Remove Health Outcomes Remove Medicaid Remove Medicare Remove Patient Satisfaction
article thumbnail

How AI and machine learning can help predict SDOH needs

Healthcare It News

Social determinants of health are major contributors to health inequity and rising healthcare costs in vulnerable populations such as Medicaid beneficiaries. How do care management interventions to mitigate SDOH as a risk for undesired health outcomes work?

article thumbnail

Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 The Challenge of Health Care Fraud.

Fraud 52
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

M&A: Phreesia Acquires Insignia Health to Improve Patient Experience

HIT Consultant

What You Should Know: – Phreesia’s acquires Insignia Health, a mission-oriented company dedicated to improving health outcomes through patient activation. – Insignia has an exclusive worldwide license for the Patient Activation Measure® (PAM®).

article thumbnail

Leadership in a Value-Based Care (VBC) Environment

AIHC

Value in healthcare is the measured improvement in a person’s health outcomes for the cost of achieving that improvement1. When done “right,” value-based healthcare’s focus for better health outcomes aligns clinicians with their patients. That alignment is the essence of empathy.

article thumbnail

What the Telehealth Expansion Act means for tackling social determinants and boosting health equity

Healthcare It News

By increasing access to telehealth services, we're able to provide healthcare to the people who need it most, while also specifically addressing health equity implications in socially marginalized communities, improving patient satisfaction, increasing access to specialty care services, and decreasing reliance on emergency departments.

article thumbnail

Health Provider News – November 4, 2022

Hall Render

AMA scrutinizes lack of competition, consumer harms in Medicare Advantage plans. CMS makes big changes to Medicare Shared Savings Program. 2 orthopedic hospitals facing Medicare readmission penalties. State hospital patients held staff against will with make-shift weapons. CMS bumps ASC payments to 3.8 That Number is 3.

article thumbnail

Pomelo Care Secures $33M, Partners with Leading Health Plans, Employers and Academic Medical Centers to Deliver Value-Based Care and Improve Maternal and Newborn Health

Healthcare IT Today

The capital will fuel Pomelo’s continued partnership expansion with major health plans, including several Medicaid managed care organizations, employers and leading academic medical centers on the front lines of the national maternal health crisis. Despite spending $111 billion annually on maternal healthcare , the U.S.