HOW DO MEDICARE ADVANTAGE PLANS WORK

May 25, 2019 | 108 views

Medicare pays for medically necessary services for most individuals’ age 65 and older. Medicare may also cover those that have received disability benefits from the social security administration, or the railroad board. Traditional Medicare consists of several parts which combine coverage for hospital stays and medical services. Part A covers hospital care, care in a skilled nursing facility, or home health and hospice care services.

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David Health Solutions Ltd.

We create the technology that transforms musculoskeletal healthcare. We serve hospitals, orthopedic centers, physical therapy clinics and elderly care centers with the industry's most complete and sophisticated solution. Uncompromised biomechanics combined with intelligent technology produce predictable and documented outcomes with high productivity.

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HEALTH TECHNOLOGY

Components and Relevance of EHRs in Rural Hospitals

Article | August 16, 2022

Contents 1. Knowing The Basics 2. Importance Of EHR In A Rural Setting 3. Features That An EHR Must Have In A Rural Area Today, we will discuss the crucial featuresof electronic health records (EHR) in rural hospitals. However, before listing out the key components, let us first understand what EHR is and how it can help the smooth functioning of medical treatment in a rural setup. 1. Knowing the Basics! As the name suggests, an electronic health record is a computer file that stores a patient’s medical history, such as diagnosis, treatment, test results, etc. In short, an EHR is a digital version of a patient’s paper health record. It also includes previous appointments, billing details, and other general documentation. The need for an EHR popped up due to its easy and secure availability compared to patients' paper files. In addition, patients and doctors can easily access lab reports through an EHR that is updated in real-time and downloaded on any device with an internet connection. 2. Importance of EHR in a Rural Setting! Healthcare Information and Management Systems Society (HIMSS) defines EHR usability as “The effectiveness, efficiency, and satisfaction with which specific users can achieve a specific set of tasks in a particular environment.' In essence, a system with good usability is easy to use and effective. It is intuitive, forgiving of mistakes, and allows one to perform necessary tasks quickly, efficiently, and with a minimum of mental effort.” A patient's electronic health records can be beneficial in an era of digitization. It can improve patient care by minimizing the chances of medical errors, reducing test duplication, and making doctors and patients well-informed by fetching medical records anytime, thereby reducing delays in treatment. 3. Features That an EHR Must Have in a Rural Area EHRs can prove beneficial in all areas situated far off by accessing the real-time, up-to-date data of patients’ health records and making timely decisions. When the distance between the clinics and specialists is more, an EHR report can easily be sent to look into a patient’s history before delivering treatment. In a rural setup, EHR helps promote health awareness as patients' data can be monitored without needing to be physically present. Software-as-a-Service (SaaS) Solutions can be easily deployed in places with slow internet and help maintain a lightweight EHR that can support immediate patient care and easy documentation. Next comes the option of configuration over coding. At the Rural Health Clinic (RHC), an EHR that the local IT team can handle would be of more use than one that may require a specialist’s check or additional coding. An EHR, equipped with the ability to configure and customize as per the clinic’s workflow, will give more control to the RHCs and enable them to function efficiently. Another significant point of an EHR in a Rural Health Clinic will be the inclusion of applications that support instant communication, like Telehealth and patient portals. These applications enable direct consultation and virtual care of patients and specialists located far off, thereby reducing the dependency of RHCs on city or urban-based facilities. When we are discussing rural hospitals, we need to look for an application that is both affordable and functional, as rural areas mostly struggle with problems regarding budget and resources. Hence, keeping this in mind, RHCs should install a cloud-based EHR that does not require buying servers or employing IT staff. RHCs must use an EHR application with innovative analytic tools to access and develop reports for quick patient care decisions. In addition, the system must be able to pull large chunks of data and generate reports daily. Enjoyed reading this? Want to read more related articles? Click the link for more information! https://healthcare.report/trending-news/electronic-health-records-ehr-software-market-2019-foreseen-to-grow-exponentially-by-2026 Happy Reading!

