Primary Care and RCM - Connected Health Pulse

RCM: Fixing the Old and Adjusting to the New

Healthcare IT Today

JUNE 29, 2023

Revenue Cycle Management (RCM) is like a one of those huge Lego sculptures. Having a well executed RCM strategy is crucial to keep your organization running because it impacts everything. These models require providers to eliminate: Fragmented care that drives up costs. The key lies in optimization.

RCM

RCM Primary Care Leadership Healthcare IT

Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “generally safe,” and more

Healthcare IT Today

APRIL 9, 2023

A study from CWH Advisors and Synchrony found that 63% of providers have RCM staffing shortages , and 61% expect to work with third parties for help. Awards Western New York HIE HealtheLINK was named one of the Phase 2 winners of Building Bridges to Better Health , a primary care challenge sponsored by HRSA.

RCM

RCM HIE Healthcare IT Primary Care

Revenue Cycle Management – #HITsm Chat Topic

Healthcare IT Today

JUNE 28, 2022

Given this event, I thought it would be fun to extend the conversation from the conference and talk about RCM (Revenue Cycle Management) on this week’s chat. T5: Who are some of your favorite companies in the RCM space? 7/8 – Technology and Advanced, Team-based Primary Care. HITsm #HFMAAnnual.

RCM

RCM Primary Care Patient Experience Digital Health

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

Although 90% of health systems face turnover rates of greater than 10% for roles in RCM and patient experience, only 25% of executives are looking at AI or workflow improvements to improve efficiency , an Experian Health survey found. RCM and price transparency company Rivet appointed Erick Sunarto as Vice President of Technology.

RCM

RCM Medicare EHR FHIR

Weekly Roundup – October 29, 2022

Healthcare IT Today

OCTOBER 29, 2022

Read more… The Benefits of RCM as a Service. At the recent eClinicalWorks National Conference, John spoke to Todd Mallon of Advocare about the health system’s transition from in-house revenue cycle management to RCM as a service , due in part to staffing issues. Read more… The CIO’s Role in RCM.

RCM

RCM EHR Healthcare IT EMR

Bonus Features – October 9, 2022 – Optum completes Change Healthcare acquisition, interest in flu shots is declining, and more

Healthcare IT Today

OCTOBER 9, 2022

The grant, awarded by the Agency for Healthcare Research and Quality, comes weeks after the research team published a study in njp Digital Medicine indicating that increased telehealth access during COVID-19 did not result in increased, unnecessary access to primary care.

HIE

HIE RCM Primary Care EHR

Bonus Features – January 7, 2024 – New executives at CitiusTech, MultiPlan, and NextGen, plus 15 other stories

Healthcare IT Today

JANUARY 7, 2024

Primary care platform Equality Health is now available for Medicaid beneficiaries in Virginia. New England Orthopedic Surgeons (NEOS) is implementing athenaOne EHR, RCM, and patient engagement functionality.

RCM

RCM Healthcare IT Primary Care EHR

Weekly Roundup – November 4, 2023

Healthcare IT Today

NOVEMBER 4, 2023

Read more… Funding and M&A Activity: Medicaid primary care service provider Pair Team raised $9 million in Series A funding. RCM vendor Access Healthcare acquired Envera Health , a patient engagement vendor. Community care coding and RCM company WellSky acquired Corridor , a service partner for post-acute care.

RCM

RCM EMR Mental health Healthcare IT

Weekly Roundup – December 24, 2022

Healthcare IT Today

DECEMBER 24, 2022

Demand for care at home is rising, but traditional telehealth and remote monitoring doesn’t support examination and diagnosis in the patient’s home. Colin Hung talked to TytoCare at HLTH about the company’s new Home Smart Clinic and its efforts to bring primary care into the home.

RCM

RCM HIPAA Healthcare IT Primary Care

WELL Health to Acquire EMR, Billing and Clinical Assets from CloudMD

Healthcare IT Today

OCTOBER 24, 2022

WELL Health is acquiring CloudMD’s Cloud Practice entity which includes OSCAR based Juno EMR or “Electronic Medical Record” and ClinicAid billing Software applications as well as three primary care clinics located in the province of British Columbia. About WELL Health Technologies Corp.

EMR

EMR Primary Care Medical Billing RCM

Weekly Roundup – March 11, 2023

Healthcare IT Today

MARCH 11, 2023

Funding and M&A Activity: RCM company CodaMetrix closed $55 million in Series A funding. Independent primary care network Aledade added more than 450 primary care practices to its network in 2023 ; in addition, the company acquired Curia, a value-based care analytics platform.

