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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?

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FemTech: Pomelo Care Secures $33M for Value-Based Virtual Maternity Care Platform

HIT Consultant

What You Should Know: Pomelo Care , an NYC-based value-based virtual maternity care platform that improves maternal and newborn health outcomes, announced $33M in Seed and Series A funding led by Andreessen Horowitz. The latest round brings its total capital raised to date to $33M.

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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®).

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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 billion in healthcare fraud judgments and settlements.

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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.

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2024 New York Budget Proposes Wide-Ranging Transaction Approval Requirement That Targets Private Investment in Physician Practices and MSOs, and Permits DOH to Extract Concessions

Health Care Law Brief

The bill states that “physician practices are subject to far less oversight than [other facilities]” but that they “remain unregulated by the state outside of the licensure of the individual practitioners who practice at these sites and Medicaid enrollment.” at PHL § 4554.

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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.