Healthcare IT Today

APRIL 11, 2024

Today, Innovaccer , a leading healthcare company, has announced the completion of its acquisition of Pharmacy Quality Solutions (PQS) , a leader in Pharmacy-Payer performance technology. About Innovaccer Innovaccer is the data platform that accelerates care innovation through innovative AI technologies.

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Health Populi

OCTOBER 17, 2023

health finance leaders thinking about emerging technologies. When asked about the best way to cut costs in their operations, 47% of health care finance leaders said it would be to “invest in technology.” Bank among U.S. Bank fielded a survey among 200 senior health care financial leaders in the U.S., Banks experience.

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Healthcare IT Today

MARCH 26, 2024

Healthwise’s Current Operating Assets will become part of WebMD Ignite, Creating an Industry-Leading Healthcare Growth and Engagement Platform Serving 650+ Healthcare Organizations WebMD Health Corp. , and 85% of the top 20 payers. hospital patients, as well as for the membership of most major payor organizations. .

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Digital Health Global

OCTOBER 31, 2023

Improve Population Health Management: The collaboration will equip payers and providers with powerful tools to identify trends, proactively address health disparities, and design targeted interventions for at-risk individuals. healthcare payers of all sizes. Learn more at pdhi.com.

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Healthcare IT Today

MARCH 27, 2024

Aakarsh Sethi, Senior Product Manager at Infinx , lists the forms of “fragmentation” in payments: not just many different payers, but different plans with different coverage at each payer, along with pharmacy benefit managers (PBMs) and other third party managers, and rules that are constantly changing.

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Healthcare IT Today

APRIL 4, 2023

Doing this right, leads to many downstream benefits, including better patient outcomes, greater patient engagement, more efficient processes, happier staff, and improved payer + provider alignment. She dropped by our booth to explain what outcomes organizations are looking for. Each has an incomplete picture.

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Health Data Health Information Patient Experience Interoperability 89

Healthcare IT Today

JULY 26, 2023

Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves. However, this can sometimes be overwhelming for healthcare provider organizations that are now getting larger and larger volumes of requests from payers which inundate their systems.

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Healthcare IT Today

NOVEMBER 29, 2023

MRO wants to make the exchange of data between providers and payers more frictionless. They have developed a new solution that caters to this payer-provider interface. By bridging this data gap, MRO aims to enhance trust between providers and payers. We must own the fact that there is a trust divide between payers and providers.

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Interoperability Healthcare IT Health Information EHR 82

Digital Health Global

AUGUST 9, 2023

Healthcare Payers, 2023” (July 2023) report as a Sample Vendor in both the Consumer-Centric Health Products and Community Resource Network Management (CRNM) categories. The mPulse team believes this Hype Cycle identifies key capabilities payers must adopt to overcome a particularly volatile business and societal environment.

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Digital Health 88

Health Populi

AUGUST 22, 2022

“Partnerships, including JVs and alliances with other healthcare organizations and with new entrants, are just one way to access new capabilities, unlock speed to market, and achieve capital, scale, and operational efficiencies” in health care transformations. Providers, payers, and pharma comprise the bulk of revenue.

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Digital Health Global

JULY 25, 2023

Together, the organizations will seek to harness the power of generative AI to help pharmaceutical and life science manufacturers drive efficiencies and business value while improving patient outcomes. About EVERSANA® EVERSANA® is a leading independent provider of global services to the life sciences industry.

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Life Science Pharmaceuticals Patient Experience Digital Health 167

Healthcare IT Today

JANUARY 31, 2024

Turquoise will use the funding to further support transparent pricing workflows across its customer base of over 160 healthcare organizations. About Turquoise Health Turquoise Health is the industry’s leading healthcare pricing platform. Turquoise has developed a prominent industry voice on price transparency requirements.

