Category: Patient Access

  • 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 […]

  • Health Systems Cite Telehealth as Top Tool to Improve Patient Access in 2022

    What You Should Know: – Improving patient access to medical services is a top priority for health system leaders in 2022, according to new research from the Center for Connected Medicine (CCM) and KLAS Research. – According to new research, patient access was identified by health system leaders as the challenge in healthcare that can […]

  • 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? […]

  • Ochsner Health Selects Kyruus to Simplify Patient Access Across Enterprise

    What You Should Know: – Ochsner Health in Louisiana, is simplifying patient access to care with Kyruus’ provider directory and enhanced search capabilities. – Patients seeking care online will now have access to rich, up-to-date information on more than 3,000 providers.   Kyruus, a provider search and scheduling solutions for health systems, today announced that Ochsner […]

  • Patient registration: Expert Q&A on what to expect next

    Traditionally, patient registration involves a stack of papers to be filled out in the waiting room. But what if contact information, demographic details, referral sources, health history, insurance coverage and even payments could all be recorded/addressed before the patient sets foot in the provider’s office? The pandemic forced the adoption of new ways for providers […]

  • Rethinking Patient Access: 4 Key Action for Health Systems

    Erin Jospe, MD, Chief Medical Officer at Kyruus As we learn to equilibrate with COVID-19, we are collectively learning how to modulate our acceptance of risk in order to re-emerge and engage with the world around us. It has at times over the course of the pandemic been a necessary choice, oftentimes in the name […]

  • Luma Health Secures $130M to Optimize Patient Journey

    What You Should Know: – Luma Health, a provider of patient engagement technology raises $130M to unify, automate, and transform patients’ healthcare journey. Luma Health, a San Francisco, CA-based patient engagement platform, today announced a $130 million Series C funding round led by FTV Capital, a sector-focused growth equity investment firm, with participation from existing investors. […]

  • An Inside Look at Payer Compliance with CMS’ Patient Access API Rule

    John Kelly, Principal Business Advisor, Edifecs The healthcare industry is now closer than ever to its quest for true interoperable data exchange. July 1, 2021 was the enforcement date for the Centers for Medicare and Medicaid Services (CMS) Interoperability and Patient Access final rule. The rule requires that all healthcare payer organizations participating in a CMS program allow members to download and share their data using API’s […]

  • Patient and market insights from leading KOLs and life science leaders

    Today, there are more than 80 treatments in development for atopic dermatitis and psoriasis. The landscape is booming with treatment innovations. However, the rise in research and development has created a crowded market that healthcare professionals struggle to navigate. Dermatologists face an abundance of data and more complex barriers to access than ever before. These […]

  • Is the Smartphone Key to Unlocking Frictionless Patient Registration?

    Daniel Cidon, CTO, NextGate Since the beginning of healthcare’s digital revolution, organizations have been striving to achieve the Triple Aim of healthcare: better outcomes, lower costs, and improved patient experiences.   While reimbursement reforms and regulatory actions have helped realize measurable gains in population health and overall spending, progress on the patient experience piece hasn’t always […]

  • How digital connectivity is driving faster patient access

    The road to health technology assessments and payer submissions is paved with complexity. Pharma’s mission is simple: to minimize the time between regulatory approval and market access, ensuring in the process that a drug is accessible to all appropriate patients, in line with the regulatory approval. However, the journey is often slowed down by roadblocks with significant business risk and potential delays to patient […]

  • Sustained healthcare systems need sustainable pharma business models

    COVID-19 demonstrated the importance of robust supply chains and the dangers of an over reliance on overseas manufacturing. But can the Pharmaceutical Strategy for Europe help to redress the balance? Only sustainable, robust supply chains and business models will allow innovation to flourish, secure access to medicines, and minimise the industry’s impact on the environment. […]

  • Q+A: healthcare price transparency in 2022

    As payers and providers count down the days until the implementation of the No Surprises Act in January 2022, healthcare price transparency and billing remain trending topics in the healthcare world. The Act is the latest in a series of federal and state commitments to help healthcare consumers feel more prepared and informed about their […]

