care management

Diagnostic Robotics Raises $45M for Medical-Grade AI Triage & Clinical Predictions Platform

What You Should Know: – Diagnostic Robotics has announced the closing of a $45M Series B funding round led by StageOne investors, with participation from Mayo Clinic, thus becoming a Mayo Clinic Platform portfolio company. Technion – Israel Institute of Technology, as well as other existing investors such as strategic angel investor Bradley Bloom, co-founder …

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Curana & Innovaccer Partner to Improve Outcomes for Senior Living Communities

What You Should Know: – Today, Innovaccer Inc., the Health Cloud company, announced that Curana Health is partnering with Innovaccer to build a leading edge value-based care solution to support delivery of exceptional care quality at the lowest possible cost for one of healthcare’s highest risk populations: residents in senior living communities across the country. …

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Executive Roundtable: Can Innovation Alleviate Clinician Burnout?

The U.S. Surgeon General’s recent advisory about clinician burnout cited numerous societal, cultural, structural, and organizational causes—including excessive workloads, administrative burden, and lack of organizational support. The potential fallout of this trajectory is alarming: The advisory cites the Association of American Medical Colleges’ estimate on clinician demand outpacing supply, with an anticipated shortage of between 54,100 and 139,000 physicians predicted by 2033. No one would argue that …

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Innovaccer Launches Connected Digital Health Solution for Biopharma & Medtech

What You Should Know: – Today Innovaccer, the Health Cloud company, announced its Connected Digital Health solution, a new way for life sciences companies to rapidly deliver next-generation digital apps that surround therapeutics and devices with highly engaging patient experiences, improve clinical outcomes, and generate valuable real-world evidence (RWE). – The new solution will allow …

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Case study: Boost patient collections and scale patient scheduling with PatientDial

Dayton Children’s Hospital is a pediatric hospital in Ohio with over 300,000 annual patient visits. Ranked by U.S News & World Report as one of the top 50 pediatric facilities in the United States, the facility’s mission centers around providing “optimal health for every child.”  Challenges The Patient Accounts department, led by Richard Gonzales, wanted …

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Deep diving into a successful healthcare revenue cycle flowchart

An efficient revenue cycle management (RCM) system is a win-win for patients and providers. Friction-free solutions that cover everything from booking appointments to paying bills create a more satisfying patient experience and allow patients to focus on their health. Providers can lower administrative costs and generate more revenue from data-driven billing and collections operations. To …

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Sesame Raises $27M to Expand Its National Healthcare Marketplace

What You Should Know: Sesame, the only company proven to lower the price of medical care for American consumers raises $27M in Series B financing to expand its national marketplace of high-quality, ultra-affordable medical care for all Americans, whether they are insured or not.  – The round was led by GV (formerly Google Ventures) with …

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Rural Provider Homeward Forms In-Market Partnership with Rite Aid to Support Seniors in Underserved Communities

What You Should Know: – Homeward, the comprehensive rural care provider network launched by former Livongo titan, Dr. Jenny Schneider, has announced a partnership with Rite Aid to deliver onsite care to rural Americans, starting with Medicare. – Homeward’s work with Rite Aid will also support the pharmacy retailer’s recently announced plans to double-down on …

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4 Patient Flow Challenges Contributing to Provider Burnout

Ben Sawyer, VP of Market Development at ABOUT There has been frequent reporting about the problem of provider workforce shortages within hospitals and health systems and the related burnout experienced when working in high-stress situations during the COVID-19 pandemic. There are pre-existing and contributing patient flow challenges that have been exacerbated by the pandemic, which …

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St. Peter’s Health to Deploy Innovaccer Health Cloud for Optimized Care Management

What You Should Know:   St. Peter’s Health, a regional nonprofit healthcare system in Helena, Montana, is moving to the InnovaccerⓇ Health Cloud’s Data Activation Platform to support its mission of providing exceptional and compassionate care that treats the whole person and improves the health, wellness, and quality of life for the communities it serves. The …

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Patient Flow Challenges Contributing to Provider Burnout

Ben Sawyer, VP of Market Development at ABOUT Healthcare, Inc There has been frequent reporting about the problem of provider workforce shortages within hospitals and health systems and the related burnout experienced when working in high-stress situations during the Covid-19 pandemic. There are pre-existing and contributing patient flow challenges that have been exacerbated by the …

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Delivering Patient-Centered Care Means Decluttering the Digital Health Landscape

Simon Mathews, MD, Chief Medical Officer, Pager Digital health companies (DHCs) and their solutions continue to grow at a rapid pace. This is in part being fueled by the record funding for DHCs, with over $29 billion for US-based companies in 2021 alone. As a result, patients are inundated with solutions from every direction – …

