CMS to pay providers via MIPS for participating in COVID-19 drug treatment trials

CMS | April 21, 2020

Clinicians can earn a credit via the Merit-based Incentive Payment System (MIPS) if they participate in a clinical trial and report clinical information on COVID-19, the Trump administration announced late Monday. The Centers for Medicare & Medicaid Services (CMS) said Monday that the goal of the new credit is to provide data that will be vital to making treatments to combat the virus. “The best scientific and medical minds in the world are working night and day to find treatments to combat coronavirus,” CMS Administrator Seema Verma said in a statement Monday. “But without solid data, their efforts are liable to run against a brick wall.”

Spotlight

Changes in healthcare are increasingly grabbing the attention of the hospital C-suite, from driving greater engagement and collaboration among providers, payers and patient care settings, to payment models switching from volume to value-based.

Spotlight

Changes in healthcare are increasingly grabbing the attention of the hospital C-suite, from driving greater engagement and collaboration among providers, payers and patient care settings, to payment models switching from volume to value-based.

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HEALTH TECHNOLOGY

MetaCell launches innovative Cloud Hosting for life science and healthcare

MetaCell | September 29, 2021

MetaCell, an innovative life science software company specialized in creating cutting-edge research software for major pharma, biotech, and academic institutions, has launched MetaCell Cloud Hosting – a brand new online product providing advanced cloud computing solutions to facilitate research and innovation in life science and healthcare organizations of all sizes. MetaCell specializes in designing custom software services for the pharmaceutical industry, the healthcare sector, and for researchers in academia. In doing so, MetaCell helps its customers overcome challenging information management problems that they have found difficult to navigate with their IT departments and with large service providers like Amazon and Google. MetaCell Cloud Hosting provides scientists, pharmaceutical companies and research institutions with a turnkey online product to host and process their life sciences data and applications. A unique feature provided by MetaCell Cloud Hosting is its customer-tailored capability for biomedical and life science data and software applications that delivers the optimal allocation of cloud resources based on the budget and performance goals of the researchers. This includes affordable storage on trusted servers and access to world-class computing resources, which can be efficiently scaled up to meet the growing need for big data analytics, bioinformatics, digital health, and artificial intelligence. Enabling hosted applications to comply with all major international regulatory frameworks such as GDPR, HIPAA, SOC 2, and relevant ISO standards is another significant value add that MetaCell brings to the market with the release of this new product. "We're thrilled that we are officially launching our MetaCell Cloud Hosting product. From advanced custom software applications to single page websites showing off their work, Cloud Hosting will help researchers avoid the headaches associated with ongoing management of their online software and data holdings." Stephen Larson, CEO of MetaCell Dr. Rick Gerkin, Associate Research Professor at Arizona State University (ASU), commented: "Besides enabling us to host our research applications and data in a safe cloud infrastructure, MetaCell Cloud Hosting will save us precious time which we'll no longer spend trying to fix technical issues, and instead dedicate it to what we care about most: advancing our research. We've been partnering with MetaCell for a number of years and they have demonstrated their expertise in developing and maintaining our cloud software and databases. We look forward to taking advantage of their new product." About MetaCell MetaCell is a life science-focused software company composed of scientists and software engineers with deep domain expertise in computational neuroscience, molecular biology, data science, and enterprise-grade online software development. Over the last ten years, MetaCell has established a global presence by partnering with the world's largest pharmaceutical companies including Pfizer and Biogen, leading universities such as Yale University, Princeton University, UCSD, UCL, ASU, SUNY Downstate, and University of Edinburgh, as well as innovative organizations such as CAMH, INCF, and EMBL-EBI.

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HEALTH TECHNOLOGY

Canon Medical Systems Partners with Glassbeam to Offer Solution for Healthcare Providers

Canon Medical | November 24, 2020

Medical clinics and foundations face a huge test every year with regards to the monetary effect of spontaneous personal time and imperfect execution of their symptomatic imaging frameworks. To address the issue for armada wide activity and administration analytics to alleviate those difficulties, Canon Medical Systems USA, Inc. has collaborated with Glassbeam to bring to the table Clinsights™ – a breakthrough answer for medical care suppliers to help increment operational effectiveness through savvy administration analytics. Accessible for Canon Medical and multi-merchant administration clients with a help plan, Clinsights produces dashboards and reports from across offices that catch imperative data, for example, investigations and following of doctor execution, doctor reference and test planning. Portion analytics incorporate observing and following portion consistence, and even benchmarks against different associations. For the medical care organization leader group, the entirety of this data is introduced in a united chief dashboard for audit and activity. The imaginative item utilizes AI displaying to produce proactive support cautions, so clients can remain one stride ahead. “At Canon Medical, our priority is to support our customers and their patients by providing Service solutions that help them face the challenges of today’s healthcare environment, including operational efficiency and productivity,” said Dominic Smith, vice president, Service Field & Sales, Canon Medical Systems USA, Inc. “With Clinsights from Glassbeam, we can arm our customers with insights about how they are using their systems, and facilities can apply this information to enhance efficiencies that benefit their organization and patients alike.” “We are proud as a team to partner with Canon Medical Systems USA to bring AI powered insights of Clinsights as a single pane of glass for multivendor solutions to the healthcare industry,” said Puneet Pandit, Co-founder and CEO, Glassbeam. “This partnership is poised to change how medical machines in imaging and biomedical departments are effectively managed and utilized to allow service personnel and end users to perform their daily work, providing for superior patient care at their healthcare facilities.” About Glassbeam Glassbeam brings structure and meaning to complex data generated from any connected machine in the Industrial IoT realm with a strong focus on healthcare and data center equipment. Funded by several ultra-high net worth investors, Glassbeam's cloud-based platform is designed to analyze multi-structured log data, powered by Expert Rules, AI, and Machine Learning models, delivering powerful solutions for customers such as UCSF Medical, BSWH, Scripps Health, Kodak Alaris, and NTT Ltd. About Canon Medical Systems USA, Inc. Canon Medical Systems USA, Inc., headquartered in Tustin, Calif., markets, sells, distributes and services radiology and cardiovascular systems, including CT, MR, ultrasound, X-ray and interventional X-ray equipment.