  • 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 […]

  • No Surprises Act Summary: What providers need to know

    Rising medical debt, now a staggering $140 billion, is the largest source of debt for American families. A large portion of this is a direct result of surprise billing, with a third of insured adults saying they’ve received an unexpected bill in the previous two years. What’s no surprise, then, is that two-thirds of US […]

  • No Surprises Act Summary: What your organization needs to know

    Rising medical debt, now a staggering $140 billion, is the largest source of debt for American families. A large portion of this is a direct result of surprise billing, with a third of insured adults saying they’ve received an unexpected bill in the previous two years. What’s no surprise, then, is that two-thirds of US […]

  • 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 […]

  • Cerner Launches RevElate Patient Accounting for Rev Cycle Portfolio

    What You Should Know: – Today Cerner announced the launch of Cerner RevElate™, the company’s go-forward patient accounting product that will bring new and enhanced capabilities to the Cerner® revenue cycle management portfolio.  – Cerner RevElate is expected to preserve and advance the clinically driven capabilities of Cerner Millennium® while adding scalable, enterprise capabilities of Soarian® Patient Accounting software. Revenue cycle continues to be one of Cerner’s […]

  • Patient Self-Scheduling as a Competitive Advantage – Interview with the Expert

    The rising popularity of virtual care seems to be extending itself into other areas of patient experience, including a re-energized consumer preference for digital self-scheduling. In fact, McKinsey & Company reports that telehealth visits and utilization are 38x higher than pre-COVID-19 levels (July 2021). Meanwhile, Experian Health’s State of Patient Access 2.0 survey, released in […]

  • A defining characteristic of successful patient support programs is the level of cross-functional collaboration

    There is a distinct difference between outstanding patient support programs and less effective programs. A defining characteristic of successful programs is the level of cross-functional collaboration. By following the six strategies in this white paper, pharmaceutical companies can improve collaboration, enhance the patient experience, better protect patient data, reduce risk, improve compliance—and improve the overall […]

  • How 24/7 self-scheduling can improve the post-pandemic patient experience

    This is the second 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, we explore how 24/7 self-scheduling can […]

  • 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 […]

  • 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 […]

  • 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 […]

  • Salesforce Rolls Out Care from Anywhere to Improve Patient Access

    What You Should Know: – Salesforce launches care from anywhere, new innovations that help organizations get closer to their patients, members, and customers in an always-on, digitally-enhanced healthcare system. By tapping into these innovations, they can streamline operations and ultimately, drive better health outcomes. In addition to care from anywhere, Salesforce is also rolling out: […]

  • Tegria, Cedar Partner to Humanize the Patient Financial Experience

    What You Should Know: – Tegria, a Seattle-based healthcare technology, and services company, and Cedar, a New York City-based healthcare financial technology platform, announced the formation of a strategic partnership. The partnership will bring Cedar’s consumer-facing financial engagement platform to Tegria customers and deliver Tegria’s robust revenue cycle management expertise to Cedar’s extensive client base, […]

  • Relatient Merges with Patient Access Platform Radix Health, Raises $100M+

    Anup Lakare co-founder of Radix Health, Michele Perry CEO of Relatient and Arun Mohan co-founder and CEO of Radix Health (L to R) – Today, Relatient, Inc., the leading SaaS-based, patient engagement platform, announced the signing of a definitive agreement to merge with Radix Health, a data-driven platform that helps medical practices and hospital groups optimize […]

  • Boost vaccination rates with frictionless self-scheduling

    It’s time to accelerate the pace of COVID-19 vaccinations. Healthcare experts are increasingly concerned about the rapid spread of the highly contagious delta variant, which now makes up over 83% of COVID-19 cases. This variant is estimated to be 60% more transmissible than previous strains, and while vaccination doesn’t eliminate the risk, it does reduce […]

