CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care by tying payments to patient outcomes and encouraging tech-enabled, preventive care. Experts say it could benefit digitally mature, value-focused providers first, but its overall success will hinge on clear metrics, better data sharing and sustained participation.
They shared new developments, their views on AI, and what they're doing to disrupt the status quo in healthcare.
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
A federal judge has allowed key claims in Particle Health’s antitrust lawsuit against Epic to move forward, marking the first time such allegations against the EHR giant have gotten this far. The case centers on Epic’s alleged use of its influence over the Carequality data exchange to block Particle’s access to patient records and stifle competition in the emerging payer platform market.
Experts say the fallout from HHS’ restructuring could set public health efforts back by decades by dismantling critical infrastructure. It’s also important to note that these changes cast serious doubt on the future of interoperability, pointed out Jason Prestinario, CEO of data platform Particle Health.
Following a months-long dispute, data platform Particle Health filed an antitrust lawsuit against Epic, alleging that the EHR giant is using its dominance in the market to prevent competition in the payer platform space. Particle believes the lawsuit is an “unprecedented challenge” to Epic’s market power, while Epic thinks the startup’s claims are “baseless.”
The OIG recently added some teeth to the anti-information blocking regulations laid out in the 21st Century Cures Act. The office finalized penalties, including fines of up to $1 million for health IT companies found blocking the electronic flow of health data. Interoperability expert Troy Bannister said that these fines are a good starting point for ensuring greater interoperability, but he isn’t too sure the OIG will be able to effectively enforce them.
Greenway Health blends smart technology with human expertise to elevate revenue cycle.
Here is a selection of recent executive hires, exits, promotions and layoffs occurring across the healthcare industry.
A panel of healthcare data experts recently broke down some of healthcare’s most common buzzwords at HLTH. While the experts agreed that many industry professionals still struggle to grasp the true denotations of words and phrases like “interoperability” and “reimagining healthcare,” the panelists said these terms can be quite meaningful once they’re unpacked.
Check out news from Equiva, Canvas Medical, Particle Health, Fold Health, and Nucleus Genomics.
A round-up of funding announcements this week. Other companies that have raised new venture capital funding rounds this week include Genespire, HeartVista and Particle Health and Vida.
Alan Murray on improving access for medical transportation.