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Raising Clinical Outcomes and Engagement Through Healthcare Equity: What Health Plans Need to Know

Anne Davis, VP of Government Markets & Strategy at Wellth Structural racism and poverty are correlated with a higher incidence of obesity among Black Americans (49%). Social drivers of health, which impact a disproportionate number of non-white Americans who live below the poverty line, account for as much as 90% of individuals’ health outcomes.   These …

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7 top healthcare revenue cycle challenges and how to overcome them

Healthcare revenue cycle challenges exist at every stage of the patient journey, beginning with patient access and extending all the way through claims, billing, payment and collections. However, digital tools and analytics can help providers tackle their top healthcare revenue cycle challenges. “The complexity of our reimbursement structures and the complexity of billing mean a …

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The Critical Shift in ASC EHR Adoption: Overcoming Barriers

Maura Cash RN, BSN, CASC, VP of Clinical Strategies for HST Pathways Extraordinary advances in technology have opened up previously unthinkable possibilities for the healthcare industry and improvements in patient care. Electronic health records (EHRs) are one of many health IT advancements in recent years, and they prove to have a significant impact on both …

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UpStream Selects Innovaccer Health Cloud for 360-Degree Patient Views

What You Should Know: – Innovaccer Inc., the Health Cloud company, announced that UpStream Healthcare, the fastest-growing primary healthcare solution provider in the country, has chosen the Innovaccer Health Cloud, its Data Activation Platform, and the entire application suite to accelerate UpStream’s mission to transform U.S. healthcare by driving better outcomes for patients and improving financial …

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Why patient experience matters to your revenue cycle

Patient experience may not be the first consideration that comes to mind when you’re looking to improve revenue cycle management (RCM). However, a positive patient experience can benefit RCM. It can make the complicated process of understanding and managing healthcare finances simpler and more seamless for patients—and facilitate an easy-to-navigate continuum of care that includes …

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At-Home Digital Health Innovations Transforming Diabetes Care

Mark Clements, MD, PhD, CPI, FAAP, Chief Medical Officer, Glooko, Inc. If you’re looking for a silver lining in the COVID-19 dark cloud still enshrouding the world, consider this: The pandemic has turbocharged widespread acceptance of at-home digital health solutions. Forced to function in a world of social distancing, healthcare providers and physicians have quickly …

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Digital Health Disconnect Creates Unnecessary Roadblock to Patient Engagement

Aaron Kaufman, EVP at Carenet Health By all accounts, the last two years have accelerated consumer adoption of digital tools for managing nearly every aspect of our lives. Ordering takeout? Odds are good you used a digital payment method, alongside the 93% of consumers who say they’ve used tools like Venmo and Zelle over the last year. Visiting your primary care …

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Podimetrics Secures $45M for SmartMat to Prevent Diabetic Amputations in High-Risk Patients

What You Should Know: – Podimetrics raises $45M to help at-risk providers and health plans prevent diabetic amputations in high-risk patients. – With this latest round of funding, Podimetrics plans to focus on hiring to build out their product development and research teams, while also expanding the breadth of services delivered by their nurse support …

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Fresenius Health Partners, InterWell Health, and Cricket Health Announce $2.4B Merger

What You Should Know: – Cricket Health is announcing today that it will merge with Fresenius Health Partners (the value-based care arm of Fresenius), and InterWell Health, to form the nation’s premier, value-based kidney care provider with a totally new model of addressing kidney disease. The new company will operate under the InterWell Health brand …

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TimeDoc Health Secures $48.5M to Scale Virtual Care Management Platform

What You Should Know: – TimeDoc Health, a Chicago-based provider of virtual care management activation, today announced it has closed a $48.5M Series B round led by Aldrich Capital Partners. – Founded in 2015, TimeDoc Health partners with PCPs and healthcare organizations to automate record-keeping for clinician/patient interactions (in-person and virtual), sending the reports to …

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Recora Raises $20M for Virtual Cardiac Recovery Platform

What You Should Know: – Recora today emerged from stealth to announce $20M in Series A funding led by SignalFire with participation from Valor Equity Partners and existing investor Pear VC. – In addition, the company while also unveiled its Cardiac Recovery Program for health systems, medical groups and health plans. Redefining the Future of Heart Health Recora is redesigning …

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How will rising inflation affect the healthcare revenue cycle?