  • Boost vaccination rates with frictionless self-scheduling

    As the country strives to ramp up the pace of COVID-19 vaccinations, providers need to take new approaches to drive registration volume. Healthcare experts are increasingly concerned about the rapid spread of the highly contagious delta variant, which now makes up over 83% of COVID-19 cases. This variant is estimated to be 60% more transmissible […]

  • Self-service patient registration isn’t just for the pandemic

    Consumer-led care hit its stride during the pandemic. COVID-19 unlocked healthcare’s digital front door, giving patients more control over how and when they schedule and manage appointments. Unfortunately, while digital patient access has made navigating the healthcare system more convenient and flexible in many ways, consumers are discovering that one of the more frustrating aspects […]

  • 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 […]

  • M&A: Komodo Health Acquires Breakaway Partners to Improve Patient Access

    What You Should Know: – Today, Komodo Health announces the acquisition of Breakaway Partners to improve patient access to effective therapies. The acquisition brings together Komodo’s Healthcare Map and software suite with Breakaway Partners’ industry-leading formulary data, policy criteria, and analytics software to create the industry’s first prescription drug access business solution based on a comprehensive, real-time view of real-world outcomes […]

  • 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 […]

  • Beyond the pandemic: digital patient intake is here to stay

    Will handshakes become a thing of the past? Will face masks become a regular feature of flu season? Will home-working remain popular, even after workplaces re-open? COVID-19 forced some abrupt behavior changes that challenged existing cultural norms, but as the pandemic subsides, how many of these adaptations will survive? For healthcare executives, the return to […]

  • 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 […]

  • Cardinal Health and Deep Lens Collaborate for AI-based Oncology Clinical Trial Matching

    What You Should Know: – Today, Deep Lens and Cardinal Health announced a strategic collaboration that will integrate Deep Lens’ AI-based clinical trial matching solution, VIPER, into community-based oncology practices throughout the Cardinal network. VIPER will be a part of Cardinal Health’s new Navista advanced suite of technology solutions designed to help oncologists improve outcomes, […]

  • Mastercard, b.well Team Up on Digital Health Patient ID Verification for Interoperability

    What You Should Know: –  b.well Connected Health today announced a partnership with Mastercard to provide individuals a simpler and more secure way to prove their identity online and in-person when accessing healthcare services. – The partnership enables healthcare organizations to provide their members and patients with a biometric alternative to verify their identity in-person or virtually, replacing […]

  • 3 Barriers Stalling AI Adoption in Revenue Cycle Management

    Kenya Smith, Healthcare Solution Marketing Manager at ABBYY AI technology is quickly evolving and already surpassing human decision-making in certain instances; sometimes, in ways, we can’t explain. While many are alarmed by this, AI is producing some of the most effective and dramatic results in business today.  Adoption of AI in healthcare is growing, but […]

  • 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 […]

  • Success at a glance: COVID-19 vaccine scheduling

    You may also like: Supercharge your COVID-19 vaccine management plan with digital solutions “Experian Health’s ability to move quickly and adapt their self-service platform to schedule vaccines for patients has been an invaluable improvement not only for our operations, but to the patient experience. The power to schedule the vaccine’s second dose after the first […]

  • NeoGenomics Acquires Precision Oncology Platform Trapelo Health for $65M

    What You Should Know: – NeoGenomics, Inc., a provider of cancer-focused genetic testing services and global oncology contract research services announced it has reached an agreement to acquire precision oncology platform Trapelo Health for $65M. The agreement purchase price of $65 million, consists of $35 million in cash on hand and $30 million in NeoGenomics […]

  • Q&A: optimizing reimbursements by capturing missed coverage

    Other blog posts in this series: Segmenting your patient population for the COVID-19 vaccine Engaging patient segments with convenient, secure scheduling solutions Authenticating portal access with automation As the vaccine management process continues to ramp up, providers are focused on how to administer the vaccine to as many people as quickly and efficiently as possible. […]

  • Q&A: authenticating portal access with automation

    Other blog posts in this series: Segmenting your patient population for the COVID-19 vaccine Engaging patient segments with convenient, secure scheduling solutions The patient portal can play an important role in COVID-19 vaccination efforts, allowing patients the ability to both schedule their vaccines and keep track of where they are in the process, at least […]

