Category: Editorial

The Role of EHR Platforms and Technology In Concierge Care

By Sameer Bhat, vice president of sales and co-founder, eClinicalWorks.

How has the pandemic changed your view of healthcare? For many patients, they recognized that the services their doctor was providing them wasn’t good enough. In a recent survey from Concierge Medicine Today, 25% of respondents said convenience and long wait times were an issue when going to the doctor, while 16% said they feel like a number. Many found a solution in concierge care.

Concierge care provides personalized care to members with added flexibility to work with patients’ schedules. Many concierge doctors offer at-home appointments, on weekends or after-hours for added convenience. Because of the benefits this type of care offers, the market is experiencing tremendous growth. In the next 10 years, concierge care market size is expected to nearly double to $22.7B.

C by Precision Care is a leading global medical navigation concierge business that provides access to revolutionary predictive, personalized, and life-saving diagnostic tools. The business was created to offer new medical technologies and innovative precision diagnostics. With such innovative tools for patient care, the practice wanted to ensure that its internal technology and software were just as advanced.

A Digital File Cabinet and Search Engine for Patient Records

A doctor-patient relationship is developed over time so that the doctor has a deeper understanding of a patient’s medical history and needs. But when a patient needs to visit a new doctor or change doctors, their medical history needs to move with them. While the industry has undergone a massive transformation, digitizing physical records into electronic health records (EHRs), there’s still room for improvement when it comes to accessing and organizing all that data.

C by Precision Care gathers records from hospitals such as Mount Sinai, Holy Cross and Baptist which use different EHR software. With multiple EHR software platforms to search depending on the hospital a patient is referred from, providers waste time trying to piece together a patient’s medical history. EHR platforms are creating innovative solutions to help streamline this process. PRISMA is a health information search engine that brings together records from small clinics to large-scale hospital systems into one searchable system. It also aggregates patient information from insurance payers and patients’ wearable devices to promote better interoperability. C by Precision Care is using the tool to search for patients records more efficiently and use their findings to improve value-based care.

Continue Reading

3 Ways Process Automation Can Help with FHIR Adoption

Profile photo of Jason Warrelmann
Jason Warrelmann

By Jason Warrelmann, vice president global services and process industries, UiPath.

FHIR, or Fast Healthcare Interoperability Resources, are quickly being adopted on a massive scale. While only 24% of healthcare companies currently utilize application programming interfaces (APIs) at scale, according to recent data, FHIR APIs will become widespread by 2024.

The data also shows that more than 50% of providers (out of 400 surveyed stakeholders) said they are consuming and producing a large number of APIs. However, some players lag behind, with 43% and 37% saying they consume and build APIs, respectively. That being said, however, 67% of providers and 61% of players expect their respective organizations to utilize APIs at scale as soon as 2023.

But what exactly does FHIR do?

Developed by Health Level 7, or HL7, FHIR has quickly become the standard for representing and exchanging health information. FHIR enables how healthcare information can be exchanged between different computer systems regardless of how it is stored. It allows this information, including clinical and administrative data, to be available securely to those who need access to it and who have the right to do so for the benefit of a patient receiving care. However, FHIR APIs are not easy for businesses to adopt, as it is mostly driven by the need for compliance with interoperability rules today. For healthcare providers, this means several steps of preparation before they can be fully FHIR-ready.

FHIR-enabled automation can help make this adoption easier, leaving the preparation to software robots. Automation software makes sharing data and information between teams more seamless, ensuring everyone is on the same page when it comes to FHIR APIs. FHIR-enabled automation also ensures compliance and streamlines important processes, reducing the cost of FHIR adoption and making it faster and more efficient.

Here are the three ways FHIR-enabled automation can simplify the FHIR adoption process:

Continue Reading

Caregiver Burnout: What Is It and How Can Technology Help?

For many people, looking after a loved one with a serious health condition is a choice they gladly make. But that doesn’t make it an easy decision to live with every day. Taking care of someone places an enormous responsibility on your shoulders, as you invest all your time and energy into their wellbeing.

Caregiving can drain your energy, not just because of the physical demands of the task. You can feel like you’re on an emotional rollercoaster as you provide palliative care, with warring feelings of sadness, frustration, and guilt.

Before you know it, you’re exhausted, stressed out, and struggling through caregiver burnout. Sound familiar? Let’s look at what it means to be burnt out as a caregiver and how you can prevent it from interfering with your life.

What is caregiver burnout?

