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Many of the hoodied SXSW technologists interested in digital health might have found today’s discussions at the Real Endpoints Symposium in Philadelphia especially illuminating, Read More...
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Health. Care.
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Mon, Mar 11 2013
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Filed under: Reimbursement, health, Pharma & Healthcare, Innovation & Science, byline=David Shaywitz, Innovation, Payers, pharmaceutical, Startups, ticker=NYSE:MRK, medical discovery
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One thread MobiHealthNews has been following since 2010 is the changing role of the payer in digital health. The buzz at the mHealth Summit suggested that 2013 could be a big year for payers taking on more proactive, preventative measures to reduce their own costs and improve the health of their clients...
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mobihealthnews
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Thu, Jan 24 2013
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Filed under: Uncategorized, diabetes, Payers, BodyMedia, BodyMedia FIT Armband, diabetes management, Diabetes Prevention, Audax Health, Cigna, role of the payer
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It is now nail-biting time, as we here at Chilmark Research brace ourselves for the upcoming Supreme Court decision on the legitimacy of the Affordable Care Act. We as a nation are indeed living in very interesting times and I am again reminded why I find healthcare markets endlessly fascinating (and...
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Chilmark Research
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Thu, Jun 21 2012
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Filed under: Social Media, Patient Engagement, Payers, ACO, consumer health, Kaiser Permanente, Humana, Aetna, Cigna, gamification, UHG
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By Padma Nagappan David Sayen, regional administrator for the western states with the Centers for Medicare and Medicaid Services, recalled meeting Rob McCray, president and CEO of WLSA back in 2006 when the iPhone was not even out yet: ”Rob talked about wireless technology and I wondered ‘what’s...
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No matter how you feel about the federal incentive program to drive the adoption of healthcare it, the numbers speak for themselves. The Centers for Medicare & Medicaid Services announced in early May that the federal government had paid out more than $5 billion in meaningful use incentives as of...
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(Note: This is the second of a two-part post.) Keeping it Local This is most representative of the status quo and the most realistic path forward for the vast majority of payers who typically operate at the local level. In this scenario, one or more health plans in a regional market partner with other...
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Chilmark Research
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Mon, Feb 20 2012
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Filed under: EHR, HIT, HIE, Health Portals, Policy, Payers, ACO, consumer health, privacy, NaviNet, Lumeris, BCBS
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The numerous changes in the healthcare sector are forcing stakeholders to develop new business models to prosper, to survive. Among health insurers, this means one thing: diversification. Health reform was the nail in the coffin of yesterday’s business model, a model that had no restrictions on margins...
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Chilmark Research
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Thu, Feb 16 2012
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Filed under: EHR, HIE, cloud computing, Policy, Standards, Payers, Medicity, NaviNet, Lumeris, Optum
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This past week I had the pleasure of traveling, along with MedTech Media Editorial Director Rich Pizzi, to Amelia Island, Fla. for the inaugural HIMSS Leaders & Innovators conference. There, a select group of senior healthcare executives – CEOs, CFOs, CIOs, and more – spent two days discussing...
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Latest Blog Entries for heathcareitnews.com
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Tue, Nov 22 2011
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Filed under: Industry News, electronic health records, Business Intelligence, Quality and Safety, Mobile/Wireless, Health Information Exchange (HIE), Physician Practices & Ambulatory Care, Policy and Legislation, Hospitals & IDNs, ARRA/Stimulus, Privacy and Security, Vendors, Payers, Editorial & Commentary, Department of Health and Human Services, Florida, Vermont, Supreme Court, Todd Park, Rich Pizzi, Claims Processing, Robert Gibbs, Bill Frist, White House, Enterprise Resource Planning, MedTech Media, Tennessee, Howard Dean
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When Dr. Farzad Mostashari, the National Coordinator for Health Information Technology, addresses more than 4,700 healthcare professionals at the Allscripts Client Experience in Nashville on Monday morning, Aug. 29, he’s likely to discuss one of the most exciting developments in healthcare today...
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Latest Blog Entries for heathcareitnews.com
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Sun, Aug 28 2011
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Filed under: Industry News, electronic health records, Allscripts, Quality and Safety, Health Information Exchange (HIE), Physician Practices & Ambulatory Care, Policy and Legislation, Hospitals & IDNs, ARRA/Stimulus, Privacy and Security, google, Vendors, Payers, Information technology, ePrescribing, Farzad Mostashari, Nashville, search engine
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Payers, as with the rest of the healthcare industry, have a lot on their plate right now. Healthcare reform, via the Affordable Care Act (ACA) continues its march forward despite legal and political uncertainty. Struggling to define the payer role in Accountable Care Organizations (ACOs), understanding...
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Chilmark Research
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Wed, Jun 22 2011
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Filed under: Policy, Payers, PHR, HIX, PCMH, healthcare reform, AHIP, ACO, AHIP Institute, Affordable Care Act, consumer health
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The Centers for Medicare and Medicaid Services recently announced it has paid out more than $75 million for the meaningful use of electronic health records under the American Recovery and Reinvestment Act (ARRA). Is this really spurring adoption? read more Read More...
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Latest Blog Entries for heathcareitnews.com
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Wed, Jun 22 2011
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Filed under: Medicare, Industry News, electronic health records, Physician Practices & Ambulatory Care, Hospitals & IDNs, ARRA/Stimulus, Texas Health Resources, Ferdinand Velasco, Vendors, Neil Calman, Marc Probst, Payers
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Attending the annual health insurers confab (AHIP Institute) last week gave one some insight as to the challenges this part of the healthcare industry is facing. There were plenty of sessions on addressing data analytics for everything from population health management to fraud, a number of other sessions...
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Chilmark Research
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Sun, Jun 19 2011
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Filed under: CMS, HIT, Policy, Payers, HIX, AHIP, ACO, Affordable Care Act, consumer health, health insurance exchange
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I have covered TriZetto, which is somewhat of a competitor of Ingenix when it comes to analytics and providing the least cost routing in healthcare. We all still question and should whether or not this represents the best care. I have included a few links from the recent past and TriZetto...
Posted to
The Medical Quack .... by Barbara Duck
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The Medical Quack
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Tue, Feb 22 2011
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Filed under: Medically Related, Technology, My Commentaries, healthcare, Claims, Business Intelligence, India, payers, Records, Ingenix, healthcare cost, EOB, Trizetto, reimburements, Tela Sourcing, Gateway EDI
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These folks are not doing anything that everyone else in healthcare is doing but since the press release came out today they can be the example of where tons of money goes in Health IT and the question always arises about the ROI on buying more software and algorithms. Should it today be just another...
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The Medical Quack .... by Barbara Duck
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The Medical Quack
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Mon, Jan 24 2011
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Filed under: Medically Related, Technology, Health IT, software, Algorithms, payers, analysis, bubble, RemitDATA, cha ching, Saas
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Per the press release, this is the fourth proprietary investment in outsourced services for payers in healthcare. Most of the investments we see today are on the payer side (where the big money is made in healthcare) and focuses on algorithmic formulas designed to contain cost. Water Street...