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HEALTH TECHNOLOGY

Role of AI and ML in the Healthcare Industry

Article | November 18, 2022

Contents 1. Alexa, Are You There? 2. Digital Assistants-Cum-Doctor-Assistants 3. Toward An AI-Friendly Life! 1. Alexa, Are You There? If Siri, Alexa, Google Now, or Cortana are your friends, you do not need any special introduction for today’s topic! This is because these digital assistants have become part and parcel of our lives; from completing our minimal tasks to helping us solve our problems, they make our day-to-day life simpler and more manageable. Popularly called AI, Artificial Intelligence is the simulation of human intelligence processes by machines. Similarly, Machine Learning, also called ML, is the capability of a machine to imitate intelligent human behavior. 2. Digital Assistants-cum-Doctor Assistants The unpredictable pandemic years, which took thousands of lives, depict the rise of complexities in the healthcare industry. To deal with such cases in the future tactfully, the healthcare segment needs to be proactive and implement advanced technologies to detect, resolve, and prevent untimely death. Modern technologies such as Artificial Intelligence and Machine Learning help the medical fraternity perform tasks usually done by humans quickly and accurately, saving much time that can be utilized elsewhere. Let’s take a quick tour of how AI and ML can boost the healthcare industry: Artificial Intelligence can broadly scan patient databases or consult patients via a chatbot or online support system to understand their symptoms, send data to doctors, and get real-time diagnoses and prescribed medicines. Machine Learning, a subset of AI, can replace traditional processes with a supervised one, as in, a patient can be treated based on similar symptoms and treatment of other patients. The process requires a quick scanning of the database, which can be time-consuming if done by human effort. Taking technology by storm, patients suffering from neurological disorders can be treated via Brain-Computer Interfaces (BCI) backed by AI. With the help of this technology, normal bodily functions, such as the ability to move, speak or react, can be restored. It can also assist doctors in treating patients with strokes, locked-in syndrome, etc.The healthcare segment is revolutionizing, as sensitive operations such as heart surgery are being performed with robotic precision and control with AI-based algorithms. For this purpose, precision machine learning processes are being used to train robots and improve accuracy. AI can also help in digital pathology. Instead of placing separate slides or tissue blocks and observing them manually, pathologists can do it via AI, which can help analyze digital slides using image analysis and machine learning. 3. Toward an AI-friendly Life! If you never forget to wear a smartwatch, track daily steps, get water intake notifications, eat mindfully, and consistently monitor pulse rates, then you are already AI-friendly! You have successfully incorporated AI into your life and taken the first step towarda healthy life!

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HEALTH TECHNOLOGY

What are the Key Types of Healthcare Supply Chain Management Solutions?

