MRO Compliance

JUNE 29, 2023

As we announced at the beginning of the conference, our new Payer Exchange solution can address some of these challenges. Payer Exchange supports both providers and payers as they navigate the rising volume of medical records and clinical data needed to meet risk adjustment and other mandatory reviews and reporting.

Hospitals 130

Hospitals 130

Mobi Health News

NOVEMBER 21, 2019

MobiHealthNews sat down with Amy McDonough, senior vice presidnet & general manager of Fitbit Health Solutions prior to the news that Google was set to acquire Fitbit.

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MRO Compliance

APRIL 23, 2024

Last year, MRO began automating risk adjustment requests via our clinical data exchange platform to improve payer provider collaboration. About MRO MRO is accelerating the exchange of clinical data throughout the healthcare ecosystem on behalf of providers, payers, and users of clinical data.

Hospitals 118

Hospitals 118

Healthcare It News

APRIL 29, 2024

"Public sector organizations want to simplify their technology stack, better engage with constituents and reduce employees’ administrative burdens while improving employee productivity," Nasi Jazayeri, executive vice president and general manager of public sector for Salesforce, said in a statement.

Public Health 241

Public Health Governance Medicaid Medicaid 241

Healthcare It News

NOVEMBER 14, 2022

Virtual care companies and payer care management also have access to Wolters Kluwer, Health content on Azure. Also available is EmmiGuide, which provides payers delivery of evidence-based health education and interactive multimedia at scale to help engage members with content relevant to their individual health. WHY IT MATTERS.

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MRO Compliance

SEPTEMBER 21, 2023

​I recently sat down with MRO’s chief product officer, Mo Weitnauer, on our podcast show Follow the Medical Record. We then chatted about the need for payers and providers to work together in order to improve patient experience, and more broadly, requester experience. Mo: Sure, happy to.

Medicare 173

Medicare Medicare 173

Fierce Healthcare

OCTOBER 4, 2023

WellTheory, a platform focused on reducing autoimmune disease symptoms, has unveiled an enterprise product for employers and payers looking to offer autoimmune care. | The new offering aims to tackle the hidden costs and productivity impacts of untreated autoimmune diseases.

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MRO Compliance

JUNE 26, 2023

MRO Launches New Solution to Innovate Clinical Data Exchange Between Providers and Payers Payer Exchange reduces administrative burdens for providers and payers during risk adjustment and other reviews while closing costly reporting gaps. Norristown, Pa. June 26 , 2023 – MRO Corp., June 26 , 2023 – MRO Corp.,

Hospitals 130

Hospitals 130

HIT Consultant

NOVEMBER 14, 2023

What You Should Know: – Providence has become the first health system in the United States to develop a data-as-a-service (DaaS) product driven by HL7 Fast Healthcare Interoperability Resources (FHIR). This project aims to enhance data sharing between payers and providers for a smoother transition to value-based care.

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HIT Consultant

FEBRUARY 27, 2024

– Develop innovative features: Enhance customer experience across Veradigm’s portfolio, including Provider, Payer, and Life Sciences businesses, by integrating AI functionalities. – Drive future growth: Reposition Veradigm as a leader in healthcare data intelligence, fostering future growth and value creation.

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HIT Consultant

APRIL 22, 2024

Sean Barrett, Chief Product Officer at Availity What You Should Know: – Availity , the nation’s leading real-time health information network, has announced the appointment of Sean Barrett as its new Chief Product Officer.

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HIT Consultant

MAY 1, 2024

Steve Albert, Executive Vice President and Chief Product Officer, R1 It’s a perfect storm of financial pressures facing healthcare provider organizations – from rising costs to labor shortages to constrained capacity – that stymies revenue growth. Growing challenges with payer payments only exacerbate these issues.

Compliance 52

Compliance Licensing Nurses Governance 52

Healthcare IT Today

MARCH 18, 2024

the Company), a leading provider of healthcare data and technology products and solutions, today announced that it has signed a definitive agreement to acquire ScienceIO. About Veradigm Veradigm is a healthcare technology company that drives value through its unique combination of platforms, data, expertise, connectivity, and scale.