  • 3 ways to improve the patient experience with online scheduling

    Take a poll of any healthcare facility’s visitors, and the majority will tell you they’d like to book appointments online. When Experian Health surveyed more than 860 consumers in late 2020 for its patient access trends survey, 78% of those surveyed said they wanted to schedule their own appointments, at any time of day or […]

  • Quality Virtual Care Matters for Patients – Even More Than Telehealth

    Rick Halton, Vice President of Marketing, Lumeon The COVID-19 pandemic made healthcare visits over video or phone the norm, likely turning telehealth into a permanent fixture within the U.S. healthcare system. In fact, the majority of patient access leaders at large hospitals believe 20-30 percent of appointments will happen over video in 2021, according to […]

  • Provider perspectives on the state of patient access

    Providers know they need to improve their digital front door to withstand the financial impact of COVID-19, but change can feel risky, especially with so much uncertainty. Experian Health’s recent patient access survey offers a glimpse of what patients hope the digital front door will look like in 2021 and beyond. But what do providers […]

  • COVID-19 vaccine management brings a burst of duplicate patient records

    The urgency to move quickly and vaccinate the population has introduced an entirely new set of challenges for providers regarding patient identity. Many continue to leverage existing processes and solutions already in place, manually handling the pain points that come with them, but now at scale and at an unprecedented rate. As the rollout moves […]

  • Q&A: Engaging patient segments with convenient, secure scheduling solutions

    Read the previous blog post in this Q&A series on segmenting patient populations for the COVID-19 vaccine. There are a lot of unknowns in the COVID-19 vaccine management process, which makes the rollout and administration of this vaccine even more challenging. Many providers are in the dark about how many vaccines they will get, they […]

  • Patient perspectives on the state of patient access

    How has the pandemic affected consumer attitudes around patient access? What do consumers want when it comes to accessing care? These are the questions providers must answer if they are to survive the pandemic and lay the groundwork for future financial success. Experian Health’s recent patient access survey offers a glimpse of what patients hope […]

  • What does being ‘patient-centric’ in pharma really mean?

    Register now The COVID-19 pandemic has disrupted many aspects of life on a global scale. As disruptions often do, it also has accelerated the implementation of solutions that might otherwise still be waiting their turn as future ‘nice-to-haves.’ In 2020, digital transformation of customer engagement was accelerated across the industry, and we expect this […]

  • Compete with urgent care with online self-scheduling

    The number of urgent care facilities in the United States has topped 9,000 as of November 2019. The popularity of both urgent care centers and retail clinics is driven mainly by patients’ desires for more convenient, flexible and affordable access to care. Frustrated with long waits and inconvenient appointment times, more patients forego or completely […]

  • Health Plans Must Go Beyond the ONC Mandate and Prioritize Member Experience

    Minal Patel, CEO of Abacus Insights Laurent Rotival, SVP, Strategic Technology Solutions & CIO, Cambia Solutions We are all frustrated when there’s a glitch with our online banking, or if bandwidth problems interfere with streaming the movie we want to watch. Imagine how individuals will react when the results of a cancer screening don’t find […]

  • 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 […]

  • 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. […]

  • Virtual trials and the next generation of pharma clinical research

    Previously viewed as a ‘nice to have’ for the pharma industry, virtual trials were already moving from a theoretical to a practical proposition before COVID-19 accelerated their transition. Studies that follow a virtual, decentralised, hybrid or remote model can offer many patient recruitment benefits including improvements in terms of enabling a more diverse patient population […]

  • 10 ways to schedule your patients effectively

    Consumers today want more flexible and convenient access to care, preferably through the self-service experience they are accustomed to in other areas of their lives. To answer this call, providers are turning to online self-scheduling, which allows patients to book an appointment with the provider of their choice any time of day or night via […]

