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Change Healthcare | April 26, 2021
Change Healthcare today announced the release of InterQual® 2021, the newest version of the company's flagship clinical decision support solution. The latest version includes four new Medicare criteria modules, as well as a slew of evidence-based content upgrades and improvements, such as fresh guidelines on caring for COVID-19 patients, discussing social determinants of health, and using telehea...
Healthcare Finance News | March 31, 2020
Cigna and Humana are joining other insurers in waiving costs for COVID-19 treatment. Cigna is waiving cost-sharing and co-payments through May 31. Humana is waiving costs for treatment related to COVID-19 and is now covering subsequent treatment, including inpatient hospital admissions. Humana will cover the member responsibility under the plan benefits for COVID-19-related services, whether treatment is delivered by in-network or out-of-network providers.
HealthITAnalytics | February 17, 2020
Across the healthcare landscape, it is now widely understood that the social determinants of health (SDOH) have a major impact on health outcomes, care quality, and medical costs. An individual’s race, ethnicity, income level, or geographic location often has more influence on her physical and mental health than clinical factors, and the industry has made a concentrated effort to better address these social determinants. From smaller-scale, community-based initiatives to programs spanning ...
HealthITAnalytics | March 02, 2020
A machine learning algorithm can mine EHR data and discover novel associations between common chronic diseases and lesser-known conditions, which could support earlier monitoring or medical intervention, according to a study published in PLOS One. The use of EHRs in large health systems offers the opportunity to conduct population-level analyses that explore disease progression. The team wanted to identify novel comorbidities from routinely collected, anonymized EHRs. Researchers developed a mac...
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