Everyone has a bad day or two where they feel like nothing can go right — that’s completely normal. Caregiver burnout goes above and beyond isolated feelings of fatigue or apathy. It describes the chronic feelings of exhaustion, frustration, and stress that result from looking after another person.

Burnout can happen to anyone, regardless of the work they put into caregiving. Anyone can feel the burn — whether you look after your loved on your own or coordinate with an at-home palliative care service for assistance.

Caregiver burnout can result from working long hours to ensure your loved one always has someone with them. It can also stem from the feeling of hopelessness, especially if you’re looking after a loved one with dementia or another life-limiting disease. You might feel disengaged and worn out.

The symptoms of burnout are varied:

What can you do to alleviate burnout?

Continue Reading

Vytalize Health Closes $100M To Support Value-Based Care

Vytalize Health, a leading risk-bearing provider enablement platform, announced it has closed $100 million in funding led by Enhanced Healthcare Partners and Monroe Capital, with participation from North Coast Ventures. The new capital will advance its responsible value-based care for seniors proposition by strengthening primary care practices.

“We have a responsibility to ensure the ongoing success of value-based care by building high-performing systems of care that truly advance quality, improve the patient experience, and are sustainable for providers and the system overall. We believe primary care is a key part of the delivery system and that we must protect and reward independent primary care physicians who deliver more data-driven and effective care to patients. In this outcome-based environment, we can focus on real, proactive health care vs. sick care and align our model with what’s better for patients,” said Faris Ghawi, Vytalize Health co-founder and CEO.

Decisions made in the primary care setting have an important impact on healthcare quality and spending, given that primary care physicians influence a significant portion of downstream utilization, including that of specialists, hospitals, and ancillary service providers like home health agencies and nursing homes.

Vytalize Health partners with primary care practices for more than 250,000 patients and offers evidence-based recommendations at the point of care. By delivering the right data at the right time in the workflow to physicians and their staff, Vytalize makes practices more efficient and effective. The platform provides financial incentives to practices that follow recommendations and drive better health outcomes for patients.

Vytalize Health’s approach to improving access to high-quality care also includes operating a virtual and in-home clinic. The organization has launched several initiatives over the past few years, such as the Priority Care program, which leverages data to identify patients with the greatest needs. This program extends the practice’s reach to patients’ homes and incorporates social, economic, and other non-clinical factors in their environment, taking a holistic approach to care.

Tech In The Healthcare Industry: Guarding Against Digital Roadblocks

Profile photo of Ron Strachan
Ron Strachan

By Ron Strachan, healthcare CIO advisor, Zoom.

Healthcare is constantly evolving, with new technologies permanently changing the hospital and care delivery models. Today, medical practitioners are leveraging technology with medical care devices and electronic health records that are kept digitally secure for patients.

Digital communication plays an essential role in the provider-patient relationship, especially in clinical settings, where patients’ health is at stake. Technology benefits patients and practitioners by making their lives easier and files more accessible. However, digitally powered facilities face unique challenges when natural disasters, cyber attacks or power outages strike.

The safety and functionality of medical facilities is paramount, regardless of outside factors. To this end, collaboration solutions, like Zoom, have built local survivability into offerings to help ensure seamless operations under any circumstance. Local survivability enables ongoing communication in healthcare and other industries, allowing organizations to maintain internal and external connectivity, establish on-site safety, serve patients, minimize revenue loss and continue clinical care during outages.

The vital role local survivability and accessibility play in a digitally progressive world

Survivability allows organizations to connect to a local network to continue operations when connectivity is lost. Local survivability can help sustain internal dialing functionality and basic supplementary services to mitigate disruption in case a data network fails and the application server loses connectivity with the storage server. In the case of a natural disaster, vital communication tools, including phones, can be impaired due to failed network connectivity.

In the healthcare industry, this inconvenience becomes life-threatening when examining how practitioners would handle situations that depend on expedient communication. How would a nurse contact a doctor if a patient is experiencing chest pain? How would a doctor at home call an intensivist to get an update on a recently treated patient? Phone uptime is critical in these conditions and more.

Continue Reading

FutureRx Launches Healthcare Platform For Health Plans and PBMs

FutureRx

FutureRx (FRx) announced today the launch of its first-of-a-kind healthcare platform for health plans and pharmacy benefits managers (PBMs) that combines modular technology solutions and, if needed, seamless access to pre-vetted fully integrated service providers on a single platform. FRx is a cloud-based, modular, user-configurable technology platform that was built from the ground up to meet complex and continuously evolving compliance requirements in today’s Medicare and Medicaid environment. As such, it is 100% compliant with government-sponsored regulations out of the box.