RCM

RCM Interoperability Primary Care Healthcare IT

Weekly Roundup – March 2, 2024

Healthcare IT Today

MARCH 2, 2024

In the second installment, Andy explained the many stages of RCM that can benefit from generative AI: Claims, prior authorization, appeals, resource management, and contract generation. Read more… Generative AI in Your Desk Drawer: Revenue Management. Read more… Generative AI in Your Desk Drawer: A Wealth of Additional Uses.

Life Science

Life Science RCM Healthcare IT FHIR

Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Healthcare IT Today

JANUARY 14, 2024

Arizona-based Spectrum Healthcare chose NextGen Healthcare to support primary care and behavioral health delivery. Florida-based Tallahassee Memorial HealthCare selected Ensemble Health Partners for RCM technology and services.

Telehealth

Telehealth EHR RCM Healthcare IT

Weekly Roundup – July 2, 2022

Healthcare IT Today

JULY 2, 2022

In the latest Healthcare IT Today Interviews podcast, Colin Hung chats with Jess Stover at SimiTree and Derek Shaw at Invicta Health Solutions about the role of process automation and data analysis in improving revenue cycle management (RCM) and boosting cash flow at a time when many practices need it.

RCM

RCM Life Science Healthcare IT Primary Care

Bonus Features – May 21, 2023 – 82% of wearable users willing to share data with their physicians, 81% of Americans trust pharmacists and nurses to diagnose minor illnesses, and more

Healthcare IT Today

MAY 21, 2023

Included Health is partnering with Dispatch Health to connect virtual primary care to in-home urgent medical care. Sana Primary Care appointed Jay Parkinson, M.D., ERH, RCM, and practice management vendor ModMed appointed Venkatesh Jayaraman as Chief Technology Officer. as Chief Medical Officer.

eHealth

eHealth Nursing Primary Care RCM

Bonus Features – April 2, 2023 – 63% of nurses say AI will cause a generational divide among nursing staff, 67% of consumers prefer electronic medical bills but 78% of providers still use paper, and more

Healthcare IT Today

APRIL 2, 2023

Products ChristianaCare launched Virtual Primary Care , a subscription-based service available to residents of Delaware, Pennsylvania, Maryland and New Jersey. Hint Health debuted Hint All-in-One , an EHR, practice management, and patient communications app for direct primary care.

Nursing

Nursing Medical Billing Primary Care EHR

Bonus Features – March 19, 2023 – Info for 81% of physicians is inconsistent in major health plan provider directories, 48% of health systems using AI for workforce management, and more

Healthcare IT Today

MARCH 19, 2023

Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use. Digital therapeutic company Medisafe surveyed patients, providers, and digital health leaders about the state of digital solutions for patient care. Tennessee-based Highland Physicians Inc.

RCM

RCM Healthcare IT Digital Health Primary Care

Canvas Medical Achieves ONC Certification, Raises $24MM to Power Clinicians and Developers Building and Scaling Digital Health Companies

Healthcare IT Today

JULY 19, 2022

Canvas’s suite of products are highly customizable by developers, seamless for providers, and give care delivery companies full control over their patient experience. .” The company works with customers of all care models and verticals, from direct-to-consumer virtual care to at-risk complex care and everything in between.

EMR

EMR Digital Health Primary Care RCM

Weekly Roundup – August 12, 2023

Healthcare IT Today

AUGUST 12, 2023

Read more… Funding and M&A Activity: RCM and practice management vendor Ventra Health acquired ArcMed , a billing and automation services organization. Digital primary care platform K Health raised $59 million in a down round. Generative AI startup GenHealth.AI secured $13 million in funding.

Interoperability

Interoperability RCM Healthcare IT Primary Care

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

Azalea Health completed SOC 2 Type 2 Certification for its cloud-based EHR and RCM platform. Primary care technology platform Equality Health appointed Lawrence Green as Tennessee Market President. Certifications Data management firm Harmony Healthcare IT received HITRUST Risk-based, 2-year (r2) Certification.

eCare

eCare Healthcare IT Interoperability RCM

Weekly Roundup – June 10, 2023

Healthcare IT Today

JUNE 10, 2023

With Forrester predicting that retail health will continue to make gains in primary care, organizations need to act quickly to improve their approach to care delivery and communication , said Patrick Reetz at LinkLive. Recently launched capacity management vendor Florence acquired Zipnosis , a virtual care solution provider.

EHR

EHR eHealth Healthcare IT RCM

Weekly Roundup – November 12, 2022

Healthcare IT Today

NOVEMBER 12, 2022

Colin Hung spoke to Patrice Wolfe and Thomas Thatapudi at AGS Health about how process automation such as claims retrieval can ease the burden on RCM staff , bringing in more revenue with less manual work. Direct primary care platform Hint Health acquired AeroDPC , an EHR and practice management vendor.