Inflation is giving the cost of healthcare a run for its money. The Consumer Price Index rose by 7.9% year-over-year in February 2022, compared to a rise of just 2.4% in the Health Care Price Index. However, slower price increases do not necessarily mean healthcare will get an easier ride than other businesses. Healthcare contracts …

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6 strategies on how to increase outpatient revenue

Clinical advances, consumer demand and payer pressure are driving growth in outpatient care, which continues to attract attention as a lower-risk, lower-cost revenue stream for healthcare providers. New technologies allow for less invasive procedures and quicker recovery times, so patients can avoid lengthy hospital stays – and the higher out-of-pocket costs that come with them. …

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Viz.ai Awarded 510(k) Clearance for AI-Powered Cerebral Aneurysm Detection Solution

What You Should Know: – Viz.ai, a San Francisco-based provider of AI-powered intelligent care coordination for stroke, has received FDA 510(k) clearance for Viz ANEURYSM (formerly Viz ANX), the first and only AI-powered cerebral aneurysm detection solution designed to facilitate population screening and enhanced care management. – The new algorithm uses AI to detect suspected cerebral aneurysms, enabling hospital systems to ensure that once detected, patients are captured and …

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Force Therapeutics and Xealth Integrate to Drive Remote Care Management

What You Should Know: – Today, Force Therapeutics and Xealth are partnering to bring remote management of postoperative recovery and care plans into clinicians’ EHR workflows. – The Force platform delivers provider-prescribed digital education and video content for patients recovering from injury or surgery at home. The partnership integrates the Force platform with a provider’s electronic health record, enabling care teams …

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Teladoc Health Launches Chronic Condition Management Solution

What You Should Know: – Teladoc Health, today announced the launch of Chronic Care Complete, a first-of-its-kind chronic condition management solution to help individuals improve their health outcomes while living with multiple chronic conditions.  – The solution provides members with a unified, comprehensive experience that leverages connected health monitoring devices, access to health coaches and support …

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Using social determinants data to improve value-based care

In the decade since the Affordable Care Act sparked the transition toward value-based care and pay-for-performance care models, clinical services have been transformed by advances in diagnostics, medical devices and digital technology. However, despite a commitment to improving care quality and patient experiences, the healthcare industry still struggles to influence the factors that have the …

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Revenue cycle management checklist: improve experience & profits

Traditional revenue cycle management strategies are on shaky ground. Time-consuming manual processes are struggling under the burden of increasing patient volumes and patient financial responsibility. Clunky interfaces and disjointed systems fall short of evolving consumer expectations. Understanding and adapting to sweeping regulatory change is challenging for understaffed teams. On top of all of that, the …

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Preparing for Omicron: streamlining care with digital scheduling tools

The recent discovery of the Omicron variant has placed the world on high alert. As COVID-19 continues to transform and evolve, erupting as “new” pandemics within the existing pandemic,  it is becoming clear that digitally-enabled clinical care and access to that care are some of the world’s tools to mitigate its spread. Should infection rates …

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Expert Q&A: Streamlining prior authorizations for faster patient collections

Healthcare providers could be losing up to $265 billion each year on avoidable administration costs. A recent investigation by the Washington Post and McKinsey & Company found expensive inefficiencies in several areas of healthcare expenditure, with financial transactions such as prior authorizations among the main culprits. How can healthcare organizations adjust to streamlining prior authorizations? …

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Alleviate the healthcare staffing crisis with automation

After more than a year of stop-and-start elective services, providers are ready to cut through the backlog and help patients get their healthcare back on track. Unfortunately, growing staff shortages mean many providers are struggling to meet consumer demand. Unemployment may be falling overall, but the number of people employed in healthcare dropped by more …

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Expert Q+A: how top providers are using digital patient recruitment tools

Mass relocations during the pandemic caused seismic shifts in healthcare markets. With millions of Americans moving and reshuffling to be closer to family or take advantage of remote working opportunities, healthcare providers have extra work on their hands to ensure their patient base holds steady. Some attrition is inevitable; however, as more patients relocate, providers …

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Getting a holistic picture of patients with social determinants of health

This is the fifth in a series of blog posts that will highlight how the patient journey has evolved since the onset of COVID-19. This series will take you through the changes that impacted every step of the patient journey and provide strategic recommendations to move forward. In this post, explore the fifth step—treatment, and …

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The Post-COVID-19 Patient Journey: What’s next for healthcare?