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Healthcare IT Today

MARCH 22, 2024

Based in Madison, WI , Moxe leverages technology to improve and simplify the sharing of clinical information and critical insights between payer and provider organizations. ” About Trinity Capital Inc. About Moxe Health Moxe connects the healthcare ecosystem with high-quality, meaningful clinical data.

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Health Populi

MARCH 13, 2024

Although most health care organizations and company leaders view the adoption of AI as promising, most Americans are concerned providers will adopt AI technologies too quickly rather than too slowly. There are other aspects of AI applied to health care about which U.S. Three in five U.S. Three in five U.S. for every $1 invested.

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Healthcare IT Today

MAY 7, 2024

The Queiro Group consults with health care institutions to improve the efficiency of their revenue cycle and to adopt digital technologies for such goals as forming an Accountable Care Organization (ACO), advanced medical services, or adopting new devices and interventions. They want AI tools at the provider and the payer to collaborate.

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Healthcare IT Today

FEBRUARY 23, 2024

These new ideas and technologies are only successful, however, if enough people collectively take notice and talk about it in order to make it trend. So what trend isn’t being talked about enough? Ownership means an organization knows where the data is stored and who has access. advertising platforms).

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Healthcare IT Today

JUNE 1, 2023

We live in a messy world (and a biased one), so hardly any organization can claim to have data as accurate as they want. Health care organizations need to know their data, but they also need to know their objectives. Noshay illustrated the toll of poor quality by using “friction between payers and providers” as an example.

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Healthcare IT Health Data Interoperability Leadership 85

Health Populi

JUNE 15, 2023

We often talk about “the last mile” as the difficulty in getting broadband to cover folks in rural areas or bringing a product to fruition for delivery in a market. ” The Uber Health website asserts that, “We help complete the picture of care for healthcare organizations.”

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Healthcare IT News - Telehealth

JANUARY 26, 2022

Healthcare IT News sat down with him to talk about the state of mental health today and the roles that different technologies can play to make sure everyone can access mental healthcare when they need it. With this information in hand, both providers and payers can be better aligned and understand the effectiveness and efficiency of care.

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Health Populi

MAY 30, 2022

I appreciated the opportunity to share my perspectives on “The Patient As the Payer: How the Pandemic, Inflation, and Anxiety are Reshaping Consumers” in a webinar hosted by CarePayment on 25 May 2022. And that is part of the patient-as-payer’s workflow. In this post, I summarize some of the key issues we covered.

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Medical Billing Health Policy Mental health Patient Experience 258

Health Populi

AUGUST 18, 2020

Accenture recommends that health care payers and providers redesign digital experiences that “amplify personal agency,” empowering consumers ability to access services on their own terms and tastes, as well as control personal information.

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Healthcare IT Today

AUGUST 24, 2023

They distinguish provider-led from payer-led bundles, reveal how VUMC had to evolve, and describe which medical conditions are most appropriate for value-based care. But in the current wave of taking on risk, payers dominated. Value-based care is not new. Kaiser Permanente, a well-known employer-based provider, started in 1945.

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Digital Health Global

AUGUST 15, 2023

Through standardized data formats, protocols, and interfaces, interoperability ensures that patient information can seamlessly travel across different platforms, devices, and organizations. 1upHealth’s modern and scalable solutions stand out among the crowd,” said Jaime González, Chief Business Development Officer of Health Plan Alliance. “We

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Interoperability Health Data FHIR Health Analytics 88

Health Populi

NOVEMBER 10, 2023

Health Populi’s Hot Points: Change in health care is always hard, so starting with a clear True North objective can help align different internal organization stakeholders on the same page. Here, I’ve circled the #3 task of Kaufman Hall’s recommendations on “Where to Begin.”

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Healthcare IT Today

APRIL 3, 2024

Bringing context and meaning to this vast amount of data including unstructured health data is going to be key for every healthcare organization. Payers can extract data for measures such as severity of disease and quality measures. O’Connell also listed what their platforms can offer to various markets.