HIE

HIE EHR Interoperability 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

TrustCommerce integrated its patient payments platform with athenaIDX , athenahealth’s RCM product. Senior care company DOUS announced the DUOS+AI platform , a conversational AI tool for members enrolled in Medicare Advantage. Elation Health released an integrated EHR and billing suite for primary care.

Life Science

Life Science EHR BioTech RCM

Bonus Features – July 2, 2023 – Nuance and Epic integrate, 5 in 6 physicians say telemedicine improves continuity of care, news from HFMA, and more

Healthcare IT Today

JULY 2, 2023

Navina released a generative AI assistant for primary care practices. Black Book Research released its latest RCM vendor rankings , with Axiom and Waystar earning top rankings in multiple software categories. Products Chronic condition data company OM1 released OM1 Aspen , an automated study platform for evidence generation.

Telemedicine

Telemedicine RCM HIE Healthcare IT

Bonus Features – January 15, 2023 – 80% of consumers want a clearer process for dealing with billing errors, USCDI update would add 20 more elements, and more

Healthcare IT Today

JANUARY 15, 2023

Telehealth provider Dr. B expanded its service offerings to include dermatology, sexual health, reproductive health and primary care. EHR, RCM, and practice management vendor ModMed appointed Jody Beaverson as Chief People Officer. DrFirst promoted G. Cameron Deemer to CEO and announced that founder James F.

RCM

RCM Healthcare IT Primary Care Interoperability

Bonus Features – April 16, 2023 – Accenture says generative AI could augment 40% of healthcare work, 31% of healthcare workers don’t know what to do if a data breach happens, and more

Healthcare IT Today

APRIL 16, 2023

eConsult and referral management vendor AristaMD launched a unified care transition platform for primary care. Precision health company LifeOmic launched its Patient Mobile App , enabling two-cay communication between patients and care teams.

EHR

EHR RCM Healthcare IT Primary Care

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.

Telehealth

Telehealth RCM HIPAA Digital Health

Weekender 4/26/19

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.

RCM

RCM Primary Care EHR Nursing

Bonus Features – February 11, 2024 – HTI-1 final rule goes into effect March 11, Best in KLAS highlights 136 products in 8 categories, plus 28 more stories

Healthcare IT Today

FEBRUARY 11, 2024

Sales 64 FQHCs in 7 states chose Medical Home Network as their care coordination service provider as they participate in ACO REACH and MSSP. New Hampshire-based Dartmouth Health is continuing its partnership with Conifer Health Solutions for RCM services. RCM vendor Savista named Michael Waite as Vice President of Sales.

RCM

RCM Life Science EHR Psychiatry

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

A recent study by Surescripts on prescribing trends found that non-physicians working outside of primary care prescribed nearly 20% more diabetes, high cholesterol, and hypertension medicines than they did in 2019. Meanwhile, primary care physicians prescribed these same medications 3.5%

eCare

eCare Primary Care RCM Patient Experience

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

WellDoc partnered with Conifer Health Solutions to launch Conifer Connect, a a personalized digital health application for chronic care. Mobile diagnostics company Sprinter Health is partnering with Story Health , a specialty care service provider, on in-home care for patients with heart disease.

Medicare

Medicare RCM Healthcare Cybersecurity Healthcare IT

Weekly Roundup – July 23, 2022

Healthcare IT Today

JULY 23, 2022

The unofficial theme of this year’s HFMA conference was how hospitals are dealing with staffing challenges in RCM and collections. Read more… Direct Primary Care Moves North of the Border. Funding and M&A Activity: Amazon has acquired direct primary care provider One Medical in an all-cash deal valued at $3.9

Primary Care

Primary Care RCM EMR Healthcare IT

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 first quarterly Healthcare IT Market Report from Pivot Point Consulting hinted at a continued need for providers to develop long-term strategies around virtual care, customer relationship management, and RCM optimization. Urgent care software provider Experity appointed Brian Berning as its Chief Financial Officer.

Telehealth

Telehealth Healthcare IT Primary Care Leadership

Bonus Features – May 14, 2023 – Only 16% of organizations are using data to define clinical best practices, 84% of orgs hit with ransomware attacks lose revenue, and more

Healthcare IT Today

MAY 14, 2023

Patient engagement technology from Luma Health is now fully integrated with MEDITECH Expanse ; in addition, Luma is an initial member of the MEDITECH Alliance program Virtual primary care provider LifeMD will be the exclusive telehealth provider for online pharmacy HealthWarehouse.com.