COVID-19 transformed the patient journey, and it’s clear when we evaluate every step. Data and technology gave patients the convenience, flexibility, and control to get care on their terms, and these changes will be here to stay. From marketing to scheduling to payments and more – providers and payers have ample opportunities to respond to …

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Lark Health Raises $100M for Digital Care Management & Prevention Platform

What You Should Know:  – Lark Health, a healthcare technology company aimed at delivering infinitely scalable, virtual chronic and preventative healthcare through conversational AI announced it has raised $100M in Series D funding led by Deerfield Management Company. The funding round also includes crossover fund PFM Health Sciences, as well as returning investors Franklin Templeton, …

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Automated prior authorization: getting patients the approved care they need

This is the fourth in a series of blog posts that will highlight how the patient journey has evolved since the onset of COVID-19. In this post, we address the fourth step – prior authorizations, and helping your patients get the approved care they need. This series will take you through the changes that impacted …

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How providers can streamline care to prepare for a “twindemic” of COVID-19 and flu

The delta variant is still surging – and flu season is about to begin. How can healthcare providers leverage innovative technologies to streamline care and prepare for a potential “twindemic?” The summer of 2021 has not been kind to healthcare professionals.  After a brief period of hope that the worst of the COVID-19 epidemic was …

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4 ways to strengthen digital patient access

In November 2020, Experian Health conducted a survey to capture consumer and provider attitudes regarding patient access. At the height of the pandemic, patients welcomed telehealth services and maintained their distance from hospital waiting rooms. Providers scrambled to implement and provide digital services that would help them maintain quality care for their patients. In June …

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How COVID-19 changed the patient journey: A call for digital transformation

COVID-19 changed every aspect of the patient journey – placing unprecedented demands on the healthcare system and accelerating the need for digital transformation industry-wide. Telehealth, touchless engagement, and self-service scheduling became the new normal; however, this created new stress on operations, administration, and finance. While this new normal comes with many challenges, data and digital …

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The State of Patient Access 2.0: 4 opportunities to strengthen the digital experience

“93% of providers say creating a better patient experience remains a top priority, up 3% from last year.” – Experian Health’s State of Patient Access, June 2021 Download now In November 2020, we surveyed patients and providers for their sentiments on how patient access changed because of the pandemic. During this time, patients welcomed the …

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Automating authorizations as patients return to care

“The entire healthcare industry was turned upside down by the pandemic. Procedures were pushed back, insurance companies gave policy holders a lot of mixed information. It has been a mess.” This is what one healthcare executive told us when we surveyed patients and providers on the state of patient access, in June 2021. Changing prior …

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Rescheduling COVID-deferred screening appointments with automated patient outreach

More than 40% of patients surveyed skipped medical care in the early months of the pandemic, according to a recent study by researchers at the Johns Hopkins Bloomberg School of Public Health. Of those who needed care, 58% missed scheduled preventive care. Similar trends are observed in cancer screening, with appointments for breast, colorectal, and …

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Elevate Health Taps Innovaccer to Redefine Its Care Management Model – PHM

What You Should Know: – Elevate Health, a Washington-based nonprofit Accountable Community for Health (ACH) organization, has partnered with us to leverage the Innovaccer Health Cloud to strengthen care management and improve patient outcomes. It was challenged to integrate data from disparate sources and close gaps for hundreds of patient records. – With the Innovaccer Health Cloud, Elevate Health saved $6M …

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Enriching patient identity management with social determinants of health

Download the Guide: The Backbone of Healthcare’s Digital Transformation Knowing that clinical care accounts for only a portion of health outcomes, understanding how patients are affected by social determinants of health (SDOH) continues to gain attention as a critical factor in care delivery. COVID-19 has thrust the issue even further into the spotlight, with socially …

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Current Health Lands $43M to Support Global Expansion of Remote Care Management Platform

What You Should Know: – Today, Current Health, a Boston-based enterprise remote care management company announced that it has raised $43M in Series B financing. The Series B financing, which comes from top healthcare and pharma VCs, such as NorthPond Ventures and LRV Health, as well as a leading hospital system, OSF Innovation, will help …

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Cohere Health Raises $36M to Automate Prior Authorization Between Payers & Providers

What You Should Know: – Boston-based health IT company Cohere Health has closed a $36 million Series B funding round led by Polaris Partners, with additional participation from new investors Longitude Capital and Deerfield Management, as well as existing investors Flare Capital Partners and Define Ventures. The round comes less than a year after the company launched, and only 3 months after …

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Time and Goals Should Drive Your Post-COVID-19 Care Management Strategy

Jessica Scruton, BSN, RN, CCM, VP of Clinical Transformation for Lightbeam Health Solutions COVID-19 forced many health systems to reassess and reconfigure their care management processes and staffing models so that clinicians could better manage more of their acute, complex, and otherwise healthy patients remotely to limit in-person care.  During this time, health systems likely …

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Driving member engagement with health plan data analytics

