Health care changes coming

Finger Lakes Health (FLH) healthcare system is starting the process of exploring partnership options, according to an announcement released last week. These will include all areas of acute and long-term care health services to the Yates County community through Soldiers & Sailors Memorial Hospital, the Homestead, primary care services, and specialized services.According to the announcement, Finger Lakes Health plans to contact and vet select healthcare organizations to identify potential partners willing and able to improve health and promote well-being in the communities Finger Lakes Health serves.

Spotlight

Medseven Healthcare

“Our principle is to help our target market look and feel better in every aspect possible by building a healthy environment.” With presence over the course of four decades in United Arab Emirates, our board of directors at MEDSEVEN has excelled in Retail Pharmacy Industry. MEDSEVEN is a leading distribution company in UAE supplying Medical, Pharmaceutical and Generic and Cosmetic products over 135 target Retail Pharmacies in the industry.

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Health Technology, Digital Healthcare

4 trends that are shaping product management in health care

Article | July 14, 2023

“Health care is different, the data here is emotional! If you tell me you were buying a fishing rod online and were emotional about it, I’d say you are lying. But I do frequently see people helpless and confused when it comes to receiving health care, managing its costs, making sense of its data.”  - Senior Product Leader inOptum Global Solutions Pvt. Ltd. Yes, health care is different, and so is product management in it. This piece highlights the top 4 product management trends that are specific to health care and serve beyond being just a list of technologies making their way into health care. Health care consumerism Lance broke his ankle in a bicycle accident and is now in hospital waiting for surgery. Which of these words would describe him more aptly— a ‘patient’ or a ‘health care consumer’? The fact that Lance holds a high-deductible health plan, manages an interactive relationship with his primary doctor, keenly monitors his fitness through his smartwatch, and learns about healthier diet plans and recipes online — I can say he isn’t just receiving health care, but making active choices on how to pay for and manage his health. This choice and responsibility that people demand, is ‘health care consumerism’. This trend has been growing since 2015 when value-based care started picking up in the US. What does this imply for products/PMs? These are challenging and exciting times to be a product manager (PM) in health tech. This is because people are now demanding an experience equivalent to what they’re used to from other products in their lives, such as e-commerce, streaming platforms, and digital payments, to name a few. Any consumer-facing product (a mobile app, a web-based patient portal, a tech-enabled service) needs to meet high expectations. Flexible employer-sponsored health plans options, health reimbursement arrangements, price transparency products for drugs and medical expenses, remote health care services, and government's push to strengthen data and privacy rights — all point to opportunities for building innovative products with ‘health care consumerism’ as a key product philosophy. Wellness COVID-19 has tested health care systems to their limits. In most countries, these systems failed disastrously in providing adequate, timely medical assistance to many infected people. Prevention is of course better than cure, but people were now forced to learn it the hard way when cure became both inaccessible and uncertain. With lockdowns and social isolation, prevention, fitness, diet, and mental wellbeing all took center stage. Wellness means taking a ‘whole-person approach’ to health care — one where people recognize the need to improve and sustain health, not only when they are unwell, but also when they’re making health care decisions that concern their long-term physical and mental health. A McKinsey study notes that consumers look at wellness from 6 dimensions beyond sick-care— health, fitness, nutrition, appearance, sleep, and mindfulness. Most countries in the study show that wellness has gained priority by at least 35% in the last 2–3 years. And wellness services like nutritionists, care managers, fitness training, psychotherapy consultants contribute 30% of the overall wellness spend. So, what do health-tech PMs need to remember about wellness? The first principle is, “Move to care out of the hospital, and into people’s homes”. A patient discharged after knee surgery has high chance of getting readmitted if he/she has high risk of falling in his/her house, or is unable to afford post-discharge at-home care with a physiotherapist. This leads us PMs to build products that recognize every person’s social determinants of health and create support systems that consider care at the hospital and care at home as a continuum. The second principle is, “Don’t be limited by a narrow view of ‘what business we are in’, as wellness is broad, and as a health tech company, we are in health-care, not sick-care”. Wellness products and services include — fitness and nutrition apps, medical devices, telemedicine, sleep trackers, wellness-oriented apparel, beauty products, and meditation-oriented offerings, to name just a few. Recent regulations in many countries require health care providers to treat behavioural health services at par with treating for physical conditions, and this is just