  • A New System to Fit A New Economy: How Healthcare Can Recover From COVID-19

    Paula Muto, MD, FACSFounder and CEO, UBERDOC, Inc. We are at a watershed moment. The COVID-19 pandemic has forced us to reevaluate our priorities both economically and with regard to public health. Living with a healthcare system that was created in response to an emergency measure during World War II, US consumers have struggled for […]

  • IoMT Is Improving Patient Access: We Must Avoid Creating New Barriers

    Heidi Sveistrup, CEO at Bruyère Research Institute Elza Seregelyi, Director at L-SPARK The Internet of Medical Things (IoMT) is changing the face of healthcare and has the potential to significantly improve patient access as well as system efficiencies. The adoption of telemedicine, for example, spurred on by the Covid-19 pandemic, has spread rapidly.  Forrester revised […]

  • The future of patient access: digital front door

    Experian Health products referenced in this blog post: Patient Engagement Solutions Patient Scheduling Precise ID Patient Payment Estimates Patient Payment Solutions To access more insights and trends, download the entire white paper:  The State of Patient Access: 2021 How has the pandemic affected consumer attitudes toward patient access? What kind of digital experience do consumers […]

  • Nuance Launches AI-Powered Patient Engagement Virtual Assistant Platform

    What You Should Know: – Nuance Communications, Inc. launched an AI-powered patient engagement virtual assistant platform to transform omnichannel digital experiences for patients. – Healthcare provider organizations can now deploy a single, common cloud-based platform to support their entire patient journey across engagement channels using Nuance’s market-leading Intelligent Engagement AI technology – The launch comes […]

  • Success at a glance: finding unidentified coverage

    It is estimated that 30-50% of denied claims occur on the front end during the patient access process, namely during registration, authorization and eligibility. Unfortunately, manual patient intake processes contribute to these denials, and ultimately, the bottom line, staff productivity and the patient experience take the hit. Banner Health chose to automate its patient access […]

  • 2020’s Top 20 Digital Health M&A Deals Totaled $50B

    Teladoc Health and Livongo Merge The combination of Teladoc Health and Livongo creates a global leader in consumer-centered virtual care. The combined company is positioned to execute quantified opportunities to drive revenue synergies of $100 million by the end of the second year following the close, reaching $500 million on a run-rate basis by 2025. […]

  • 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 […]

  • M&A: Kyruus Acquires HealthSparq from Cambia Health Solutions

    What You Should Know: – Kyruus is acquiring HealthSparq from Cambia Health Solutions, a family of more than 20 companies working to make healthcare more economically sustainable and efficient for people and their families. – HealthSparq is a healthcare guidance and transparency technology company serving the health plan market. – With the acquisition, the combined […]

  • 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, […]

  • LeenTaaS Secures $130M for ML Platform to Help Hospitals Achieve Operational Excellence

    What You Should Know: – LeanTaaS raises $130 million in Series D Funding to strengthen its machine learning platform to continue helping hospitals achieve operational excellence during a time where they are facing mounting financial pressures due to COVID-19.  – LeanTaaS provides software solutions that combine lean principles, predictive analytics, and machine learning to transform […]

  • What is Revenue Cycle Management?

    There is no question that providers’ bottom line has been hit hard this year, and a new surge in COVID-19 is bound to threaten hospital finances once again. As healthcare providers look to supercharge their payment velocity during these uncertain times, it’s worth taking a step back to examine the revenue cycle management process as […]

  • COVID-19: How Hospitals Can Create Better Inpatient Bed Capacity through Math

    Dr. Pallabi Sanyal-Dey, Associate Professor of Medicine at UCSF & Director of Client Services at LeanTaaS Since the beginning of the COVID-19 pandemic, key elements of hospital operations such as managing inpatient bed capacity, and access to ventilators and PPE have taken center stage. The general public got a crash course on what hospitals need […]

  • 2021 Patient Experience Predictions

    As 2020 draws to a close and headlines hint that the end might finally be in sight for the pandemic, the healthcare industry is considering COVID-19’s legacy. The sudden shift to contactless care, financial consequences of widespread social distancing measures and changing expectations of the patient experience have upended the world of healthcare and health […]