As Spotify and Amazon can attest, digital technology plus personalization is a winning formula. Consumers want anytime-anywhere access to the services and products they enjoy, without having to sift through irrelevant information. They want tailored recommendations that will make their life easier. More than eight in ten consumers say they’re more likely to choose businesses …

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Q&A: Optimize reimbursements by submitting cleaner claims

Many thought the end of COVID-19 was in sight with the availability of a vaccine, and while that is somewhat true, an entirely new set of issues has arrived: how to properly administer and manage the vaccine. Now that a COVID-19 vaccine is approved and underway, providers need to execute a medical billing and coding …

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Apriss Health Acquires Care Coordination Platform PatientPing

What You Should Know: PatientPing, a comprehensive care collaboration platform, today announced that it has entered into a definitive agreement to acquire Appriss Health, a cloud-based care coordination software and analytics solutions focused on behavioral health and substance use disorder. – Together, PatientPing and Appriss, backed by Clearlake Capital Group, L.P. and Insight Partners, will represent the largest and most diverse care …

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Providence-Backed Tegria Acquires Healthcare IT Consulting Firm Cumberland

What You Should Know: – Tegria today announced the acquisition of Cumberland, a leading healthcare IT consulting and services firm for payers and providers. Financial details of the acquisition were not disclosed. – The acquisition accelerates the growth of Tegria, launched by Providence in October 2020 to provide next-generation technologies and services to the healthcare …

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Glooko Raises $30M to Expand Digital Diabetes Management Platform

What You Should Know: – Glooko, a Palo Alto, CA-based provider of remote patient monitoring and chronic care management solutions including diabetes and obesity, today announced that they have raised a $30 million Series D round of funding. The funding was led by Health Catalyst Capital along with participation from existing investors Canaan Partners, Georgian, …

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Why A Smart Command Center Requires A Health Cloud Platform

Dr. David Nace, Chief Medical Officer at Innovaccer Aviation, military, NASA, or even utilities like the New York Power Authority—almost all high-consequence, complex organizations have one thing in common: a command center. The concept of a command center or a ‘war room,’ or ‘air traffic control’ has been around for a while. Command centers help …

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Q&A: Segmenting your patient population for the COVID-19 vaccine

While the various waves of vaccine priority may be largely defined, the ability for many providers to segment their patient populations based on those designations isn’t always simple. Without accurate data, there’s a risk that some vulnerable patients will be missed out. We interviewed Mindy Pankoke, senior product manager at Experian Health, about the challenges …

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Supercharge your COVID-19 vaccine management plan with digital solutions

If President Biden’s two trillion-dollar stimulus package is approved by Congress, support will include funding for a national vaccination program. While the arrival of the vaccine is an immense relief, the logistics for rolling it out across the country present a major challenge. Even at a rate of one million shots administered per day, it …

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Casana Raises $14M to Expand IoT Heart Health Toilet Seat

What You Should Know: – Casana raises $14M in Series A funding to pursue FDA clearance for its an IoT heart health toilet seat that captures clinically relevant measurements, including heart rate, blood pressure, blood oxygenation, and cardiac output. Casana, previously known as Heart Health Intelligence, Inc., a healthcare technology firm that is re-inventing in-home …

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Epic, Galen Healthcare, Chartis Group Named 2020 Overall Best in KLAS Awards

What You Should Know: – Epic was named the top Overall Software Suite for the eleventh consecutive year in the Best in KLAS 2021 Software & Services report, released today, which reports on the top vendors for 2020. Epic was also named the top Overall Physician Practice Vendor. Galen Healthcare Solutions was named the top Overall IT Services Firm. …

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Why CMS Will Lead the 2021 Kidney Care Revolution

Chris Riopelle, CEO of Strive Health After an unprecedented year, kidney care providers, including nephrologists, dialysis facilities, and care extenders are expecting 2021 to follow suit. We will see an overhaul in reimbursement and major industry shifts, partly led by CMS, that will require providers to advance their capabilities in a way that will usher …

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How a unique patient identifier gets health plans closer to interoperability

Health plans have been fighting against inaccurate member data, incomplete member profiles and duplicate records for years. Without a watertight way to keep track of patient identities so health data is reliably linked and accessible across multiple services, payers can’t always be confident that the record in front of them matches the member they have …

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Philips Acquires Medical Device Integration Platform Capsule for $635M

What You Should Know: – Philips announces the acquisition of Capsule, a leading vendor-neutral Medical Device Integration Platform with a software-as-a-service business model – The Capsule acquisition is a strong fit with Philips’ strategy to transform the delivery of healthcare along the health continuum with integrated solutions. Philips, today announced that it has signed an …

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Shields Health Solutions, ExceleraRx Announce Specialty Pharmacy Merger – M&A

