Healthcare IT Today

MARCH 24, 2024

Wellth launched Wellth Northstar to support Medicare Advantage plans aiming to motivate change in hard-to-reach members. Sales Humana tapped DUOS to help the manage the health of veterans in Louisiana with chronic conditions enrolled in Medicare Advantage plans. MultiPlan selected HealthCorum to support provider network optimization.

Patient Experience 88

Patient Experience RCM Healthcare IT Medicare 88

Healthcare IT Today

NOVEMBER 22, 2022

The following is a guest article by John Wallace, PT, OCS, Senior Vice President of RCM at WebPT. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. They also look to flag “items and services that have high national error rates and are a financial risk to Medicare.” Tricare and Medicare).

Medicare 98

Medicare RCM Private practice Nursing 98

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 83

eHealth RCM EHR FHIR 83

Healthcare IT Today

AUGUST 6, 2023

Wolters Kluwer and Unbound Medicine released a mobile app that digitizes Lippincott’s Nursing Drug Handbook. Chicago-based RUSH University System for Health chose Cadence for remote monitoring and virtual care for Medicare and Medicaid patients with chronic conditions. Value-based care platform Privia Health named David S.

EHR 89

EHR Interoperability RCM HIE 89

Healthcare IT Today

NOVEMBER 19, 2023

For example, while 79% of patients trust their doctors and nurses, only 54% of front-line workers trust leaders in their organizations. A Humana study found that Medicare Advantage members covered under value-based care arrangements completed preventive screenings at a 14.6% higher rate than MA members not covered under a VBC model.

eCare 98

eCare Healthcare IT Interoperability RCM 98

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 92

Medicare RCM Healthcare Cybersecurity Healthcare IT 92

HIStalk Weekender

APRIL 26, 2019

Bain Capital hires financial advisors to help it assess the potential sale of RCM vendor Waystar. HHS announces CMS Primary Cares, two value-based care payment models launching in 2020 that it says will cover at least 25% of Medicare beneficiaries and providers. Athenahealth lays off 200 employees. Monday Morning Update 4/22/19.

RCM 33

RCM Primary Care EHR Nursing 33