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Healthcare IT Today

FEBRUARY 2, 2024

It’s estimated that up to 80 percent of medical bills contain errors amounting to billions of dollars that are lost annually to payers. The antiquated pay-and-chase approach is time-consuming, costly, and strains the payers-provider relationship. Providers navigate abrasive recoveries and revenue instability.

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Medical Billing RCM Healthcare IT Health IT 66

Digital Health Global

DECEMBER 19, 2023

The strategic acquisition of HealthTrio, a leading provider of comprehensive health management and member engagement solutions, and Decision Point, an innovative analytics and member experience optimization company, positions mPulse as a full-service member engagement, analytics, and activation platform for healthcare organizations.

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Healthcare IT Today

NOVEMBER 22, 2023

Start with Standards A typical digital validation in health care must be recognized by software on the patient’s device as well as sites at multiple institutions: providers, payers, pharmacies, and more. Furthermore, the card can contain useful information about the patient’s identity, policy, benefits, and coverage.

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Healthcare IT Today

APRIL 25, 2023

For physician practices, payers, hospitals, and health systems, the takeaway is clear. As a result, the digital front door – the first point through which patients, and the payers and clinicians who serve them, engage one another is now an operational imperative for every healthcare organization.

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Healthcare IT Today

APRIL 14, 2023

This technology perfectly aligns with Availity’s vision of delivering omni-channel, multi-payer solutions to a fragmented healthcare data ecosystem. Availity Authorizations at HIMSS23 Learn more about the vision behind Availity’s AI Auth Solution at HIMSS23 , April 17-21, in Chicago. Follow us on LinkedIn and Twitter.

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Digital Health Global

FEBRUARY 13, 2024

As a result, healthcare organizations run their finances with spreadsheets and manual processes. Anatomy is a great solution for healthcare organizations that bill insurance, including independent practices like Raleigh Orthopaedics Clinic. “At About Anatomy Anatomy is on a mission to automate financial workflows for healthcare.

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Digital Health 88

Healthcare IT Today

MARCH 13, 2024

Together, these organizations serve over 4,500 customers and process over 4 billion pages of protected information every year, creating a new industry powerhouse and the largest provider offering secure document exchange and workflow automation solutions across on-premises, hybrid, and cloud fax architectures.

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Healthcare IT Today

MARCH 18, 2024

Veradigm has built one of the most unique and valuable assets in the healthcare industry: a large-scale, high-quality data set that spans providers, payers, and life sciences companies. About ScienceIO ScienceIO is the leading language model company for healthcare.

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Life Science healthcare technology Healthcare IT Health IT 80

Digital Health Global

JULY 20, 2023

Chronic pain management provider utilizes digital health IT solutions across the organization for improved workflows WESTBOROUGH, Mass.–(BUSINESS Given the frequency of patient visits, keeping things organized while ensuring timely payments is essential to operational efficiencies and overall patient satisfaction.

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Healthcare IT Today

JANUARY 23, 2023

Verinovum’s SWAT (Strategic Workforce and Tactics) team has been closely following these trends and has made predictions about how nine of them might play out in 2023. (Be NCQA’s push for race and ethnicity data for value-based contracts on behalf of payers has moved this conversation to the forefront and provided financial incentives.

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Digital Health Global

SEPTEMBER 19, 2023

ClosedLoop’s AI algorithms have demonstrated an increased accuracy of 61% compared to legacy risk scores and blackbox “groupers” traditionally used by value based care organizations to identify high risk patients. To date, Evaluate has been piloted by payers and providers managing more than 2.7 million members across the country.

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Healthcare IT Today

DECEMBER 27, 2023

A recent offering from LexisNexis Risk Solutions promises to greatly expand access to this data, called social determinants of health (SDoH), for payers, clinicians, public health agencies, pharma companies, and other researchers. The final chapter on social determinants of health comes out more positive than most of the others.

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