EY: 65% of Healthcare Organizations Have Seen a Positive Return on Health Equity Efforts
A new report from Ernst & Young revealed that healthcare organizations are seeing financial benefits and improved outcomes from their health equity strategies.
Sutter Health Exec: Ditch Paternalism & Focus On The ‘Accumulation of Marginal Gains’
Providers must abandon paternalism and treat patients like partners in the decision-making process when drawing up care plans, according to Chris Waugh, Sutter Health's chief design and innovation officer. Instead of prescribing a major lifestyle overhaul without considering a patient's unique life circumstances, providers should "recognize that it's about the tiny things and the accumulation of marginal gains,” he said.
With the Rise of AI, What IP Disputes in Healthcare Are Likely to Emerge?
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
The Carbon/Anthem Blue Cross Spat Is Nothing New, Just More Public
Carbon went out of Anthem Blue Cross’ network March 17 after not coming to an agreement on reimbursement. The company took the dispute public in an April 29 blog post declaring the rate Anthem pays its providers as not a livable wage. These kinds of disputes between payers and providers happen frequently, though they're usually not as public, one expert said.
There Is ‘Skepticism and Support’ for National Provider Directory, CMS Official Says
CMS put out a request for information in October about a CMS-led national provider directory that would allow patients to find and compare providers based on preferences like language and location. Alexandra Mugge, director and deputy chief health informatics officer of the Health Informatics and Interoperability Group at CMS, said there is stakeholder support for the national directory — if it's executed correctly.
Americans Are Confused With Their Medical Bills. Here’s How the Healthcare Industry Can Help
Nearly 40% of Americans struggle understanding their medical bills, a recent survey showed. But receiving more communication and support from providers and insurers would make bills less confusing, the respondents shared.
How health tech can improve the patient and provider experience
Leaders in healthcare draw attention to the myriad ways cloud computing technology is transforming healthcare.
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A Personalized Approach to Medication Nonadherence
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
How health tech can improve the patient and provider experience
Leaders in healthcare draw attention to the myriad ways cloud computing technology is transforming healthcare.
Report: $27B remains unspent in Covid-19 Provider Relief Fund
Of the billions of dollars provided by the government to support providers during the pandemic, $11.7 billion has been allocated but not spent, $7.1 billion has not been allocated and $8 billion has been returned for various reasons, including that the organization recovered faster than expected.
Bill aiming to streamline MA prior authorization gains House majority support
The bill, if enacted into law, will establish an electronic prior authorization process and require Medicare Advantage plans to report on their use of prior authorization and the rate of approvals or denials to CMS. It has 227 co-sponsors in the U.S. House, indicating strong support from both Republicans and Democrats.
AMA report: U.S. has “highly concentrated” payer markets that stifle competition
About 73% of health insurance markets are highly concentrated, and in 46% of markets, one insurer had a share of 50% or more, a new report from the American Medical Association shows. The report comes a few months after President Joe Biden directed federal agencies to ramp up oversight of healthcare consolidation.
Maximize Revenue and Patient Care with Strategic Weight Loss Management
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
With 5 patents under its belt, RCM tech company Ensemble Health Partners files for IPO
The company, which provides revenue cycle management solutions for providers, is filing for the IPO less than two years after Bon Secours Mercy Health sold its majority stake in Ensemble to private equity firm Golden Gate Capital. Per the filing, the company aims to raise $100 million, but that is likely a placeholder figure.
Provider-led Truveta strikes partnership with Microsoft
Truveta, a company owned by 17 U.S. health systems, will build its data analytics solution on the Microsoft Azure cloud computing platform. Microsoft will also help the company scale the solution globally and engage new customers.
Remote patient monitoring use is on the rise, but reimbursement needs to catch up
The reimbursement model for remote patient monitoring needs to evolve as it may be holding providers back from investing in these programs, according to panelists at the MedCity INVEST Digital Health conference. Key issues with the structure as it stands now include the fact that there are too many gray areas that result in claims denials.
Babyscripts raises $12M, plans to expand to all 50 states
The maternal care startup is backed by major health systems including MemorialCare Health System, whose innovation arm led the most recent funding round. Babyscripts offers a mobile app providing education and resources for the pregnancy and postpartum journey.
CMS offers additional Medicare payments for at-home Covid-19 vaccinations
Now, Covid-19 vaccine administrators can earn an additional $35 per vaccination for up to five Medicare beneficiaries who live in a communal living space, like smaller group homes or assisted living facilities. CMS aims to boost vaccination rates with this pay increase.