  • 5 Steps for Interoperability Excellence for Healthcare Providers

    Shanti Wilson, Consultant, Freed Associates  As if 2020 couldn’t be any more challenging for healthcare providers, new federal rules on interoperability and patient access, granting patients direct access to their healthcare data, begin taking effect this November and continue into 2022. These rules, while ultimately beneficial to patients, bring an additional level of operational complexity to […]

  • M&A: Olive Acquires AI Prior Authorization Company Verata Health

    What You Should Know: – On the heels of $225.5 million dollars in funding and a $1.5B valuation this week, Olive today announced its acquisition of Verata Health to create a combined AI prior authorization solution for providers and payers under the Olive name. – Prior authorization is a $31 billion dollar issue in healthcare, […]

  • M&A: CarepathRx Acquires Pharmacy Operations of Chartwell from UPMC for $400M

    What You Should Know: – CarepathRx will acquire the University of Pittsburgh Medical Center’s pharmacy operations in a $400M deal. – The company fully integrates pharmacy operations, expands healthcare services, improves ambulatory access, minimizes clinical variation and creates new health system revenue streams. – CarepathRx serves more than 15 health systems and 600 hospitals, with […]

  • COVID-19: How Can Payers Prepare for Mandates and Support Pandemic Relief Efforts

    Elizabeth Bierbower, Former President of Humana’s Group & Specialty Division Healthcare can achieve optimum efficiency when patients are at the center of care. When patients have the necessary information to navigate their care journey, they will choose the path to high-quality care at the lowest costs. Cost-sharing and insurance premiums are rising consistently since the […]

  • Nuance Sells Off Transcription and EHR-Go-Live Services Businesses to DeliverHealth

    What You Should Know: –   Nuance announced that it’s planning to sell two sections of its healthcare business – Health Information Management (HIM) and Electronic Health Record (EHR) Go-Live Services – to a new independent company, called DeliverHealth, in early 2021. – Nuance will be a minority shareholder of DeliverHealth and continue to provide its […]

  • Success at a glance: call center scheduling

    The manual process for fielding scheduling calls isn’t an easy one. Calls can take up to 20 minutes, and call center agents may have to comb through binders or spreadsheets of provider calendars and scheduling rules to book a single appointment. As a result, call center staff may only be able to place a handful […]

  • 4 Ways to Combat Hidden Costs Associated with Delayed Patient Care During COVID-19

    Matt Dickson, VP, Product, Strategy, and Communication Solutions at Stericycle COVID-19 terms such as quarantine, flatten the curve, social distance, and personal protective equipment (PPE) have dominated headlines in recent months, but what hasn’t been discussed in length are the hidden costs of COVID-19 as it relates to patient adherence.   The coronavirus pandemic has amplified […]

  • 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 […]

  • Innovaccer Launches Member Engagement Solution to Scale-Up Digital Transformation Efforts with Payers

    What You Should Know: –  Innovaccer launches member engagement solution for healthcare payers to drive improvement in healthcare cost and quality boosts member satisfaction and enhances member enrollment and retention. – Innovaccer’s solution create member-oriented care plans, enhance connectivity with care managers, and drive interventions for social determinants of health risks through the solution. Innovaccer, […]

  • Humana Taps Cohere Health to Modernize Prior Authorizations for Musculoskeletal Treatment

    What You Should Know: – Cohere Health partners with health insurer Humana to modernize the prior authorization process for musculoskeletal treatment across 12 states. – In addition, the company has closed an additional $10M in funding led by Flare Capital Partners and Define Venture, bringing the company’s total funding to $20M. Health insurer Humana has […]

  • Patient acquisition and retention strategies to implement post COVID-19

    A consumer-first healthcare revolution has been simmering for years. Despite efforts to create more human-friendly services, the industry still lags behind other consumer-centric sectors. Patients want healthcare to be simple, convenient and on-demand, but a persistent lack of coordination, accessibility and affordability leaves many struggling to navigate the healthcare landscape with ease. Is this about […]