Once on the platform, health plan and PBM users can select from a full range of technology modules – including Rx Prior Authorization, Appeals/Grievances, Part D Stars, Drug Management Programs (DMP) and more – that are preconfigured out of the box with workflow and letters, and fully integrated with SureScripts and CoverMyMeds, as well as fax, phone, email, and mail capabilities that eliminate costly and time-consuming implementations.

If additional support service is needed by our customers, the FRx Marketplace provides access to a comprehensive network of pre-vetted partners that deliver a full range of specialized services. These services include, but are not limited to, customer service, formulary and rebate management, prior authorization, appeals and grievance management, mobile low-cost drug alternatives, and more. FRx Marketplace service partners are fully integrated with FRx technology modules for rapid go-to-market and hassle-free service changes.

Continue Reading

AGS Acquires Offshore Patient Access BPO Unit From Availity

Patrice Wolfe

AGS Health, a leading provider for tech-enabled revenue cycle management (RCM) solutions and strategic growth partner to healthcare providers across the U.S., announces the acquisition of the India-based patient access outsourcing business unit of the Florida-based healthcare technology company Availity.

With more than half of U.S. hospitals anticipating a year of negative margins, achieving full and accurate reimbursement for services has never been more critical. With this expansion, AGS Health is positioned to provide faster, more flexible financial clearance solutions at an even greater scale to help increase customers’ first-pass reimbursements rates.

“At AGS Health, our focus is greater financial freedom for healthcare organizations, allowing them to reinvest in their vision for superior patient care,” said Patrice Wolfe, CEO of AGS Health. “With this acquisition, we can better equip our customers with the tools and expert services necessary to help overcome payer complexities, reduce denial rates, mitigate revenue leakage, and accelerate cash flow on the back end.”

The acquisition allows AGS Health to expand the capabilities of the AGS AI Platform with new technology to enhance accuracy and scalability and further streamline patient access operations. The technology platform is capable of automatically determining, submitting, and verifying the status of prior authorization requests. Additionally, estimates of the patient’s out-of-pocket cost can be automatically generated based on payer rules set by the healthcare organization.

The move will also add approximately 200 patient access service team members to AGS Health’s global team of more than 11,000 college-educated, trained RCM experts. With labor shortages devastating all areas of the healthcare system, outsourced services are more critical than ever – particularly as financial clearance performance depends on access to qualified, skilled labor.

“This acquisition is just part of our continued investment in our customers’ success with automation technology and expert teams,” Wolfe adds. “As growth partners, we are committed to equipping our customers with flexible, modern solutions to mitigate risk and adapt to change. This is part of what we call ‘AI with a human touch’.”

6 Crucial Technologies To Help Seniors Monitor Their Health

Free Woman Indoors photo and picture

Health monitoring technologies are a healthier and safer way for seniors, especially those who want to age in place. It improves older adults’ quality of life while making them more independent, boosting their self-esteem. Health monitoring technologies help enhance seniors’ safety, mainly those with dementia or cognitive impairment. They have simple-to-use features that senior citizens can quickly learn and adopt.

These technologies offer connections to assistance, ensuring peace of mind for the older adult’s loved ones and caregivers. This article outlines six crucial technologies to help seniors monitor their health.

1.   Wearable technology

Wearable technology consists of smart electronic devices worn on the skin’s surface to detect and study information regarding different bodily functions. Wearable devices for the elderly can help monitor your health, letting you remain active while feeling safe. They have small sensors that record even the most minor body changes, including increased heart rates, with new details displaying every few minutes or seconds.

Wearable technologies that track your health enable you to share information with your doctor, including your mobile dentist, loved ones, and home support workers to ensure they’re always aware of your health condition and any unexpected medical emergency. Fitness trackers, GPS technology, smart watches, personal alarms, and heart rate monitors are wearable devices you can invest in to monitor your health.

2.   Telemedicine technology

Attending regular doctor appointments can be challenging for the elderly, especially those with restrictions or who are homebound, which makes it hard to leave home. Telemedicine or telehealth leverages telecommunication and electronic technology to offer medical care remotely. It provides seniors with alternatives to manage complex health issues, access care whenever needed, and minimize the burden on their caregivers.

Telehealth technology promotes convenient access to clinical care. It also supports remote symptom monitoring where health data, including cardiac stats, blood pressure, respiratory rates, and oxygen levels, is reported, gathered, and assessed. Telemedicine technology features allow the storage and sharing of medical data, such as X-rays, MRIs, CAT scans, and texts, videos, and photo-based patient data.

Continue Reading