a start. Equitable AI Last month, WHO released a report titled “Ethics and Governance of Artificial Intelligence for Health”. The report cautions researchers and health tech companies to never design AI algorithms with a single population in mind. One example I read was, “AI systems that are primarily trained on data collected from patients in high-income settings will not perform as effectively for individuals in low or middle-income communities.” During COVID-19, we came across countless studies that talked about the disproportionate impact on minorities in terms of infections, hospitalizations, and mortality. A student at MIT discovered that a popular out-of-the-box AI algorithm that projects patient mortality for those admitted in hospitals, makes significantly different predictions based on race — and this may have adversely moved hospital resources away from some patients who had higher risks of mortality. How should I think about health equity as an AI health-tech PM? Health equity means that everyone should have a fair chance at being healthy. As a PM, it’s my job to make sure that every AI-assisted feature in my product is crafted to be re-iterative and inclusive, to serve any community or subpopulation, and is validated across many geographies. To prevent any inequitable AI from getting shipped, it is important to ensure that the underlying AI model is transparent and intelligible. This means knowing what data goes into it, how it learns, which features does it weigh over others, and how does the model handles unique features that characterize minorities. Integrated and interoperable In every article that I read on topics such as digital platforms, SaaS, or connectivity with EMRs, I always find the words: ‘integrated’ and ‘interoperable’ therein. Most large and conventional health tech companies started by offering point-solutions that were often inextensible, monolithic, and worked with isolated on-prem servers and databases. To give a consistent user experience, leverage economies of scope, and scale products to meet other needs of their customers, started an exodus from fragmented point-solutions to interoperable, integrated solutions. The popularization of service-oriented architectures (SOAs) and cloud vendors like AWS, Azure, and GCP has also helped. The what and how of integrated-interoperable solutions for PMs: Integrated solutions (IS), as I see them, are of two kinds — one, in which as a health tech company, we help our customers (health systems, insurance companies, direct to consumers) accomplish not just one, but most/all tasks in a business process. For example, a B2B IS in value-based care contract management would mean that we help our customers and health systems by giving an end-to-end solution that helps them enter into, negotiate, plan for, manage, get payments for their value-based contracts with health plans. In the second type of IS, we offer products that can be easily customized to different types of customers. For example, a health management app that people can subscribe to for different programs such as obesity, diabetes, hypertension, cholesterol management, as needed. The app works with different datasets for these programs and uses different analyses and clinical repositories in its backend, but still delivers a consistent user experience across programs to a user who enrolled in multiple programs, say diabetes and weight management. ‘Interoperable’ simply means that one product should be able to talk to other products both in and out of the company. For example, if product-A can alert a doctor about any drug-drug interactions or allergies a patient might have, while she is writing prescriptions for the patient in product-B (an EMR), then product-A does talk to product-B, and hence, is interoperable. This trend is picking up further with the growth of IoT devices, and industry-wide participation in adopting common standards for data exchange. Conclusion Though the article derives much of its context from US health care, I have tried to keep a global lens while choosing these topics. For developing economies like India, digitization is the number one trend as much of the health system is still moving from manual records to digitally store patient and medical data in EMRs. The good news is that India is booming with health-tech innovation and that is where consumerism, wellness, and equitable AI make sense. Once companies develop enough point-solutions for different health system needs and use-cases, Indian health tech will see a move towards creating integrated, interoperable (IGIO) systems as well. There are some other trends such as — use of non-AI emerging tech such as Blockchain in health information management, cloud infrastructure for health tech innovation, big data and analytics to improve operational efficiency in areas such as claims management and compliance reporting, Agile product management for co-developing with and continuously delivering to clients etc. — but I see them either as too nascent, or too old to feature in this list. Finally, as a health tech product manager, you can use the following questions to assess your products against the above trends — (Consumerism) do the products that I manage, empower consumers with choice, information, and actionability? (Wellness) Does my product emphasize keeping them out-of-hospitals and healthy in the first place? (Equitable AI) Am I sure that my product doesn’t discriminate against individuals belonging to underserved populations? (IGIO) And finally, is my product scalable, integrated and interoperable to expand to a platform, in the true sense?