  • CommonWell Enables Payer Access to Nationwide Interoperability Network

    What You Should Know:   – CommonWell Health Alliance enables payer access with the addition of a new service provider, DataFile Exchange to support the operational services specific to the Payment and Health Care Operations use case. CommonWell Health Alliance today announced it is extending its interoperability services to enable additional use cases beyond treatment […]

  • Success at a glance: online self-scheduling after hours

    “It’s important to provide our patients with the absolute best access channels to quickly and seamlessly connect with the care they need. Experian Health’s solution guides our patients to the right care and digitally connects them with a confirmed appointment.” – Kaci Husted, Vice President, Benefis Health System It’s shouldn’t come as a surprise that […]

  • The benefits of online scheduling during a “twindemic”

    In previous winters, anyone struck by a sore throat or fever might assume they had flu, and head to bed with a hot drink and some painkillers. This year, the looming specter of COVID-19 could prompt those with flu-like symptoms to seek medical care instead. Combined with a likely second wave of COVID-19 cases as […]

  • Success at a glance: improved collections, part one

    Before working with Experian Health, call center operations at Sanford Health were disparate and disjointed, with each call center operating on a different phone system with different carriers. While some centers saw high abandonment rates, others were waiting around for calls. Although Sanford attempted to create balance by placing accounts in a work queue, the […]

  • 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 […]

  • 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 […]

  • Seniors navigating healthcare technology in a post-COVID world

    Products referenced in this article: Social Determinants of Health Patient Schedule Member Match Coverage Discovery Patient Financial Advisor Patient Payment Solutions With just a few clicks, patients can book appointments, speak to their doctor, access billing information and pay for care, all without leaving their homes. Online health services have been a lifesaver for many […]

  • Is COVID-19 another catalyst for price transparency?

    Few of us would buy a new car or TV without checking the price tag first. Why should our healthcare be any different? Yet this is exactly what many patients are forced to do when they need medical tests or treatment. Following the breadcrumbs on a provider’s website is a time-consuming and confusing way for […]

  • 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 […]

  • 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. […]

  • Success at a glance: 24/7 patient access

    The age of consumerism has been a catalyst in the shift towards patient-centered care, driving hospitals and health systems across the board to evaluate and improve their current methods of patient access. For one multi-specialty medical group, fast and easy access to care meant providing strategic tools for patients to use beyond the four walls […]

  • Designing A Digital Experience to Drive Revenue and Patient Engagement

    Bill Krause, VP and GM, Digital Experience and Consumer Engagement at Change Healthcare With the rise of healthcare consumerism, people are looking to hospitals, health systems, and physician practices to deliver the same user-friendly, digital experiences they receive from other industries. A recent survey found that more than 80% of consumers surveyed believe “shopping for […]

  • Improve the patient experience with digital patient intake

    Imagine if every time you wanted to sign up to buy groceries online, book a vacation, or apply for a job, you had to fill out a paper registration form. For 21st century consumers who are accustomed to sleek digital and self-service experiences in industries such as retail, travel and banking, such an antiquated and […]

  • Three benefits of automated outreach

    No thanks to COVID-19 and the subsequent delay of elective procedures, many healthcare providers today are struggling to ensure their patient populations are getting the care they need. While online scheduling and referral coordination solutions can no doubt help improve patient access, especially as those who cancelled or postponed appointments look to reschedule, it’s the […]

  • Adapting to meet patient expectations during COVID-19

    Download our free eBook to find out how digital health solutions can help your organization improve the patient journey now and beyond COVID-19. You can also check out our free COVID-19 Resource Center, where you can get free access to telehealth payer policy alerts to help avoid payment denials and delays. The post Adapting to meet patient […]

  • 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 […]

  • Technology key for hospital financial recovery following COVID-19

    Financial recovery after COVID-19 is likely to be a slow burn for most healthcare organizations, according to a recent survey. Nearly 90% of healthcare executives expect revenue to drop below pre-pandemic levels by the end of 2020, with one in five anticipating a hit greater than 30%. While the return of elective procedures will be […]