What You Should Know: – Shields Health Solutions and Excelera announce a major specialty pharmacy merger that will form a combined company that consults with 700+ hospitals in 43 states, including Mass General Brigham, Yale New Haven, Intermountain Healthcare and Henry Ford. – The network of hospitals is designed to improve patient care through an …

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DaVita & RenalytixAI Partner for Early Risk Identification to Help Slow Kidney Disease Progression

What You Should Know: – RenalytixAI and DaVita announce a program partnership that aims to slow kidney disease progression and improve outcomes for the nation’s estimated 37 million adults with chronic kidney disease (CKD). – This is the first clinical-grade program that delivers advanced early-stage prognosis and risk stratification, combined with actionable care management to …

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How to Capitalize on Digital Health Momentum in 2021

Adam Sabloff, Founder and CEO of VirtualHealth As we re-examine the healthcare system in the wake of the pandemic, we are continually identifying opportunities to rebuild parts of the system to new and improved specifications. One critical facet is digital health, where we continue to struggle with what should really be table stakes: the ability …

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M&A: Philips Acquires Remote Cardiac Monitoring BioTelemetry for $2.8B

What You Should Know: – Philips acquires BioTelemetry, a U.S. provider of remote cardiac diagnostics and monitoring for $72.00 per share for an implied enterprise value of $2.8 billion (approx. EUR 2.3 billion). – With $439M in revenue in 2019, BioTelemetry annually monitors over 1 million cardiac patients remotely; its portfolio includes wearable heart monitors, …

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How to close gaps in care with automated patient outreach

Scheduling an appointment shouldn’t be complicated. Yet too often, patients are left to figure out their next move alone, with just a single phone number to call. Frustrated and confused, patients may drop out of the scheduling process entirely or miss the appointments they’ve already booked. Missed appointments can lead to critical gaps in care, …

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Healthcare M&A: DAS Health Acquires Randall Technology Services

What You Should Know: – DAS Health Ventures acquires healthcare and managed IT company Randall Technology Services (RandallTech). – This acquisition adds Allscripts® PM and EHR solutions to the DAS portfolio of supported products, and DAS Health has now added additional staff in Texas that will create opportunities for greater regional support of its entire …

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How Care Coordination Technology Addresses Social Isolation in Seniors

Jenifer Leaf Jaeger, MD, MPH, Senior Medical Director, HealthEC Senior isolation is a health risk that affects at least a quarter of seniors over 65. It has become recognized over the past decade as a risk factor for poor aging outcomes including cognitive decline, depression, anxiety, Alzheimer’s disease, obesity, hypertension, heart disease, impaired immune function, …

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SPAC Mergers with 2 Telehealth Companies to Form Public Digital Health Company in $1.35B Deal

What You Should Know: – GigCapital2 Inc has agreed to merge with UpHealth Holdings Inc and Cloudbreak Health LLC to create a public digital healthcare company valued at $1.35 billion, including debt, the blankcheck acquisition company said on Monday. – The combined company will be named UpHealth, Inc. and will continue to be listed on …

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How RPA Can Help Get COVID-19 Vaccines to High-Risk Patients First

Ram Sathia, VP of Intelligent Automation at PK While most of the public’s attention is focused on the horse race for an approved COVID-19 vaccine, another major hurdle lies just around the corner: the distribution of hundreds of millions of vaccine doses. In today’s highly complex and disconnected health data landscape, technologies like AI, Machine …

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How health plans can reduce ED visits and readmissions post-pandemic

Visits to emergency departments (ED) dropped by 42% in the early months of COVID-19, according to the CDC. In pre-pandemic times, this might have been a positive sign. Two-thirds of ED visits are thought to be avoidable, with emergency care used as a safety net in the absence of access to more appropriate services. Excessive …

How health plans can reduce ED visits and readmissions post-pandemic Read More »

Rural Hospital Execs Can Beat COVID-19 By Shifting From Reactive to Proactive Care

Eric Tran, Tulane School of Medicine Donald Voltz, MD, Aultman Hospital The COVID-19 virus is ravaging the planet at a scale not seen since the infamous Spanish Flu of the early 1900s, inflicting immense devastation as the U.S. loses more than 200,000 lives and counting. According to CDC statistics, 94% of patient mortalities associated with …

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Healthify Integrates with Altruista Health to Help Payors Address SDoH

What You Should Know: – Healthify’s social determinants of health (SDoH) infrastructure will be integrated into Altruista’s GuidingCare® platform to support health plans in addressing the social needs of members. – SDoH such as poverty, housing instability, and food insecurity can significantly impact health outcomes, so it is imperative that they are not overlooked. Healthify, a …

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Innovaccer Unveils Risk Adjustment Solution For Improved Coding Accuracy

What You Should Know: – Innovaccer unveils new risk adjustment solution to help providers better segment their population to refine the risk scoring process and improve coding accuracy and efficiency, thereby improving performance on risk-based contracts. – The solution utilizes Artificial Intelligence (AI) and Natural Language Processing (NLP) to make risk predictions. Innovaccer, Inc., a …

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Is Your Community Ready for Connected Community of Care Model?

