Believe it or not
I ' m gifting Krugthulu ' s column today, which tells the amazing truth about our new Speaker of the House. Do read, but just for starters:Much of the reporting on [Mike] Johnson has,
understandably, focused on his role in the efforts to overturn the 2020
election. Let me say, by the way, that the widely used term “election
denial” is a euphemism that softens and blurs what we’re really talking
about. Trying to keep your party in power after it lost a free and fair
election, without a shred of evidence of significant fraud, isn’t just
denial; it’s a betrayal of democracy.There
has also been considera...
Source: Stayin' Alive - October 27, 2023 Category: American Health Source Type: blogs
Jean-Claude Saghbini, Lumeris
Jean-Claude Saghbini is the CTO of Lumeris and also the President, Lumeris Value-Based Care Enablement. Lumeris has been in business quite a while now, providing the technology which (in general) hospitals and medical groups use to manage to their workflows predominantly for Medicare Advantage. It also owns a big medical group (Essence in St Louis) and has close connections with John Doerr of Kleiner Perkins fame, whose brother was involved in its formation. Kleiner also funded Healtheon (the precursor to WebMD) of which current Lumeris CEO Mike Long was the founding CEO. I interviewed Jean-Claude at HLTH to get the update...
Source: The Health Care Blog - October 27, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Health Tech Essence Healthcare Jean-Claude Saghbini Lumeris Medicare Advantage Source Type: blogs
CMS ’s Policy on Mental Health Therapists Will Work
By JON KOLE
Nearly 66 million Americans are currently enrolled in Medicare, a number that will likely swell towards 80 million Americans within the next seven years. These are our mothers, fathers, aunts, uncles, grandparents and friends – and, maybe, you.
A significant portion of these millions of people need mental health services – and, yet, many face long wait times or aren’t able to find a therapist at all. On average, Americans have a waiting period of 48 days before receiving mental health care. At present, two notable provider groups – Marriage and Family Therapists...
Source: The Health Care Blog - October 24, 2023 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Headspace Jon Kole Mental Health Therapy workforce Source Type: blogs
Turning Increased Ambulatory Volumes into Financial Strength: 4 Moves for RCM
The following is a guest article by Pete Heydt, President at Patient Pay
Ninety-five percent of healthcare leaders expect outpatient volumes to increase, with many anticipating increases of 10% or more this year, a recent survey found. However, capitalizing on increased activity demands that leaders streamline their operations—including around patient financial engagement and payment—so they can make the investments needed to set themselves apart from the competition.
For example, as outpatient services such as infusions outpace projections, and as the Centers for Medicare & Medicaid Services open the door to mor...
Source: EMR and HIPAA - October 23, 2023 Category: Information Technology Authors: Guest Author Tags: Administration Ambulatory C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Revenue Cycle Management Bill Notification Outpatient Care Patient Communication Patient Pay Source Type: blogs
Bonus Features – October 22, 2023 – 57% of patients accessed portals or medical records in 2022, 21 orgs make Level 10 in the 2023 CHIME Digital Health Most Wired Survey, and more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
News
Nearly six in 10 (57%) of patients accessed online medical records or patient portals in 2022, according to the latest ONC data brief. This total has doubled since 2017. This compares to 73% of patients who were offered acc...
Source: EMR and HIPAA - October 22, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT @EqualityHealth 9amHealth Alliance for Pediatric Device Innovation Amazon Web Services Artisight Avidex CareCloud Censinet CHIME Densitas Fairtility First Health Advisory FOLX Health Health iPASS Healthcare IT T Source Type: blogs
Aspects of Social Determinants of Health: Specific Types of Help
This is the final article in a series about social determinants of health (SDoH). Previous articles covered the definition, collection, sharing, and use of SDoH. I’ll finish with a look at some specific areas of intervention.
We’ve seen the importance of personal interventions, through interviews and evaluating SDoH, to solve problems. In rural areas, where it might be daunting either to travel to a doctor or to schedule an online visit with poor Internet access, home visits fill the gap. Conduit Health Partners is one organization that does so. A patient can speak to a nurse immediately—as opposed to calling...
Source: EMR and HIPAA - October 20, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Case Management Cheryl Dalton-Norman Clara Lambert Conduit Health Partners Genpact Health Link Adviso Source Type: blogs
Aspects of Social Determinants of Health: Acting on SDoH
Previous articles in this series introduced the importance of social determinants of health (SDoH) and explained how it can be captured and classified. In this article, I’ll show how many hospitals, payers, and other institutions are acting on that data.
Of course, the staff of a clinic or hospital don’t go around looking for apartments the way they actively look for a long-term care facility. Instead, their case managers partner with community institutions to help patients. But the clinic or hospital is a crucial linchpin in connecting the patient to this help. According to Dr. Victor Lee, vice president of cl...
Source: EMR and HIPAA - October 19, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Interoperability AdhereHealth Avanade Case Management CipherHealth Clinical Architecture ClosedLoop Source Type: blogs
Aspects of Social Determinants of Health: Collecting Data
This article shows how organizations are collecting it.
Andrew Eye, CEO of the healthcare data science company ClosedLoop, estimates that about 15% of physicians collect SDoH-related data from patients and use it to assess their needs. The percentage is much higher in some areas.
Data can be spotty, according to Eye, who says for instance that data from Centers for Medicare & Medicaid Services (CMS) often lacks racial identifications.