Article | September 28, 2022

Introduction Within the last two years, the healthcare industry saw an influx in patient care as COVID-19 swept through communities across the globe. The widespread shortage of patient care tools, personal protective equipment (PPE), and medical technology amid the pandemic led to an exponential rise in health expenditures and demand for essential supplies. In response to the medical demand-supply imbalance, the governments of numerous countries increased their medical care expenditures to counter the challenges of patient care equipment shortages. For instance, according to the National Healthcare Expenditure Data, federal government spending on healthcare and medical care grew by 36% in 2020 and is estimated to reach US$ 6.2 trillion by 2028 in the U.S. Despite the rise in medical budget allocations, medical facilities are still facing difficulties obtaining enough supplies with the growing prevalence of numerous chronic, infectious, and hereditary diseases. As a result, organizations are focusing on deploying innovative solutions, such as healthcare supply chain management software, to keep track of inventory, procurement, logistics, and others and strengthen their supply chain. Healthcare Supply Chain Management Solutions: Key Types Healthcare systems, hospitals, and other patient care sites require a broad array of supplies to perform diagnosis and treatment, from masks and gloves to catheters and implants. Inadequate supplies coupled with inflation is making supply chain management a crucial but complex component in providing optimal patient care across the healthcare industry. This has shed more light on the role of supply chain management in saving lives. Effective supply chains help various regulatory agencies, including medical goods manufacturers and insurance companies, deliver essential supplies, resources, technologies, and other patient care goods to healthcare establishments. Supply chain management solutions are thus garnering massive traction among healthcare organizations for simplifying and automating manual supply chain and logistics operations. Let’s have a look at the types of supply chain management software that assist healthcare organizations to optimize their supply chain processes Inventory Management Software Efficient medical inventory management is critical for the running of healthcare organizations. The software provides real-time inventory tracking, assisting organizations in closely monitoring inventory changes, avoiding shortages of both low-value and high-use patient care items, decreasing the wait time for access to medical supplies, and reducing the chances of late delivery. Order Management Software It is crucial for healthcare establishments to have an estimate of the demand and supply of goods to prevent shortages. Order management software enables these organizations to coordinate supply chain demand planning and forecasting. It also assists in streamlining warehouse operations, resulting in faster and more accurate order placement. Sourcing and Procurement Software By tapping into the power of sourcing and procurement solutions, healthcare organizations can develop robust sourcing processes and automate, streamline, and optimize their entire procurement processes. The software also assists establishments in improving their supply inventory levels, identifying the best supplier, and reducing their overall purchasing cost. Shipping and Tracking Software Shipping and tracking software assist in the planning and execution of the physical movement of goods. These solutions are primarily used by medical equipment manufacturers and suppliers during the delivery or relocation of patient care goods. The integration of these solutions enables organizations to track and manage numerous batches of goods in transit. The Bottom Line Growing competition, healthcare regulations, shipping costs, and increased logistics requirements from medical institutions have complicated the supply chain management processes. As a result, life-science companies are investing in cutting-edge supply chain management solutions to reduce numerous errors, improve logistics, and eliminate unnecessary costs spent to fix them. Thus, several companies are now emphasizing the incorporation of cutting-edge technologies, including artificial intelligence and data analytics, into healthcare supply chain management software to reap benefits such as process automation, streamlined inventory, reduced waste, improved decision-making, and lower labor, supply, and operational costs.

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3 Key Considerations in Cloud Security for Healthcare Organizations

Article | February 12, 2020

With medical system consolidation and increasing numbers of medical records created, the need for digital access and storage is gaining steam. Digitizing records allows clinicians to improve accuracy and decrease redundant testing and studies, as well as reduce treatment delays. Greater availability of digitized records has other perks too. With vast amounts of accessible medical data, researchers can move public health studies forward, also potentially improving care and treatment of individual patients. As a result, cloud storage is taking off, though healthcare organizations are adopting it more slowly than other industries. According to a 2019 Nutanix report, 71% of healthcare organizations using cloud were considered the least mature – relative beginners – in that they were using fewer cloud services. Compare that figure to finance or retail, where 13% and 15% respectively were beginners. However, that is changing.

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Spotlight

David Health Solutions Ltd.

We create the technology that transforms musculoskeletal healthcare. We serve hospitals, orthopedic centers, physical therapy clinics and elderly care centers with the industry's most complete and sophisticated solution. Uncompromised biomechanics combined with intelligent technology produce predictable and documented outcomes with high productivity.

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DIGITAL HEALTHCARE

TRC Healthcare Teams Up with Pharmacy Quality Solutions on Pharmacy Continuing Education Podcasts