Dr. Keith Kosel is a Vice President at Parkland Center for Clinical Innovation (PCCI) This question initially brings to mind many possibilities such as connection to the latest 5G cellular service, a new super-fast internet provider, or maybe one of the many new energy suppliers jockeying for market share from traditional utility companies. While all …

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Getting Beyond the Telehealth ‘Stop-Gap’ Mentality

Roland Therriault, President, InSync Healthcare Solutions Since COVID-19 emerged as a major health threat, virtual care has taken off. As many as 46% of patients reported in late April that they had used telehealth to replace a canceled healthcare visit in 2020, while 48% of physicians said they had started using telehealth to treat patients.   …

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Accounting for the Social Determinants of Health During the COVID-19 Pandemic

Andy Aroditis, CEO, NextGate The COVID-19 pandemic is not just a medical crisis.  Since the highly contagious disease hit American shores in early 2020, the virus has dramatically changed all sectors of society, negatively impacting everything from food supply chains and sporting events to the nation’s mental and behavioral health. For some people, work-from-home plans …

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Finding unidentified coverage without a Social Security Number (SSN)

Finding previously unidentified insurance coverage can feel a little like a game of hide and seek. Patients may not always be aware of their insurance or eligibility for Medicare and Medicaid, and, in an effort to both improve the patient financial experience and simultaneously improve collections, providers are often tasked with finding this information on …

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How health plans can close more gaps in care with digital scheduling

Four in ten Americans live with multiple chronic conditions. For these individuals, life is punctuated with physician appointments, visits to the pharmacy and referrals to different specialists. Their care should be coordinated with orchestral precision, but the reality is somewhat less harmonious. Snail-paced scheduling systems, poor communication and mismatched patient records can lead to a …

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Improving patient intake during COVID-19 starts with patient experience upgrades

Despite the majority of elective procedures being up and running again, patients are still keeping their distance. Nearly half of Americans say they or a family member have delayed care since the beginning of the pandemic, while visits to the emergency room and calls to 911 have dropped significantly. Patients are avoiding care, but it’s …

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Fast track the path to closing gaps in care

The rates for closing gaps in care are some of the most widely used, quantitative metrics to measure quality, allocate incentives, and control costs. Unfortunately, health plans face numerous obstacles closing gaps in care, from social determinants of health to inconsistent coordination of care, and don’t always have a care gap closure program in place. …

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Verily Forms New Subsidiary Focused on Employer Stop-Loss Through Precision Risk

What You Should Know: – Alphabet’s Verily has established a new subsidiary, Coefficient, with a mission to create value by combining innovative health technology solutions with new insurance and payment models. Verily is the majority shareholder and Swiss Re Corporate Solutions, an established player in the employer stop-loss market, has a minority stake in the …

Verily Forms New Subsidiary Focused on Employer Stop-Loss Through Precision Risk Read More »

Dignity Health Management Services to Leverage Innovaccer’s FHIR-enabled Data Activation Platform

What You Should Know: – Dignity Health Management Services (DHMSO), the largest health system in the state of California to transform their network health data into actionable insights. – With this partnership, the organization will leverage Innovaccer’s FHIR-enabled Data Activation Platform to better manage healthcare services for its attributed patients. Dignity Health Management Services (DHMSO), …

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Innovaccer Launches Perioperative Optimization Platform for Surgeons

What You Should Know: – Innovaccer launches a perioperative optimization solution for surgeons to realize clinical and financial goals with patient-risk analysis. – The solution redefines surgical planning and post-surgical recovery with machine learning-based patient stratification for optimized surgery experience and personalized patient care management. Innovaccer, Inc., a San Francisco, CA-based healthcare technology company, recently …

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Allergy Amulet Nabs $3.3M To Launch World’s Smallest, Fastest Consumer Food Allergen Sensor

What You Should Know: – Today, Allergy Amulet announces $3.3M in seed funding to launch the world’s smallest and fastest consumer food allergen sensor and empower the allergy community by alleviating fears about what’s in their food. – Allergy Amulet’s novel technology can improve the quality of life for the millions of people living with …