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Health Technology, Digital Healthcare

5 Emerging Technology Trends for Healthcare for 2021

Article | September 7, 2023

Health technologies range from devices, systems, and procedures to vaccines and medications that help deliver high-quality care, reduce costs for hospitals and patients, and streamline operations. It can be any software or IT tool that improves administrative productivity, eases workflow, and enhances the quality of life. New technology in healthcare includes supportive, educational, information, organizational, rehabilitative, therapeutic, preventive, and diagnostic solutions that improve patient access and healthcare provider capabilities. Virtual concierge, artificial intelligence, voice search, and virtual and augmented reality are promising emerging technologies for 2021.

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Health Technology, Digital Healthcare

Ways to Drive Practice Revenue and Reduce Your Accounts Receivable

Article | August 21, 2023

Managing accounts receivable (A/R) in private practice is a constant battle for physicians. Though most understand that lowering their A/R is critical for improving their practices’ efficiency and profitability, physicians often do not know how to address issues like lengthy collection periods and insurance claim denials. It can be complex to manage A/R, as doing so involves various parties, including insurance carriers, the patient, the front office and billing staff, and the provider. All must work together to achieve a clean claims rate and avoid denials. The best way to improve medical billing A/R is to reduce claim denials and speed up the patient collections process. In addition, you’ll need to ensure that patients and staff are filling out paperwork correctly and submitting claims on time. Other areas to manage are the follow-ups to correct errors and past-due accounts. Accounts receivable is a collaborative effort Each member of the practice staff plays an integral role in reducing claims denial rates. Take an all-hands-on-deck approach in order to identify issues and develop solutions. Start by making every team member privy to the A/R management process. This will ensure everyone is on the same page and involved. It will also help to increase efficiency, avoid redundancies, and eliminate mistakes that could waste time or profitability. The front office staff is the front line of A/R. They are the first to verify and update patients’ insurance and personal details like address and contact information. They must also ensure that patients sign certain documents, like financial policies. Providers are the next line of A/R. Providers select current procedural terminology (CPT) codes, and must be mindful of tedious details such as bundling correctly in order to ensure that claims are approved. A conscientious provider should not only select appropriate billing codes but also double-check the patient information that the front office staff provide. The billing office is a final line of defense and should triple check that the patient’s information and the CPT codes are correct. Billing office staff are also responsible for ensuring the claims are submitted on time and that duplicates are not submitted. Establish financial policies Every practice needs clearly defined financial policies around patients or clients. Having these policies in place helps to clarify financial details and creates workflows and processes for staff to follow. Here are a few elements to consider: State whether the practice will accept personal checks and, if so, what charges or actions are in place for bounced checks. Consider implementing technologies that convert paper checks to electronic transactions and verify them before patients leave the office. Include a financial responsibilities section with information about who is responsible for the claim(s) if a patient’s insurance carrier partially or fully denies their claim. Define the debt collection process. Patients should quickly know how long they have to pay their bills and at what point you may sell their debt to a third-party debt collectors agency. Medical records can be copious, and practices often need to make physical copies of them. Consider implementing a policy that covers a pay-per-page cost associated with medical records. Automate patient statements and payments Offer different payment options for patients by implementing technologies and creative solutions that make it easier for them to pay their bills. Look for solutions that reduce manual work and provide reporting that tracks efficacy across delivery modes. Here are a few approaches to consider: Automate sending statements via text message or email to help improve the rate of online payments. Add QR codes to online and paper statements to help patients quickly access payment portals. Offer payment plans, especially with low to no interest, to make it easier for patients to pay down balances. Establish a written collections process Not collecting patient payments at the time of service is the biggest challenge to patient collections. Establishing a written collections process can help to alleviate that pain point and clarify the practice’s policies and procedures so that patients can understand them more clearly and easily. Here are some guidelines to follow when creating your policies: Include when, how, and how often bills are sent. Provide information on payment plans and assistance programs, if available. Explain the different available payment options and whether patients can pay over the phone, online through a payment portal, etc. Clarify which extraordinary collection actions may be used, including selling the debt or taking legal action. One of the most important processes to develop with collections is to respond to patients’ behavior. Communication should not be a one-size-fits-all approach. Patients expect personalization, and reaching out to them based on their preferred means of communication leads to optimal results. Perseverance is vital when it comes to collections. By establishing clear policies and implementing integrated technology throughout your processes, you can improve the patient experience by eliminating confusion while streamlining workflow to reduce the administrative burden on billing and administrative staff. Although implementing these steps can help your practice lower your accounts receivables, sometimes choosing to outsource to a medical billing company can help you save time, money, and resources. Medical billing companies can provide medical practices with specialized expertise, technology, and infrastructure to efficiently manage the revenue cycle and ensure timely payments. Outsourcing medical billing can also free up staff time and resources, allowing healthcare providers to focus on patient care and other essential aspects of running their practice. Whether you choose to outsource or to keep your medical billing in-house, these tips will help you to reduce your costs and increase your revenue.