TRC Healthcare | October 12, 2021

TRC Healthcare, a top provider of evidence-based medication advisory resources for clinicians announced a partnership with Pharmacy Quality Solutions (PQS), a leading technology provider of pharmacy performance management services. Along with PQS, TRC Healthcare will offer a pilot program for pharmacy continuing education (CE) through the PQS podcast, the PQS Quality Corner Show. The first podcast episode available for CE debuted August 2021 in TRC Healthcare's Pharmacist's Letter. With the pilot program, TRC Healthcare is exploring expansion of its CE channels with the inclusion of audio podcasts. Listeners of the PQS Quality Corner Show have the ease of podcast learning with the ability to earn CE credits through the Pharmacist's Letter website. "Our research has shown that many pharmacists are eager to explore different ways to digest CE content, and podcasts were at the top of the list. PQS is a leader in pharmacy quality and education and has developed a solid podcast listenership. We are very much aligned to make it more convenient for our pharmacy audience to access content on the go. We are excited to work with PQS in this endeavor." Wes Crews, CEO of TRC Healthcare The first set of episodes available for CE credit covers the topic of immunizations and can be downloaded on all major streaming services. "In our efforts to make each one of our episodes better than the last, we are pleased to evolve our content in 2021 and work with TRC Healthcare to provide continuing education for pharmacists. As our show has always been about education and improvement on quality, we have purposefully structured our show to follow a CE seminar format where we ask key questions and help our audience learn essential details." Quality Corner Show Host and PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD The second set of episodes covers geriatric care and is available on the Pharmacist's Letter and the Quality Corner Show. About TRC Healthcare TRC Healthcare (TRC) is a premier source of lifelong learning solutions for healthcare professionals. TRC is most recognized for their education and CE offerings within the highly-regarded Pharmacist's Letter, Prescriber's Letter, and Pharmacy Technician's Letter. TRC also offers Pharmacy Technicians University, the leading online training program for pharmacy technicians. The Natural Medicines database makes it easy for subscribers to find unbiased, evidenced-based research about alternative drug therapies. Through the acquisition of CriticalPoint and NetCE, TRC Healthcare recently expanded its offerings. CriticalPoint increases patient safety through a variety of educational compounding offerings concentrating on USP 797, 800, and 795. NetCE is an industry-leading, continuing-education platform, specializing in continuing education across multiple professions including nurses, physicians, and mental health. These additions give TRC Healthcare the industry's largest catalog of continuing education and advisory services, with thousands of courses trusted by healthcare professionals to provide accredited training that meets continuing education and licensing requirements. About Pharmacy Quality Solutions, Inc. (PQS) PQS is a healthcare quality technology company, connecting healthcare payers and providers who value measurement as the pathway to better patient outcomes. Partners of PQS represent nearly 90% of all Medicare Part D lives and 95% of community pharmacies. PQS delivers quality insights and guidance to support their customers' efforts to optimize the quality of medication management and use for their Medicare, Medicaid and commercial populations. PQS' industry-leading platform, EQUIPP®, provides standardized measurement and reporting on key medication use quality measures and value-based reimbursement programs focused on medication adherence, treatment outcomes and patient safety.

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Aetna and Oak Street Health want to help Medicare patients

Oak Street Health | August 03, 2017

Primary care for Medicare patients shouldn’t be so difficult right? That’s what Aetna and Oak Street Health think. The two are teaming up to improve care for said patient population in Illinois. Through their partnership, Chicago-based Oak Street will be able to see Aetna Medicare Advantage PPO and HMO patients. Currently, the agreement only applies to those living in Illinois. Founded in 2012 by three former members of the healthcare practice at The Boston Consulting Group, Oak Street operates 24 primary care clinics throughout Illinois, Indiana and Michigan. Thirteen of them are in Illinois.

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Whistleblowers: United Healthcare Hid Complaints About Medicare Advantage

United Healthcare | July 28, 2017

United Healthcare Services Inc., which runs the nation’s largest private Medicare Advantage insurance plan, concealed hundreds of complaints of enrollment fraud and other misconduct from federal officials as part of a scheme to collect bonus payments it didn’t deserve, a newly unsealed whistleblower lawsuit alleges. The suit, filed by United Healthcare sales agents in Wisconsin, accuses the giant insurer of keeping a dual set of books to hide serious complaints about its services and of being intentionally ineffective at investigating misconduct by its sales staff.