Allergy Amulet Nabs $3.3M To Launch World’s Smallest, Fastest Consumer Food Allergen Sensor Read More »

New Tech Solution Lets People Securely Share COVID-19 Testing Results

What You Should Know: – TransUnion, in partnership with CLX Health, a joint venture from UST Global and SiriusIQ, announced the launch of HealthyAmerica, a technology solution that will give individuals the power to securely share their COVID-19 testing results while maintaining their individual privacy – helping businesses and schools across the country to minimize risk and …

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Innovaccer, CareSignal Partner to Enable Deviceless Remote Patient Monitoring

What You Should Know: – Innovaccer has recently partnered with CareSignal to address healthcare’s urgent need amidst the COVID-19 pandemic: to create and maintain solid, clinically actionable relationships with patients in a new set of predominantly virtual care. – CareSignal offers evidence-based end-to-end support services for chronic medical conditions such as asthma, CHF, COPD, diabetes, …

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DAS Health Acquires Managed IT Services and CyberSecurity Company Technology Seed

– Both companies’ clients will gain an increased depth of IT and security support, and Technology Seed’s healthcare clients will now have a substantially improved value proposition DAS Health Ventures, Inc., a provider of health IT and management, announced today it completed the acquisition of Technology Seed, LLC, a managed IT and cybersecurity services company based in Salem, NH. …

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Five Ways to Improve Health Plan Member Engagement

The focus on improving health plan member engagement and overall experience has been steadily growing over the years, much of it being driven by the push towards a more consumer-friendly healthcare experience. James Beem, Managing Director, Global Healthcare Intelligence at J.D. Power, states, “health plans are doing a good job managing the operational aspects of …

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How ADT-Based E-Notifications Can Enable Better Safety for COVID-19 Patients

Jay Desai, CEO & Co-Founder, PatientPing As COVID-19 continues to impact the country, providers across the continuum face new challenges delivering care and ensuring safety for their patients and themselves.  During this period, sharing real-time information about patients’ care encounters across provider types and care settings matter more than ever. In particular, hospitals sharing admission, …

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Current Health, Dexcom Partner to Deliver Continuous, Remote Glucose Monitoring

What You Should Know: – Current Health has partnered with Dexcom to add continuous glucose monitoring (CGM) capabilities to its remote patient monitoring (RPM) platform – enhancing care and improving outcomes for diabetics. – Dexcom CGM data will transmit directly into the Current Health wearable and platform for review by the care management and clinical …

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Virtually or In-Person, Automation Improves The Healthcare Experience

Muthu Alagappan, MD, Medical Director at Notable Health The COVID-19 pandemic has caused an unprecedented shift in the way consumers view and access a variety of goods and services—and healthcare is no exception. Recent studies show that many patients, including vulnerable populations like those living with cancer, are delaying recommended care and procedures—and will continue to do so for at least several …

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GYANT Raises $13.6M for AI-Enabled Digital Front Door Solution to Drive Patient-Doctor Engagements

What You Should Know: – GYANT raises $13.6M in Series A funding for AI-enabled digital front door solutions to drive meaningful patient-doctor engagement. – The investment will enable GYANT to scale up its product development to meet rapidly increasing market demand and support its exponential customer growth. – Current customers include Intermountain Healthcare, OSF Healthcare, …

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Emtiro Health Taps Innovaccer to Leverage the FHIR-Enabled Data Activation Platform

What You Should Know: – Emtiro Health, an innovative population health company in North Carolina has selected Innovaccer to deliver data-powered solutions to enhance the efficiency and effectiveness of care delivery.  – Powered by Innovaccer’s FHIR-enabled Data Activation Platform, Emtiro Health will create unified patient records that drive comprehensive, whole-person care management, no matter where …

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Health Catalyst Acquires Clinical Workflow Optimization Solution healthfinch

What You Should Know: – Health Catalyst announces an agreement to acquire clinical workflow optimization solution healthfinch using a mix of stock and cash. – As part of the acquisition, healthfinch will be a new application suite category called EMR Embedded Insights and its refills, care gaps closure, and visit planning applications will continue to …

Health Catalyst Acquires Clinical Workflow Optimization Solution healthfinch Read More »

Philips and BioIntelliSense Integrate to Enhance Remote Patient Monitoring

What You Should Know: – Philips integrates the BioIntelliSense FDA-cleared BioSticker™ sensor as part of its remote patient monitoring solutions for patients outside the hospital. – Multi-parameter sensors aid monitoring across multiple chronic conditions with medical-grade vital signs for physicians to remotely track core symptoms, including COVID-19. – Healthcare Highways is the first to leverage …

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