RCM

RCM Healthcare IT HIE Primary Care

Bonus Features – February 18, 2024 – 89% of patients want a single platform for managing their health, 70% of organizations interested in AI plan to adopt solutions from their EHR vendors, plus 27 more stories

Healthcare IT Today

FEBRUARY 18, 2024

Sales WellSpan Health chose KeyCare as its partner in expanding into virtual primary care and behavioral health services. People EHR and RCM vendor ModMed appointed Joe Harpaz as Co-CEO. Proscia received FDA 510(k) clearance for Concentriq AP-Dx , its diagnostic software for pathology.

EHR

EHR eHealth RCM HIE

Weekly Roundup – September 17, 2022

Healthcare IT Today

SEPTEMBER 17, 2022

billion in financing from Capital One, revenue cycle management firm R1 RCM acquired Cloudmed and refinanced the company’s debt. Virtual primary care company 98point6 announced a $20 million investment to scale its new technology offering for ambulatory care. Funding and M&A Activity: With $2.3

RCM

RCM Healthcare IT Health Data Medical Billing

Weekly Roundup – September 17, 2022

Healthcare IT Today

SEPTEMBER 17, 2022

billion in financing from Capital One, revenue cycle management firm R1 RCM acquired Cloudmed and refinanced the company’s debt. Virtual primary care company 98point6 announced a $20 million investment to scale its new technology offering for ambulatory care. Funding and M&A Activity: With $2.3

RCM

RCM Healthcare IT Health Data Medical Billing

Connected Health Pulse

RCM: Fixing the Old and Adjusting to the New

Bonus Features – April 9, 2023 – 63% of RCM departments face staffing shortages, small Stanford study shows 90% of GPT answers in clinical setting are “generally safe,” and more

Trending Sources

Revenue Cycle Management – #HITsm Chat Topic

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

Weekly Roundup – October 29, 2022

Bonus Features – October 9, 2022 – Optum completes Change Healthcare acquisition, interest in flu shots is declining, and more

Bonus Features – January 7, 2024 – New executives at CitiusTech, MultiPlan, and NextGen, plus 15 other stories

Weekly Roundup – November 4, 2023

Weekly Roundup – December 24, 2022

WELL Health to Acquire EMR, Billing and Clinical Assets from CloudMD

Weekly Roundup – March 11, 2023

Weekly Roundup – March 2, 2024

Bonus Features – January 14, 2024 – Epic Research shows telehealth results in more follow-up visits that in-office care, Elevance Health to offer smartphones to qualified Medicaid beneficiaries, plus 21 more stories

Weekly Roundup – July 2, 2022

Bonus Features – May 21, 2023 – 82% of wearable users willing to share data with their physicians, 81% of Americans trust pharmacists and nurses to diagnose minor illnesses, and more

Bonus Features – April 2, 2023 – 63% of nurses say AI will cause a generational divide among nursing staff, 67% of consumers prefer electronic medical bills but 78% of providers still use paper, and more

Bonus Features – March 19, 2023 – Info for 81% of physicians is inconsistent in major health plan provider directories, 48% of health systems using AI for workforce management, and more

Canvas Medical Achieves ONC Certification, Raises $24MM to Power Clinicians and Developers Building and Scaling Digital Health Companies

Weekly Roundup – August 12, 2023

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

Weekly Roundup – June 10, 2023

Weekly Roundup – November 12, 2022

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

Bonus Features – July 2, 2023 – Nuance and Epic integrate, 5 in 6 physicians say telemedicine improves continuity of care, news from HFMA, and more

Bonus Features – January 15, 2023 – 80% of consumers want a clearer process for dealing with billing errors, USCDI update would add 20 more elements, and more

Bonus Features – April 16, 2023 – Accenture says generative AI could augment 40% of healthcare work, 31% of healthcare workers don’t know what to do if a data breach happens, and more

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

Weekender 4/26/19

Bonus Features – February 11, 2024 – HTI-1 final rule goes into effect March 11, Best in KLAS highlights 136 products in 8 categories, plus 28 more stories

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!

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

Weekly Roundup – July 23, 2022

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 – May 14, 2023 – Only 16% of organizations are using data to define clinical best practices, 84% of orgs hit with ransomware attacks lose revenue, and more

Bonus Features – February 18, 2024 – 89% of patients want a single platform for managing their health, 70% of organizations interested in AI plan to adopt solutions from their EHR vendors, plus 27 more stories

Weekly Roundup – September 17, 2022

Weekly Roundup – September 17, 2022

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