He also says that collecting and processing the data is labor-intensive, because it can be hard to persuade patients to talk openly about financial and logistical problems. At the institu...
Source: EMR and HIPAA - October 18, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Andrew Eye Arick Morton Carta Healthcare Case Management Casetivity CDC Clinical Archictecture Cl Source Type: blogs
Health Data Analytics Institute (HDAI) Announces $31 Million Funding Round to Scale Predictive Risk Platform
Investment will Drive Expansion of New AI Platform, In Use by Houston Methodist and Additional Health Systems
Health Data Analytics Institute (HDAI)— an artificial intelligence (AI) company focused on empowering clinicians, optimizing care pathways, and improving patient outcomes — today announced an oversubscribed Series C financing to scale its predictive risk platform.
“We are grateful for the continued support of our investors, who recognize the value to be unlocked by transforming huge volumes of health data into actionable insights,” said Nassib Chamoun, Founder and CEO at HDAI. “HDAI is commi...
Source: EMR and HIPAA - October 17, 2023 Category: Information Technology Authors: Healthcare IT News Tags: Health IT Company Healthcare IT Cleveland Clinic Dana-Farber Cancer Institute Ed Kania HDAI Health Data Analytics Institute Health IT Funding Health IT Fundings Health IT Investment HealthVision Hlth Houston Methodist Nassib Cham Source Type: blogs
Aspects of Social Determinants of Health: An Introduction
It’s always been pretty obvious that factors such as wealth, race, education, and the quality of food and water have enormous impacts on health. But only in the past few years have the medical professions tried to quantify and capture these factors. Given that the field is increasingly digitized and data-driven, health IT is responsible for collecting and analyzing social determinants of health (SDoH). Data can both call out SDoH and help to address its effects.
An example of calling out SDoH was cited by Dr. Sherri Onyiego, Medical Director for the Texas Market at Equality Health. They use claims data to track use o...
Source: EMR and HIPAA - October 16, 2023 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Regulations Care Management SDOH Social Determinants of Health Source Type: blogs
Your Insulin of the Future Could Be " Made in China " if Big PBMs Have a Say in the Matter
Back on June 16, 2022, I published an article on LinkedIn entitled "How the Civica Insulin Announcement May Be Disruptive to the PBM Kickback Scheme" (see the article athttps://www.linkedin.com/pulse/how-civica-insulin-announcement-may-disruptive-pbm-scheme-strumello/ if you wish to read it) which predicted that a growing number of insulin biosimilars whose active pharmaceutical ingredients (API ' s) are cultured in offshore laboratories are forecast to hit the U.S. market in the next few years. According to the FDA and the individual companies whom I also follow on LinkedIn, the U.S. Food and Drug Administration (FDA) typ...
Source: Scott's Web Log - October 15, 2023 Category: Endocrinology Tags: 2023 Congress insulin insulin prices lawmakers PBM Pharmacy Benefit Managers Source Type: blogs
Bonus Features – October 15, 2023 – 66% of orgs hit by cyberattacks report disruptions to patient care, 75% of Americans don ’ t trust AI in a care setting, and 26 more
This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Because there’s so much happening out there in healthcare IT we aren’t able to cover in our full articles, we still want to make sure you’re informed of all the latest news, announcements, and stories happening to help you better do your job.
More News from HLTH
Walmart employees using virtual care provided by Included Health saw an 11% reduction in the total cost of care, the companies announced. Given these results, Walmart is expanding this three-year pilot to al...
Source: EMR and HIPAA - October 15, 2023 Category: Information Technology Authors: Brian Eastwood Tags: Healthcare IT Active Minds Arrive athenahealth BrainCheck Brightside Health Butterfly Network Carta Healthcare CHIME Clearsense Concert Health Fifth Eye First Health Advisory Galen Healthcare Solutions GoodRx Harris Data Inte Source Type: blogs
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Successful Medicare drug price negotiation may depend on a level of confidentiality to enable frank interaction, which can conflict with transparency.
(Source: The Commonwealth Fund: Blog)
Source: The Commonwealth Fund: Blog - October 13, 2023 Category: International Medicine & Public Health Authors: Kate Meyer, Jeremy Sharp Source Type: blogs
Prior Authorization Takes a Leap Forward in CMS Regulation
The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. I talked to Nikki Henck, Senior Director of Utilization Management at Sagility, about the implementation and potential impact of this proposed requirement, which, if finalized, will be enacted in January 2026.
The Dilemma of Prior Authorization
Prior authorization, also known as a pre-approval, strikes fear into both patients and providers. In a 2022 American Medical Association physician survey, 88% of providers said that the burden of doing prior authorization was high or extremely high. Anothe...
Source: EMR and HIPAA - October 12, 2023 Category: Information Technology Authors: Andy Oram Tags: Administration Health IT Company Healthcare IT Interoperability Regulations AMA CMS Electronic Prior Authorization FHIR Nikki Henck Prior Authorizations Sagility Source Type: blogs
Monitoring for Waste: Evidence from Medicare Audits
Maggie Shi (University of Chicago), Monitoring for Waste: Evidence from Medicare Audits, (U. Chi. Inst. for Econ., Working Paper No. 2023-110) (2023): This paper examines the tradeoffs of monitoring for wasteful public spending. By penalizing unnecessary spending, monitoring improves the... (Source: HealthLawProf Blog)
Source: HealthLawProf Blog - October 12, 2023 Category: Medical Law Authors: Katharine Van Tassel Source Type: blogs