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HIT Consultant

MARCH 17, 2024

Payers have the added complexity of managing accurate directories that include information about retail health centers, fragmented medical histories, and patient engagement. By working together with authentic data, both payers and retail health centers have a unique opportunity to significantly impact patient care.

Patient Satisfaction 111

Patient Satisfaction Health Outcomes COVID-19 Doctors 111

Healthcare It News

NOVEMBER 14, 2022

Salesforce this past week announced the launch of a new customer relationship management product that works with existing electronic health records. The Patient 360 for Health CRM platform is designed for cost efficiency and productivity, according to Salesforce. WHY IT MATTERS. It also offers recruitment, reporting and other tools.

COVID-19 234

COVID-19 Doctors Hospitals 234

Healthcare IT Today

MARCH 27, 2024

Aakarsh Sethi, Senior Product Manager at Infinx , lists the forms of “fragmentation” in payments: not just many different payers, but different plans with different coverage at each payer, along with pharmacy benefit managers (PBMs) and other third party managers, and rules that are constantly changing.

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Healthcare IT Today

JANUARY 29, 2024

Today, Care Continuity , a leader in data-driven patient navigation serving some of the country’s largest health systems, payers, and ACOs, announced the close of $10 million in Series A-3 funding co-led by Empactful Capital and Viewside Capital Partners with participation from Flat Creek Capital and Loop 289 Limited Partners.

Patient Satisfaction 108

Patient Satisfaction Health Outcomes 108

HIT Consultant

APRIL 9, 2024

To address the benefit needs of underrepresented population groups, payers can develop “more equitable approaches to healthcare benefits design that recognize and meaningfully address access and affordability concerns,” according to a 2022 article in the American Journal of Health Promotion.

COVID-19 97

COVID-19 Health Outcomes 97

HIT Consultant

AUGUST 28, 2023

What You Should Know: In recent years, the complex payer claims and administration market has seen several changes. Historically, payers have used multiple technology vendors and homegrown tools to meet their broad functionality needs. HealthEdge is gaining traction among payers considering solutions.

Medicaid 98

Medicaid Medicaid Medicare Medicare 98

Healthcare It News

MAY 12, 2023

The company says that its mission is to remove the burdens of administrative work across the healthcare revenue cycle and create tools that lower administrative costs, improve productivity and elevate "the daily job experience." "It can easily be two-thirds of their day. "It can easily be two-thirds of their day.

HIPAA 317

HIPAA Medical Billing FDA Licensing 317

HIT Consultant

AUGUST 28, 2023

What You Should Know: In recent years, the complex payer claims and administration market has seen several changes. Historically, payers have used multiple technology vendors and homegrown tools to meet their broad functionality needs. HealthEdge is gaining traction among payers considering solutions.

Medicaid 97

Medicaid Medicaid Medicare Medicare 97

HIT Consultant

NOVEMBER 13, 2023

Against this industry backdrop, chief information and medical officers at healthcare providers and payers are exploring generative AI’s potential to transform clinician productivity. Provider staff use manual processes to submit requests, while payer staff use manual processes to review, approve, or decline them.

US Department of Health and Human Services 111

US Department of Health and Human Services COVID-19 Fraud Nurses 111

Healthcare It News

JANUARY 10, 2023

Similarly, payers will be able to maximise the health benefits generated out of the spending incurred," the NHA explained. The agency further said that in a value-based system, payers can also exercise strong cost controls, resulting in a lesser drain on their premium pools and investments. THE LARGER TREND.

Hospitals 210

Hospitals Health Outcomes Public Health Governance 210

Fierce Healthcare

SEPTEMBER 28, 2023

Solera Health, a benefits network that connects patients, payers and physicians with a curated network of programs, has launched a new one-stop condition management platform. |

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HIT Consultant

APRIL 26, 2024

This comprehensive care model empowers payers to better manage specialty drug costs. We have the flexibility to contract dynamically with any payer. Walgreens Specialty Pharmacy goes beyond medication dispensing; it offers a comprehensive suite of services designed to improve patient outcomes.