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DIGITAL HEALTHCARE

TRC Healthcare Teams Up with Pharmacy Quality Solutions on Pharmacy Continuing Education Podcasts

TRC Healthcare | October 12, 2021

TRC Healthcare, a top provider of evidence-based medication advisory resources for clinicians announced a partnership with Pharmacy Quality Solutions (PQS), a leading technology provider of pharmacy performance management services. Along with PQS, TRC Healthcare will offer a pilot program for pharmacy continuing education (CE) through the PQS podcast, the PQS Quality Corner Show. The first podcast episode available for CE debuted August 2021 in TRC Healthcare's Pharmacist's Letter. With the pilot program, TRC Healthcare is exploring expansion of its CE channels with the inclusion of audio podcasts. Listeners of the PQS Quality Corner Show have the ease of podcast learning with the ability to earn CE credits through the Pharmacist's Letter website. "Our research has shown that many pharmacists are eager to explore different ways to digest CE content, and podcasts were at the top of the list. PQS is a leader in pharmacy quality and education and has developed a solid podcast listenership. We are very much aligned to make it more convenient for our pharmacy audience to access content on the go. We are excited to work with PQS in this endeavor." Wes Crews, CEO of TRC Healthcare The first set of episodes available for CE credit covers the topic of immunizations and can be downloaded on all major streaming services. "In our efforts to make each one of our episodes better than the last, we are pleased to evolve our content in 2021 and work with TRC Healthcare to provide continuing education for pharmacists. As our show has always been about education and improvement on quality, we have purposefully structured our show to follow a CE seminar format where we ask key questions and help our audience learn essential details." Quality Corner Show Host and PQS Senior Manager of Pharmacy Accounts, Nick Dorich, PharmD The second set of episodes covers geriatric care and is available on the Pharmacist's Letter and the Quality Corner Show. About TRC Healthcare TRC Healthcare (TRC) is a premier source of lifelong learning solutions for healthcare professionals. TRC is most recognized for their education and CE offerings within the highly-regarded Pharmacist's Letter, Prescriber's Letter, and Pharmacy Technician's Letter. TRC also offers Pharmacy Technicians University, the leading online training program for pharmacy technicians. The Natural Medicines database makes it easy for subscribers to find unbiased, evidenced-based research about alternative drug therapies. Through the acquisition of CriticalPoint and NetCE, TRC Healthcare recently expanded its offerings. CriticalPoint increases patient safety through a variety of educational compounding offerings concentrating on USP 797, 800, and 795. NetCE is an industry-leading, continuing-education platform, specializing in continuing education across multiple professions including nurses, physicians, and mental health. These additions give TRC Healthcare the industry's largest catalog of continuing education and advisory services, with thousands of courses trusted by healthcare professionals to provide accredited training that meets continuing education and licensing requirements. About Pharmacy Quality Solutions, Inc. (PQS) PQS is a healthcare quality technology company, connecting healthcare payers and providers who value measurement as the pathway to better patient outcomes. Partners of PQS represent nearly 90% of all Medicare Part D lives and 95% of community pharmacies. PQS delivers quality insights and guidance to support their customers' efforts to optimize the quality of medication management and use for their Medicare, Medicaid and commercial populations. PQS' industry-leading platform, EQUIPP®, provides standardized measurement and reporting on key medication use quality measures and value-based reimbursement programs focused on medication adherence, treatment outcomes and patient safety.

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Aetna and Oak Street Health want to help Medicare patients

Oak Street Health | August 03, 2017

Primary care for Medicare patients shouldn’t be so difficult right? That’s what Aetna and Oak Street Health think. The two are teaming up to improve care for said patient population in Illinois. Through their partnership, Chicago-based Oak Street will be able to see Aetna Medicare Advantage PPO and HMO patients. Currently, the agreement only applies to those living in Illinois. Founded in 2012 by three former members of the healthcare practice at The Boston Consulting Group, Oak Street operates 24 primary care clinics throughout Illinois, Indiana and Michigan. Thirteen of them are in Illinois.

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Whistleblowers: United Healthcare Hid Complaints About Medicare Advantage

United Healthcare | July 28, 2017

United Healthcare Services Inc., which runs the nation’s largest private Medicare Advantage insurance plan, concealed hundreds of complaints of enrollment fraud and other misconduct from federal officials as part of a scheme to collect bonus payments it didn’t deserve, a newly unsealed whistleblower lawsuit alleges. The suit, filed by United Healthcare sales agents in Wisconsin, accuses the giant insurer of keeping a dual set of books to hide serious complaints about its services and of being intentionally ineffective at investigating misconduct by its sales staff.

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