integrity

The Future of Revenue Integrity: From Reactive to Predictive – RCM

Vasilios Nassiopoulos, Vice President of Platform Strategy and Innovation, Hayes Healthcare organizations have witnessed an explosion of new opportunities to extract value from the industry’s treasure trove of data in recent years, with success stories related to using advanced technology such as artificial intelligence (AI) and machine learning found in every sector.  Revenue integrity is …

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Q1 2021 Health IT/Digital Health PC/VE, M&A, IPOs/ SPACs Activity

The first quarter of 2021 has been one of investor optimism as the vaccine rollout continues ahead of expectations and economic activity begins to accelerate in response.  Within the Health IT industry, the already strong investment and M&A trends seen in 2020 have only accelerated.  Over the course of the quarter, we observed $7 billion in private …

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Boost Operational, Clinical and Financial Performance with Good Data

Peter Nelson, VP & General Manager, Global Alliances at GHX There’s an old adage that every challenge is merely an opportunity in disguise. COVID-19 highlighted the healthcare industry’s ongoing challenge with producing clean, standardized data. As the industry looks to rebound from the severe financial impact of the pandemic, there’s a renewed urgency among hospitals …

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Best Practices to Ensure Telehealth Security and Protect Patient Data

Paul Banco, CEO of etherFAX To support the sudden increase in test results and medical records being transmitted during the pandemic, hospitals, laboratories, and pharmacies implemented additional devices and remote connections into their networks. After the Office for Civil Rights (OCR) lifted penalties around telehealth to expand care options amid the crisis, new platforms were …

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Nuance Acquires Ambient AI Assistant for Physicians Platform Saykara

What You Should Know: – Nuance acquires ambient AI healthcare voice assistant Saykara, Inc. to bring complementary AI technology and engineering talent to conversational AI and ambient clinical intelligence market leader. – Kara’s AI-powered healthcare voice assistant can be used during a physician-patient encounter without any voice commands, promising to eliminate up to 100% of …

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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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Provider Strategies for Mitigating Telehealth Fraud & Abuse in 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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30 Executives Share Top Healthcare Predictions & Trends to Watch in 2021

As we close out the year, we asked several healthcare executives to share their predictions and trends for 2021. Kimberly Powell, Vice President & General Manager, NVIDIA Healthcare Federated Learning: The clinical community will increase their use of federated learning approaches to build robust AI models across various institutions, geographies, patient demographics, and medical scanners. The sensitivity and …

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Hospital Sustainability Demands that Revenue Integrity Move Front and Center

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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Volaris Group Acquires Clinical Workforce & Workflow Platform medaptus

What You Should Know: – Volaris Group acquires medaptus, a clinical workforce, and workflow solutions that empower healthcare delivery entities to achieve their desired patient, clinical and financial outcomes. Today, Volaris Group has acquired medaptus, a healthcare technology company that removes the administrative burden from hospital and group practice operations to enable higher efficiency throughput. …

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How COVID-19 Has Revealed Healthcare’s Blockchain Use Cases

Brett Furst, President at HHS Technology Group Blockchain technology has somewhat infamously been described as “a solution in search of a problem,” but as the healthcare industry responds to the demands of the pandemic, several valuable use cases have surfaced that could benefit from employing the emerging technology.   Due in large part due to its …

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White House Coronavrius Task Force Doubles Down on Rapid Testing Strategy

What You Should Know: – White house coronavirus task force doubles down on rapid testing strategy to fight the coronavirus as some states say they don’t have the supplies to comply with the federal government’s advice. – This article was originally published by the Center for Public Integrity, a nonprofit investigative news organization based in Washington, …

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Providence Taps Nuance to Develop AI-Powered Integrated Clinical Intelligence

What You Should Know: – Nuance Communications, Inc. and one of the country’s largest health systems, Providence, announced a strategic collaboration, supported by Microsoft, dedicated to creating better patient experiences and ease clinician burden. – The collaboration centers around Providence harnessing Nuance’s AI-powered solutions to securely and automatically capture patient-clinician conversations. – As part of …

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Corrona Acquires Virtual Patient Community HealthUnlocked

