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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant

1upHealth Raises $40M for FHR Data Platform

by Fred Pennic 04/12/2023 Leave a Comment

1upHealth Raises $40M for FHR Data Platform

What You Should Know: 1upHealth, a modern data platform that’s cloud-based, API-enabled, and FHIR-native today announced the close of a $40M Series C investment led by Sixth Street Growth with participation from existing investors F-Prime Capital, Jackson Square Ventures, and Eniac Ventures. Founded in 2017, 1upHealth’s FHIR®-native platform designed for interoperability and modern computing is used by over 75 enterprise organizations including leading national and
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Audio-Only Telehealth Remains Common at Safety Net Clinics, Study Finds

by Fred Pennic 04/11/2023 Leave a Comment

Audio-Only Telehealth Remains Common at Safety Net Clinics, Study Finds

What You Should Know: Audio-only telehealth visits for both primary care and mental health services remained common at safety net clinics in California since the start of the COVID-19 pandemic, according to a new RAND Corporation study. The RAND study published in the Journal of the American Medical Association found that in August 2022 audio-only visits still accounted for 1 in 5 primary care visits and 2 in 5 behavioral health visits among people who received care at Federally
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Q1 2023 Digital Health Funding Reaches $3.4B Across 132 Deals

by Syed Hamza Sohail 04/04/2023 Leave a Comment

Q1 2023 Digital Health Funding Reaches $3.4B Across 132 Deals

What You Should Know: 2023 started off with the hallmarks of a rebound year. While Q4 2022 signaled the tail end of the digital health funding cycle, January and February funding numbers began to suggest that sector investment was slowly but surely inching back upwards. Inflation was easing ever so slightly. Investors were rediscovering their confidence and launching new projects, signaling optimism in the sector, according to a new Rock Health report. However, recent news—the collapse of
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Value-Based Administration Enables All VBC Network Stakeholders to Benefit

by Rahul Sharma, CEO & Lynn Carroll, COO at HSBlox 04/03/2023 Leave a Comment

Value-based Administration Enables All VBC Network Stakeholders to Benefit

Despite holding the promise of delivering superior patient outcomes while lowering healthcare costs, many providers remain reluctant to embrace value-based care (VBC) reimbursement models. Progress toward VBC adoption hasn’t achieved its potential yet, hovering around 60% of all payment models from 2018 to 2021, with the remaining 40% comprised of traditional fee for service (FFS). Though some providers simply are hesitant to abandon the FFS model that has served them well, others are leery
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Uber Health Embeds Same-Day Prescription Delivery Into Its Care Platform 

by Syed Hamza Sohail 03/30/2023 Leave a Comment

Uber Health Embeds Same-Day Prescription Delivery Into Its Care Platform

What You Should Know: Uber Health, Uber’s healthcare arm, today announced same-day prescription delivery on its HIPAA-supported, centralized platform.For the first time, those using Uber Health—including healthcare providers and health plans—will be able to manage prescription delivery from any pharmacy in their service area through the same platform they already use to coordinate transportation for patients. This launch enables providers to offer a full suite of care solutions that
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How The Healthcare Industry Can & Should Be Supporting Unpaid Caregivers

by Alexandra Drane, co-founder and CEO of ARCHANGELS and Dr. Adrienne Boissy, Chief Medical Officer at Qualtrics 03/29/2023 Leave a Comment

How The Healthcare Industry Can & Should Be Supporting Unpaid Caregivers

Unpaid caregivers are the backbone of society, providing an essential service, yet often feel invisible and without support. In recent years, that backbone is starting to break with research showing that 70% of caregivers, including parents and caregivers of adults, have at least one significant mental health impact. Even more worrisome, the same study indicated that more than half (52%) of those considered part of the sandwich generation - caring for an aging parent and a child at the same time
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Rethinking Behavioral Health Support in the ED: 3 Keys for Innovation

by Benjamin Zaniello, MD, MPH, Chief Medical Officer, PointClickCare & Dr. Enrique Enguidanos, Founder & CEO of CBC Solutions 03/28/2023 Leave a Comment

Rethinking Behavioral Health Support in the ED: 3 Keys for Innovation

About one out of five Americans with serious illness struggled to access care during the pandemic, and rates were significantly higher among disadvantaged populations, a 2022 study found. Now, as mental health-related visits in emergency departments (EDs) continue to rise, healthcare professionals must consider: “How can we create better behavioral health supports for people in crisis?” It's a question that has significant implications for quality of care as well as cost. The High Cost of
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Accenture Report Reveals Staggering Health Inequities and the Role of US Healthcare Ecosystem in Addressing Them 

by Syed Hamza Sohail 03/24/2023 Leave a Comment

New Accenture Report Reveals Staggering Health Inequities and the Role of US Healthcare Ecosystem in Addressing Them

What You Should Know: - Health equity – or the lack thereof – is one of the biggest challenges facing US healthcare organizations today. - A new report from Accenture, US health inequity: beyond the statistics, analyzes the role US healthcare ecosystem participants can play in addressing health inequities due to race and ethnicity. The statistics are staggering.  Analysing Key Trends Concerning Health Inequities  To understand the human and economic
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5 Trends to Look for in Healthcare Cost Transparency

by Paul Ketchel, CEO of MDsave 03/23/2023 Leave a Comment

High Inflation is Driving the Deferment of Necessary Medical Care

Over two years have passed since the hospital price transparency rule was enacted. Unfortunately, America still struggles with high, painfully opaque pricing across healthcare that hurts employers, workers, patients, and taxpayers. The Centers for Medicare and Medicaid Services recently announced that in 2021, the nation spent $4.3 trillion on healthcare, nearly twice the average of other nations in the developed world. Noncompliance and price gouging still exist in a market where consumers are
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Healthcare in Denial: The State of Claims in 2023

by Clarissa Riggins, Chief Product Officer, Experian Health 03/21/2023 Leave a Comment

Healthcare in Denial: The State of Claims in 2023

How do you solve a persistent and growing problem like claims denials? It’s been a hot topic for revenue cycle management professionals for years that’s only getting hotter with the increasing pressures of staffing shortages, challenges with staff turnover and training and ever-changing policies and protocols at the government and payer levels.  On the macro-economic level, denials contribute mightily to the growing problem of uncompensated care in America, currently estimated at $43
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