  • Success at a glance: online self-scheduling

    Many patients today are forced to call the doctor to schedule an appointment. These phone calls are often inconvenient: patients are required to call during a provider’s business hours, a single call can sometimes take up to 20 minutes, or the patient may end up playing phone tag until an appointment is finally booked. The […]

  • 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, […]

  • Five Keys to Tackling Flu Season as it Collides with COVID-19

    With a vaccine for COVID-19 thought to be at least a year away, healthcare providers are steeling themselves for even more cases in the fall. The big worry is that a surge in cases will hit the health system just as flu season takes hold. In a recent interview, Dr. Robert Redfield, Director of the […]

  • Five keys to tackling flu season as it collides with COVID-19

    With a vaccine for COVID-19 thought to be at least a year away, healthcare providers are steeling themselves for even more cases in the fall. The big worry is that a surge in cases will hit the health system just as flu season takes hold. In a recent interview, Dr. Robert Redfield, Director of the […]

  • BJC HealthCare Taps Patientco to Provide Seamless Patient Payment Experience

    What You Should Know: – BJC HealthCare has signed an agreement with patient payment platform Patientco to offer a seamless patient financial experience, helping patients navigate their medical expenses and pay their bills. – Patientco’s platform provides patients with a single billing statement outlining their outstanding balance and will help BJC streamline its payment process by reducing the number of bills associated with one visit as well as […]

  • COVID-19: 4 Essential Patient Payment Strategy Components to Accelerate Cash Flow

    David Shelton, PatientMatters CEO In the past few months, the COVID-19 pandemic has shaken societies, economies, and human wellbeing to the core. While protecting public health and welfare are top priorities for hospitals, the harsh reality is that it takes cash to keep the doors open and serve patients effectively. Revenue is down significantly as […]

  • Success at a Glance: Improving Portal Security

    “Precise ID satisfies both your security officer and your groups who are dealing with patient efficiency and happiness.”— Kevin Romero, Director of Clinical Systems, AdvantageCare Physicians of New York To help deliver on its mission to provide a 5-star patient experience, AdvantageCare Physicians implemented a patient portal. While a valuable enabler of patient self-service, the […]

  • Webinar – A Pragmatic Approach to Patient Support Program Design — Implement Technology at the Right Time to Deliver Greater Program and Patient Insight

    Sponsored by Covance Watch now Technology is often touted as a silver bullet, but often the promise falls short of the unrealistic expectation of a tech driven utopia. Knowing when to deploy which technologies requires a pragmatism that balances technology with people and processes to deliver the right balance of efficiency and risk. This session […]

  • 4 Tips for Launching Telehealth Services

    With COVID-19 leading to postponed and cancelled medical appointments, more consumers are turning to “contactless care”. Recent figures suggest telehealth adoption has shot up from just 11% in 2019 to 46% over the course of the pandemic, and some providers are seeing up to 175 times the number of telehealth patients than pre-COVID. As they […]

  • 5 Ways to Make Patient Scheduling Easy Through Your Call Center

    Consumers today expect fast and convenient access to almost everything, healthcare included. While still only offered by a fraction of healthcare providers out there, online scheduling is catching on throughout the market – especially as more providers turn to telehealth solutions during COVID-19. Still, despite the uptick in online self-scheduling, there are patients who prefer […]

  • 7 must haves for your patient scheduling system

    COVID-19 has changed the way millions of Americans access care during COVID-19, leading to the widespread adoption of virtual health and other consumer-centric technologies. Without online self-scheduling however, technologies like telehealth may not reach their full potential. Incorporating a self-scheduling solution that reaps long-term success takes a specific strategy, and with the number self-scheduling vendors […]

  • Telehealth Benefits Expansion: Helping Providers Maximize Reimbursement

    Patients today expect digital capabilities from their provider and will increasingly choose those who offer digital capabilities. Knowing this, many providers have been working to shift more of the patient journey online, through telehealth and virtual care. Not all care needs to be delivered face to face, and technological advances allow patients to access more […]