Reimbursement

More than half of members in the state now receive care from providers participating in equity-focused payment contracts, Blue Cross says.

<p>IT, telehealth, clinical decision support, wellness tools and diagnostics all fall into the same category, says Jessica Hauflaire, COO of the Digital Therapeutics Alliance. Digital therapeutics consist of software as a direct intervention to treat, manage or prevent medical conditions.</p>

While AI is spurring success, barriers to treatment remain, says Daniella Gilboa, CEO of AIVF.

Even conditions with a low average cost, such as behavioral health and orthopedic issues, can reach over $1 million, data shows.

Modeling showed per-visit reimbursement that was 6% lower for Black children and 3% lower for Hispanic children.

CMS will conduct preview calls for the 2024 MIPS performance period until June 2, with May 19 being the last day to request a call.

Rising expenses for labor, supplies and drugs, continued workforce shortages, and longer hospital stays have increased financial pressures, AHA says.

Changes in reimbursement and payment policies are impacting remote patient monitoring.

<p>VP of operations David Murtagh, at MultiPlan, which cofounded the Synaptic Health Alliance with United Healthcare, Humana and others, will speak at HIMSS23 about emerging use cases for distributed ledger technology for payers and providers.</p> <p> </p>

<p>Atlantic Health System has reduced patient wait times for radiology by using workflow optimization, AI technologies and process modifications. Danielle Pieloch and Kumar Aditya preview of their HIMSS23 presentation.</p> <p> </p>