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Virtual Reality in Healthcare: Transforming the Future of Healthcare

Article | December 29, 2020

Virtual reality (VR), the new technological advancement, is set to transform practices in the healthcare industry. According to Statista, it is estimated that, by 2022, the second largest market share of VR will be from the healthcare industry. Virtual reality in healthcare operates in various divisions to offer a greater quality of patient care and performance of medical professionals. For the health and healthcare industry, from the clinical process to the user, VR has a multitude of applications such as tutoring future doctors, generating new life-saving routines, etc. Virtual reality in healthcare can confront the challenges in the industry, including efficiently handling huge healthcare databases, training and development of medical professionals, patient engagement, disease awareness, medical marketing, patient treatment, etc. Virtual reality in the healthcare market, according to a report from Reports and Data, is expected to reach USD 8.03 billion by 2027 from USD 2.06 billion in 2019. This article discusses how virtual reality in healthcare is going to transform the industry by applying it in various divisions such as medical training, patient treatment, patient engagement, disease awareness, and medical marketing. Virtual Reality in Healthcare Training VR in healthcare can transport you to areas, inside of the human body, that otherwise would be impossible to access and view. Medical students currently use cadavers to learn, but cadavers do not react the same way live patients do. Also, cadavers are very difficult to get hold of. When VR is used in healthcare training, students can view even minute detail of all parts of the body. This view is possible in stunning 360° CGI reconstruction and creates training scenarios, which would replicate real surgical procedures. Virtual Reality in healthcare can be used to deliver high-quality surgical training. Using virtual reality, 4K 360° video of real-life surgery is filmed from multiple angles. Then it is combined with CGI models of the anatomy, which is being operated. This advanced use of virtual reality in healthcare provides medical students with an interactive and immersive training experience. Treatment Patient Education The ability of virtual reality in healthcare to see inside of the human body is useful for both doctors and patients. With the help of VR, doctors can take patients through their surgical plan. This is made possible by a virtual view of the anatomy and pathology of patients through a patient-specific 360° VR reconstruction. The result of this is an enhanced understanding of the treatment for patients and higher patient satisfaction. Robotic Surgery Robotic surgery is a recent innovation. A robotic device, such as a robotic arm, is used in a robotic surgery while being controlled by a human surgeon. This utilization of virtual reality in healthcare makes sure of fewer or no risk of complications in surgeries. This also makes the surgeon finish the surgery procedure faster with greater accuracy. The robotic devices are accurate with reduced blood loss, smaller incisions, and faster recovery. Mental Health and Psychological Therapy The unique ability of virtual reality technology to take you anywhere virtually can be utilized to create a powerful virtual reality simulation in healthcare of various scenarios in which psychological issues occur. This eliminates the necessity of a therapist accompanying patients to various scenarios such as a tall building or a crowded shopping center to provide proper counseling. These scenarios can be easily created with virtual reality technology in healthcare. Virtual reality in healthcare market has also been used to help autistic children in the classroom, curb memory loss, and gather data for dementia research. Pain Management and Physical Therapy Apart from psychological issues, the healing capabilities of VR are also used in pain management and physical treatment. According to a study by the UW Harborview Burn Centre and the University of Washington Seattle, a full VR immersion acted as a distraction for patients, who were undergoing physical therapy after a skin graft. This distraction subsequently reduced their feeling of pain. Virtual reality in healthcare is also found to be effective in reducing recovery time in physical therapy. Patients performing their daily exercises in a virtual environment, find the task to be more fun than