Category: healthcare spending

Marpai Health Acquires Continental Benefits to Launch First Smart Health Plan System

Aetna, Cigna, deep learning, Health IT, Healthcare Mergers & Acquisitions, healthcare spending / March 30, 2021 March 30, 2021

What You Should Know: – Today Marpai Health announced that it will acquire third-party administrator Continental Benefits. Marpai brings deep learning to self-insured health plans, which will allow for the processing of comprehensive data to increase quality care, reduce costs, simplify the healthcare experience, and empower plan members to live healthier lives. The transaction is expected to close in …

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3 Steps to Maintain Telehealth’s Momentum Post-Pandemic

behavior, Biosensors, care teams, Caregivers, cloud, Coronavirus (COVID-19), Data Integration, digital health, healthcare spending, model, Opinion, Patient Monitoring, Payers, Philips, remote patient monitoring, risk, Stitch, Telehealth, venture capital, virtual care, Wearables / January 19, 2021 January 19, 2021

In the face of COVID-19, healthcare witnessed how crises can become the long-awaited push for creativity and innovation that the industry needs. When our healthcare infrastructure’s weaknesses were exposed, telehealth helped to stitch them up, with the number of telehealth claims increasing 8,336% nationally from April 2019 to April 2020. Out of need, patients quickly …

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Provider Strategies for Mitigating Telehealth Fraud & Abuse in 2021

CMS, healthcare spending, integrity, Malware, Medicaid, Medicare, Opinion, risk, Telehealth, Telehealth Services, WASHINGTON / January 14, 2021 January 14, 2021

Dr. Gary Call, Chief Medical Officer at HMS As healthcare spending continues to rise, so too does the inherent risk for bad actors to take advantage. Today, the United States is estimated to spend nearly 18 percent of its GDP, or $3.6 trillion, on healthcare, and is expected to increase to one-fifth of GDP within …

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Hospital Sustainability Demands that Revenue Integrity Move Front and Center

American Hospital Association, Artificial Intelligence, Cerner, Coronavirus (COVID-19), ge centricity, Health Systems, Healthcare Claims, healthcare spending, healthcare technology, integrity, Medicare, MEDITECH, Notable, Opinion, Partners, Premier, revenue cycle, Revenue Cycle Management, revenue cycle operations, revenue integrity, risk, Telehealth, The Chartis Group / November 23, 2020 November 23, 2020

Vasilios Nassiopoulos, VP of Platform Strategy and Innovation, Hayes Razor-thin operational margins coupled with substantial and ongoing losses related to COVID-19 are culminating in a perfect storm of bottom-line issues for U.S. hospitals and health systems. A study commissioned by the American Hospital Association (AHA) found that the median hospital margin overall was just 3.5% pre-pandemic, and …

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Redefining Values in American Health Care

Economics, Health Policy, healthcare spending, Richard Hoen / August 6, 2020 August 6, 2020

By RICHARD HOEN, MD Experts claim we could have been better prepared when the COVID-19 pandemic struck in early 2020. With an annual budget of $400-700 million, the Strategic National Stockpile (SNS) is designed to respond to chemical, biological, and other disasters. Its $8 billion inventory included 13,000 ventilators and a limited supply of personal …

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4 Ways Healthcare Organizations Can Establish Partnerships to Drive Innovation

AI, Artificial Intelligence, behavior, Box, Data Analytics, EMR, foundational, healthcare spending, healthcare technology, integrity, Machine Learning, Opinion, Payers, Prior Authorization, revenue cycle, Revenue Cycle Management, revenue integrity, risk, SSI Group / July 14, 2020 July 14, 2020

With public and private healthcare spending significantly outpacing that of other countries, U.S. hospitals face intense pressure to find new ways to capture greater value. More and more, organizations are finding that partnerships with existing vendors can help unlock next-level performance gains in a transformative environment. Take Nebraska Medicine, for example. In the early 2000s, …

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