Patient Advocacy 94

Patient Advocacy Nurses 94

MRO Compliance

APRIL 17, 2023

a clinical data exchange company, is honored to announce a new success story released today by KLAS Research’s K2 Collaborative , formerly the KLAS Research Payer/Provider Initiative. April 17 , 2023 – MRO Corp., Create governance groups and conduct regular meetings to steer efforts and ensure program advancement. Dr. Daniel J.

Hospitals 130

Hospitals Health Insurance Health Outcomes Governance 130

Electronic Health Reporter

FEBRUARY 5, 2021

By Christina Perkins, NaviNet vice president of product management and strategy, NantHealth. Efficient and effective ways of exchanging information between patients, providers and payers have become even more important during times of crisis, like the […]. This article is copyrighted strictly for Electronic Health Reporter.

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Healthcare It News

OCTOBER 19, 2022

Minneapolis-based Allina Health, working with Flare Capital Partners, has launched a new company, Inbound Health, designed to help health systems and payers design and build hospital-at-home and home-based skilled nursing programs. WHY IT MATTERS. ON THE RECORD.

Hospitals 310

Hospitals Nurses Medicare Medicare 310

Healthcare IT Today

JANUARY 30, 2024

Partnership Enhances Firm’s Portfolio of Healthcare Services Impact Advisors , a leading healthcare management consulting firm, announced it has acquired First Quadrant Advisory , a strategy and operations consulting firm specializing in the healthcare payer market. My team and I cannot be more delighted to be part of Impact Advisors.

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Healthcare IT Today

NOVEMBER 22, 2022

But as organizations balance productivity goals with payer policies, sometimes their version of “enough” patient volume is actually too much. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing. Finally, payers of all stripes may send documentation requests. Tricare and Medicare).

Medicare 95

Medicare Medicare Overpayments Overpayment 95

Healthcare IT Today

JULY 26, 2023

Because data allows for better decision-making, patient records are being requested by payers, communities of care, and patients themselves. However, this can sometimes be overwhelming for healthcare provider organizations that are now getting larger and larger volumes of requests from payers which inundate their systems.

Hospitals 70

Hospitals 70

MRO Compliance

JUNE 1, 2022

Depending on the score of a health plan, payers may receive considerable Medicare financial incentives if a score exceeds a certain level. Why is HEDIS important to patients and payers? This information becomes increasingly valuable to providers during payer contract negotiations.” Analytic file production.

Medicare 130

Medicare Medicare Compliance Medicaid 130

Fierce Healthcare

AUGUST 8, 2023

Generative AI tools have immense potential to improve productivity for health payers, but organizations need to be wary of the risk they pose. Widespread adoption of artificial intelligence in professional settings has swept the nation in the last year, with companies in all industries looking to capitalize on the new technology.

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HIT Consultant

FEBRUARY 22, 2024

Shaping Amwell’s Product Strategy In her new dual role, Dr. Horner will collaborate with hospital systems and payers to implement digital healthcare solutions aimed at enhancing clinical outcomes, improving the care experience, and navigating complex regulatory requirements.

Hospitals 96

Hospitals 96

HIT Consultant

JANUARY 9, 2024

What You Should Know: – Impact Advisors , a leading healthcare management consulting firm, announced today the acquisition of First Quadrant Advisory , a renowned specialist in strategy and operations consulting for the healthcare payer market. “We are thrilled to welcome First Quadrant Advisory into our fold.

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Healthcare IT Today

JUNE 15, 2023

The following is a guest article by Moliehi “Mo” Weitnauer, Chief Product Officer at MRO Providers are witnessing an explosion in health plan requests for medical records. Furthermore, the 21 st Century Act opens the door for greater availability to clinical data among patients, providers, and other requesters such as payers.

Health Insurance 80

Health Insurance Public Health Hospitals 80

MRO Compliance

FEBRUARY 21, 2023

MRO Achieves Clinical Data Milestone for CareFirst BlueCross BlueShield, Successfully Acquiring Over One Million Longitudinal Patient Records MRO’s clinical data exchange solutions navigate the complexity of building a patient record across care settings, by connecting the various data sources across a large payer network.

Health Insurance 130

Health Insurance Hospitals 130