What You Should Know: – Nationwide disease registry Corrona has acquired virtual patient community HealthUnlocked, creating a first-in-class patient experience ecosystem. – The acquisition will enable Corrona to expand its broad set of capabilities–ranging from highly granular and longitudinal structured data across eight registries. Corrona, LLC  (“Corrona”), a nationwide disease registry and is now the …

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HP Launches EMR-Integrated Print Solutions to Digitize Point of Care Workflows

What You Should Know: – HP launches patient-first print technologies to help healthcare workers stay safe and spend more time caring for patients. – Innovations co-developed with healthcare professionals include industry’s first sterilizable printers, exclusive EMR-compliant workflow solutions, and services to improve patient safety and privacy. Today, HP Inc. officially launched new print solutions for …

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Intermountain, Vynca Partner to Prioritize and Digitize Advance Care Planning

What You Should Know: – Intermountain Healthcare collaborates with Vynca, a national leader in advance care planning solutions to prioritize and digitize advance care planning. – The collaboration enables integrated digital completion workflows and establishes a single, centralized source of truth with built-in error prevention – enabling the Intermountain Healthcare team to honor patients’ end-of-life wishes, avoid unwanted healthcare utilization and reduce trauma for families, caregivers and clinicians when faced …

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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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Report: Modern Revenue Integrity Solutions Driving Payment Performance

What You Should Know: – New Chilmark Research report on revenue integrity in healthcare reveals a transitional market making strides to address the new burdens of modern care economics. – The ongoing COVID-19 public health emergency underscores the imperative need for automation and reduced administrative costs even clearer. Revenue cycle has and continues to be one of …

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New Attacks, Regulations, and Stakes Call for New Security Strategies

 Tim Callan, Senior Fellow, Sectigo The amount of data generated by the healthcare industry is staggering—and constantly increasing.  Healthcare data encompasses the personal information of patients, doctors, nurses, and administrators. It includes diagnostic information, test results, ultrasound images, x-ray images, and of course insurance and financial information. With so much sensitive patient information there for …

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T2 Tech Group Acquires Remote Patient Scheduling Service from Revint Solutions

What You Should Know: – T2 Tech Group, a Los-Angeles based leading IT consulting, advisory, and project management services provider, has just acquired the patient access and scheduling services division from Revint Solutions. – The coronavirus pandemic has created a vast backlog of patient appointments and compounded the strain on the healthcare industry. This acquisition …

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Analysis: July Health IT M&A Activity; Public Company Performance

– Healthcare Growth Partners’ (HGP) summary of Health IT/digital health mergers & acquisition (M&A) activity, and public company performance during the month of July 2020. While a pandemic ravages the country, technology valuations are soaring.  The Nasdaq hit an all-time high during the month of July, sailing through the 10,000 mark to post YTD gains …

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Sharecare Acquires WhiteHatAI to Enhance Healthcare Payment Integrity

What You Should Know: – Sharecare acquires WhiteHatAI to provide health plan and provider clients with additional capabilities to ensure healthcare payment integrity  – WhiteHatAI’s ability to detect erroneous claims before they are paid will help Sharecare’s health plan partners reduce costs associated with FWA. – Sharecare will integrate WhiteHatAI’s capabilities to foster deeper engagement …

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Cybersecurity: Managing Risk in the COVID-19 Era

Healthcare IT consultants’ work involving health records may expose them – and their provider and payer clients – to regulatory, legal, financial, and reputational risk. These risks are potentially higher in the COVID-19 era, with many of their employees working from home and accessing sensitive records and networks from remote locations. According to the US …

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HealthEdge Software Acquires Payment Integrity Solution The Burgess Group

What You Should Know: – HealthEdge Software announces the acquisition of The Burgess Group, LLC (“Burgess”), an innovative payment integrity software company focused on improving healthcare payment operations for an undisclosed sum. – The strategic acquisition will boost Health Edge’s position in the payment integrity market and extends best-in-class claims processing to include software-driven payment …

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Wake Forest Baptist Health Launches Drone Delivery for Medicines, PPE for COVID-19

What You Should Know: – Wake Forest Baptist Health will establish a hospital drone delivery network to carry patient-specific time- and temperature-sensitive medicines and PPE for medical professionals treating COVID-19. – In partnership with Matternet and UPSFF today started operating on two routes from one location at Wake Forest Baptist Health to two other health …

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4 Ways Healthcare Organizations Can Establish Partnerships to Drive Innovation

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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