usual. It also keeps the patients focused and helps them keep their spirits up and recover sooner. Patient Engagement With the help of virtual reality in healthcare, patients can experience a virtual tour of the inside of their bodies before surgeries. This is a 360-degree, three-dimensional (3D) tour. This enables patients to know their body, anatomy, and pathology, before the surgical procedures. Virtual Reality Medical Visualization platform is developed for the tour. These advancements with virtual reality in healthcare engage patients thoroughly, which reduces tension and lead to a speedy recovery. Medical Marketing The most popular and initial application of Virtual reality was marketing. Still, it continues to be one of the most effective and powerful marketing tools. The ability to use VR to project the future of healthcare is the most powerful tactic in healthcare marketing. With Virtual reality in healthcare, one of the most powerful tactics that you can have to market in the industry is to show people what changes they can expect when they start or stop exercising, lose or gain weight, the progress they make through cancer treatments, etc. As the possibilities of virtual reality in healthcare are endless, healthcare professionals and providers can attract more patients, doctors with high caliber, and nursing staff to your facilities. When those are in short supply, virtual reality in healthcare can be used as an excellent healthcare marketing tool to ensure expected results. Disease Awareness AbbVie, a pharmaceutical research & development company, created an experience to educate medical professionals and raise awareness among them regarding the daily struggle Parkinson’s disease patients undergo. The experience was demonstrated at a pharmaceutical industry trade show. People put on a headset and experienced how Parkinson’s sufferers navigate a virtual supermarket, meeting with difficult moments when they come in contact with other people. Such experiences with virtual reality in healthcare help raise awareness for various diseases among professionals and patients. Virtual reality presentations can be conducted to raise awareness of certain diseases. The Future of Virtual Reality in Healthcare A lot of applications of virtual reality in healthcare are in their nascent stage. In the coming years, virtual reality will be used more in healthcare, which will improve the effectiveness and accuracy of present procedures. It will also enhance the various human capabilities, for both patients and medical professionals. Virtual reality in healthcare has huge potential, but only limited by the ingenuity and creativity of people who create and apply the technology. VR will surely transform medical training, physical and psychological therapies, rehabilitation, mental health treatments, and patient engagement, among others. Virtual reality in healthcare holds the power to transform the way doctors are trained and treatment is provided to patients. According to reports from various market research companies, especially research done by Grand View Research, predict that, by 2025, virtual reality in the healthcare market will grow to a whopping US$5.1 billion. The major driving forces behind this growth are Rapid technological advancements in the healthcare industry and driving demand for rehabilitation and simulation training. Frequently asked questions How is virtual reality used in healthcare? In healthcare, virtual reality is used in treatment, training, and to raise awareness among medical professionals and patients regarding various diseases. Patients and doctors are made to view the inside of the human body using virtual reality. Where is virtual reality used in healthcare? Virtual reality is used in various sectors of healthcare to deliver high quality patient care. Treatment with the assistance of virtual reality also increases the efficiency of medical professionals. Virtual treating is applied in all aspects of medical treatment. What are the benefits of virtual reality? Virtual reality in healthcare saves both, the time and money of healthcare providers. It also makes the work of medical professionals more convenient. It eliminates unnecessary travel for treatments by making appropriate decisions. How virtual reality is changing healthcare? Virtual reality is changing the healthcare by providing different advanced ways of treatments, especially for physical and psychological therapy, surgeries, pain management, and stress management and by assisting the rehabilitation process effectively.

