Alivia Analytics’ Post

🎉 Happy New Year! 🌟 Exciting developments in healthcare for 2024: 🤖 Hospitals and insurers are racing to adopt AI tools for billing and processing $4 trillion in medical expenses. 💡 AI promises efficiency gains, revenue maximization, and potential workforce reductions. 🏥 Providers aim for quicker claims filing, while insurers seek tools to scrutinize bills effectively. 🚀 The AI revolution in healthcare billing is reshaping the industry, impacting Medicare, Medicaid, and private insurers. #HealthTech #HappyNewYear #AIinHealthcare 🌐💊💰

AI learning .

Partnership Announcement: Elevating Healthcare Together 🌟 Exciting News! 🌟 We are excited to share the launch of our inaugural blog post in collaboration with EMI Advisors LLC, a leading expert in health and social services data interoperability. An educational series shedding light on the progression of #valuebasedcare programs within the Centers for Medicare & Medicaid Services (CMS); we are diving deep into advanced #alternativepaymentmodels (AAPMs), with a special focus on the groundbreaking AHEAD and Making Care Primary (MCP) models. These models are not only reshaping healthcare but also highlighting the critical importance of seamlessly integrating clinical, financial, and social care #data. In our inaugural blog post, we delve into the pivotal role of #telehealth , #artificialintelligence (AI), #healthinformationexchange (HIE), and #dataanalytics in catalyzing tangible improvements in care #quality, patient outcomes, and operational efficiency. Stay tuned for insightful discussions and actionable insights as we navigate the evolving landscape of value-based care together. #populationhealth https://lnkd.in/eDU7evFh

Health Data News Roundup: Cracking 2025 CMS Start Ratings Code; Humana to Exit MA Markets; and Payers and Medical AI #MAPlans #HealthData #Payers #HealthPayers https://bit.ly/4gfmhoR

An interesting article on payer-provider collaboration and how AI can be leveraged to benefit both parties. #payer #provider #healthcareai

Verantos Bolsters Real-World Data Network with 7M Patient Records from CuriMeta - HIT Consultant Title: Verantos Bolsters Real-World Data Network with 7M Patient Records from CuriMeta #Overview: Verantos, a healthcare IT company, has expanded its real-world data network by acquiring 7 million patient records from CuriMeta. This acquisition will enhance Verantos' ability to analyze real-world patient data for research and clinical trials. #Benefits of Real-World Data: Real-world data provides valuable insights into patient outcomes, treatment effectiveness, and healthcare trends. By leveraging this data, healthcare IT professionals can make more informed decisions and improve patient care. #Verantos' Data Network Expansion: Verantos' acquisition of 7 million patient records from CuriMeta significantly expands its real-world data network. ai.mediformatica.com #verantos #data #research #network #acce #evidence #lifescience #platform #realworlddata #acceibility #collaboration #community #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/43TxYfn)

Though traditionally seen as having conflicting interests, payers and providers CAN come together to collaborate for better healthcare outcomes. Dr. Matt Mesnik’s feature in Physicians Practice, "The payer-provider partnership: AI a bridge to better outcomes," explores how AI serves as a crucial bridge. Read now: https://lnkd.in/dkBiHBBq Discover the role of AI in aligning goals, streamlining processes, and improving patient care for both payers and providers! #AIinHealthcare #healthcareinnovation #patientcare #payers #healthcareprovider

Providence CEO Rod Hochman, M.D., offers ten healthcare predictions for 2024. Trends include the proliferation and ethical use of GenAI, the adoption of innovative care models, shake-ups in payment models and costs, and pressures on for-profit insurers to prioritize patients over profits. Other Hochman projections relate to maternal health, re-engineered access to care, data-driven breakthroughs and outcomes, administrative collaboration, and reduced carbon footprints.   My take is that Gen AI will transform clinical decision-making, research, and operations. Healthcare must address workflow bottlenecks while building trust in AI content and extracting more value from healthcare data. Among the issues: How should healthcare prioritize Hochman’s list of predictions? How should healthcare leaders define, measure, and report their success in addressing these trends?   https://lnkd.in/eCJXVQGT #Hochman #2024 #healthcaretrends #healthcarepredictions #healthcareforecast #ProvidenceHealthSystem #Jena Abernathy #KornFerry  

What if your clinicians could reduce the time required to comb through pages of EMR data to determine appropriate annual coding for their patients?  The new HCC Optimizer tool, included in Health Data Analytics Institute (HDAI)’s Intelligent Health Management System, HealthVision, streamlines HCC recapture. Now, for every applicable HCC, you can compare each patient to those with similar patterns of condition diagnosis over 3 years. This helps clinicians answer, is this diagnosis likely to re-occur? How much weight does this diagnosis carry?  HDAI’s privileged access to the Medicare database allows us to identify patient-specific coding opportunities based on coding patterns from millions of patients across the country thus uncovering gaps in code recapture that are most likely to occur and to have an impact on complexity scores. For ACO beneficiaries, this includes opportunities that may have been previously captured outside of your system and your EMR.  HCC Gaps can be viewed by provider group and provider to enable prioritization and impactful action. The resulting list helps clinicians to streamline visit preparation and enhance provider-patient conversations.  How do your providers prioritize HCC coding efforts?  #AI #ML #populationhealth #accountablecare #valuebasedcare 

The Evolution of How Provider Organizations Share Data with Payers - Healthcare IT Today Summary: In this blog post, we explore the evolution of how provider organizations share data with payers. The process has transformed over the years, with advancements in technology and data sharing practices. Let's delve into the key stages of this evolution. #Traditional Methods of Data Sharing Initially, provider organizations relied on traditional methods of data sharing with payers. This involved manual processes, paper-based documentation, and limited electronic communication. #Introduction of Electronic Health Records (EHRs) The introduction of Electronic Health Records (EHRs) revolutionized data sharing between providers and payers. EHRs allowed for more efficient sharing of patient information, improved accuracy, and streamlined communication. #Interoperability Challenges Despite the benefits of EHRs, ai.mediformatica.com #health #healthcare #data #interoperability #shares #this #about #anthonymurray #community #healthcare #healthit #healthcaredata #digitalhealth #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/3vu1N9d)