having Issues with Getting a Clear Diagnosis – of which 25% are Still Waiting for Diagnosis or Gave up Entirely, Health Gorilla has 17 Healthcare Organizations Commit to Joining their QHIN, and More!

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