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How Medicare Advantage Programs Can Address Social Risk and Improve Health Outcomes

HIT Consultant

Brian Norris, Managing Director of Strategic Consulting at MedeAnalytics There are almost 33 million people enrolled in eligible Medicare programs. Nearly half are enrolled in Medicare Advantage (MA) plans, and that number is expected to continue its climb.

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HEDIS Preparation Guide: 3 Essential Steps

MRO Compliance

HEDIS audits are important for Medicare and Medicaid health plans because data is used to determine the efficacy of a payer to care for its members. HEDIS helps highlight care gaps by identifying areas where patients may not be receiving necessary preventive care or treatments. Measures Collected Using Electronic Clinical Data Systems.

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Oshi Health Raises $60M to Expand Virtual Digestive Care Nationwide

HIT Consultant

Serve Medicare Populations: Expand its services to include Medicare beneficiaries in 2025. Proven Outcomes and Cost Savings Oshi Health has demonstrated impressive results in improving patient outcomes and reducing healthcare costs: Symptom Improvement: 92% of patients reported symptom improvement.

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HIMSSCast: The advocacy plans of the newly combined ATA Action and DTA

Healthcare IT News - Telehealth

Subscribe to the podcast on Apple Podcasts , Spotify or Google Play !

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Navigating the Medicare Maze: How Innovative Technology is Modernizing Benefits Verification During Open Enrollment

Healthcare IT Today

The following is a guest article by Andrew Mignatti, Co-Founder and CEO at careviso As Medicare annual open enrollment is underway, healthcare providers soon face the overwhelming task of verifying benefits for millions of patients.

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What Payers Need to Know to Stay Ahead in 2025

MRO Compliance

Scenarios like this illustrate the importance of interoperability and ensuring patient records transfer seamlessly across providers and plans. To address these gaps, the Centers for Medicare & Medicaid Services (CMS) now mandates the use of FHIR-based APIs for data sharing.

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Precision Medicine 2.0: How AI-Driven Insights Are Changing Healthcare for the Better

HIT Consultant

This enables pharma companies to bring treatments to market more quickly, providing patients with faster access to life-saving therapies. For healthcare leaders, investing in AI as a strategic enabler can significantly bolster clinician performance, operational efficiency, and patient satisfaction.