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Spotlight

Medseven Healthcare

“Our principle is to help our target market look and feel better in every aspect possible by building a healthy environment.” With presence over the course of four decades in United Arab Emirates, our board of directors at MEDSEVEN has excelled in Retail Pharmacy Industry. MEDSEVEN is a leading distribution company in UAE supplying Medical, Pharmaceutical and Generic and Cosmetic products over 135 target Retail Pharmacies in the industry.

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2020 Elections Healthcare Debate Truths, Half-Truths, And Falsehoods

forbes.com | July 08, 2019

Healthcare may emerge as the number one issue in the 2020 election. In itself this isnt surprising, given that for many decades the electorate has considered healthcare a key issue.And, the truth is healthcare access continues to be a major problem in the U.S., along with inequalities in outcomes, relatively high prices for healthcare services, and high out-of-pocket spending. Democratic presidential candidates have weighed in on these issues.Without more clarity, however, the debate runs the risk of unraveling into exercises in sophistry.Politicians in America have had a knack for telling half-truths or even untruths about healthcare. For example, in 2012, John Boehner claimed that the U.S. has the best healthcare delivery system in the world. And, just prior to signing the Affordable Care Act (ACA) into law, President Obamastated if you like your healthcare plan, you can keep it.

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Adelaide IT services provider Chamonix lands $8 million govt healthcare software deal

Nico Arboleda | July 08, 2019

Adelaide-based IT services provider Chamonix IT Management Consulting has scored an $8 million contract with the Australian Digital Health Agency (ADHA).The contract is to develop and support a Health Identifier and PCEHR System HIPS, and a PCHER is a Personally Controlled Electronic Health Record.HIPS is a My Health Record (MHR) integration software that is owned by ADHA. The software is used by hospitals and private diagnostic providers to connect to the national My Health Record infrastructure.An ADHA spokesperson told CRN that Chamonix was picked out from an open tender process.Chamonix was founded in 2010 in Adelaide and was a CRN Fast50 lister in 2014 due to its work with Microsoft, achieving Gold Partner status in 2012. The company also has an office in Brisbane, which opened in 2016.

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3 exciting small cap ASX healthcare shares to watch in FY203 exciting small cap ASX healthcare shares to watch in FY20

Unified Health care Home Healthcare COPD | July 08, 2019

Because of positive tailwinds such as ageing populations, increased chronic disease burden, and better technologies, I believe demand for healthcare services will grow strongly over the next decade. In light of this, I think the healthcare sector could be a great place to look for small cap shares to buy and hold.Three growing healthcare shares that I think are worth looking closely at are listed below. Heres why I like them. Alcidion is an informatics solutions provider which develops and sells healthcare analytics software for hospitals and other healthcare providers. This software aims to improve the efficacy and cost of delivering services to patients and reduce hospital-acquired complications. Earlier this year the company won its first major contract with the Dartford and Gravesham National Health Service (NHS) Trust in the United Kingdom. Given how the NHS is currently transitioning to a paperless environment, I wouldnt be surprised to see more and more large contracts being won over the coming 12 months.

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forbes.com | July 08, 2019

Healthcare may emerge as the number one issue in the 2020 election. In itself this isnt surprising, given that for many decades the electorate has considered healthcare a key issue.And, the truth is healthcare access continues to be a major problem in the U.S., along with inequalities in outcomes, relatively high prices for healthcare services, and high out-of-pocket spending. Democratic presidential candidates have weighed in on these issues.Without more clarity, however, the debate runs the risk of unraveling into exercises in sophistry.Politicians in America have had a knack for telling half-truths or even untruths about healthcare. For example, in 2012, John Boehner claimed that the U.S. has the best healthcare delivery system in the world. And, just prior to signing the Affordable Care Act (ACA) into law, President Obamastated if you like your healthcare plan, you can keep it.

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Adelaide IT services provider Chamonix lands $8 million govt healthcare software deal

Nico Arboleda | July 08, 2019

Adelaide-based IT services provider Chamonix IT Management Consulting has scored an $8 million contract with the Australian Digital Health Agency (ADHA).The contract is to develop and support a Health Identifier and PCEHR System HIPS, and a PCHER is a Personally Controlled Electronic Health Record.HIPS is a My Health Record (MHR) integration software that is owned by ADHA. The software is used by hospitals and private diagnostic providers to connect to the national My Health Record infrastructure.An ADHA spokesperson told CRN that Chamonix was picked out from an open tender process.Chamonix was founded in 2010 in Adelaide and was a CRN Fast50 lister in 2014 due to its work with Microsoft, achieving Gold Partner status in 2012. The company also has an office in Brisbane, which opened in 2016.

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3 exciting small cap ASX healthcare shares to watch in FY203 exciting small cap ASX healthcare shares to watch in FY20

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Because of positive tailwinds such as ageing populations, increased chronic disease burden, and better technologies, I believe demand for healthcare services will grow strongly over the next decade. In light of this, I think the healthcare sector could be a great place to look for small cap shares to buy and hold.Three growing healthcare shares that I think are worth looking closely at are listed below. Heres why I like them. Alcidion is an informatics solutions provider which develops and sells healthcare analytics software for hospitals and other healthcare providers. This software aims to improve the efficacy and cost of delivering services to patients and reduce hospital-acquired complications. Earlier this year the company won its first major contract with the Dartford and Gravesham National Health Service (NHS) Trust in the United Kingdom. Given how the NHS is currently transitioning to a paperless environment, I wouldnt be surprised to see more and more large contracts being won over the coming 12 months.

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