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AI

GuideWell and Olive Debut First-Of-Its-Kind AI Solution to Accelerate Access to Health Care

GuideWell | February 18, 2022

GuideWell, a health solutions company and parent to the leading health insurer inFlorida, and Olive,the automation company creating the Internet of Healthcare, today announced an innovative collaboration of health care and technology. Through this collaboration, GuideWell's subsidiary,Florida Blue, becomes the first U.S. payer to automate prior authorization approvals through AI-powered clinical reviews, resulting in faster care for patients and greater provider satisfaction. This partnership will transform a frustrating, labor-intensive process, accelerating GuideWell's mission to help people and communities achieve better health through innovation and collaboration. "Olive's AI platform helps GuideWell create a best-in-class utilization management model that reduces the administrative burden on our providers while creating a better experience for our members. By being the first health plan to automate approvals, we are leading the way for insurers to close the technology gap to better serve our members and providers." Dr.Elana Schrader,Florida Bluesenior vice president, healthcare services and GuideWell Health president For most of the industry, the prior authorization process is a time-consuming endeavor for both providers and payers, requiring phone calls and faxes to provide patient medical records. Incomplete and inconsistent data can cause delays and lead to a 15-day cycle before a member receives authorization for a procedure. GuideWell's health plan companies receive hundreds of thousands of prior authorization submissions. By deploying Olive's AI platform, prior authorization decision-making moves to the point of care (such as a doctor's office).The solution will enable members to receive authorizations faster by giving providers an immediate approval from GuideWell (sometimes before a member leaves their provider's office) when Olive's artificial intelligence determines the prior authorization request meets GuideWell's medical necessity requirements. This increase in decision-making at the point of care provides patients with the right care, at the right place, at the right time. As a result, clinical staff spend less time on administrative functions and more time on patient care. Olive refers to this process — connecting the industry's systems to more rapidly deliver intelligence that results in better human outcomes — as creating the Internet of Healthcare. GuideWell launched a pilot with Olive inFloridalast year and saw impressive results: a massive reduction in time to decision by 10 days when immediate responses were available and a 27 percent decrease in unnecessary prior authorization requests, lessening the provider's burden and operational costs and 48 percent faster decisions leading to faster patient care. "Olive is proud to partner with GuideWell to apply automation and AI to automatically prepare, submit and deliver payer-approved prior authorizations one of the most broken processes in health care today," saidJeremy Friese, MD, president, payer market at Olive. "Together, we are reimagining the care experience for patients, payers and providers." The companies will begin rolling out the AI platform in April, with a full-scale implementation in July for more than 2.5 million commercial members. About GuideWell GuideWell Mutual Holding Corporation (GuideWell) is a not-for-profit mutual holding company and the parent to a family of forward-thinking companies focused on transforming health care. The GuideWell organization includesFlorida Blue, the leading health insurance company inFlorida; Triple-S Management, a leading health care services company inPuerto Rico; GuideWell Health, a portfolio of clinical delivery organizations; GuideWell Venture Group, a portfolio of companies including Onlife Health and PopHealthCare focused on creating human-first and innovative health solutions for health plans; GuideWell Source, a provider of administrative services to state and federal health care programs; and WebTPA, a market leading administrator of self-funded employer health plans. In total, GuideWell and its affiliated companies serve more than 46 million people in 45 states,Puerto Ricoand theU.S. Virgin Islands. About Olive Olive is the automation company creating the Internet of Healthcare. The company is addressing healthcare's most burdensome issues through automation delivering hospitals, health systems and payers increased revenue, reduced costs, and increased capacity. People feel lost in the system today and healthcare employees are essentially working in the dark due to outdated technology that creates a lack of shared knowledge and siloed data. Olive is driving connections to shine new light on healthcare processes, improving operations today so everyone can benefit from a healthier industry tomorrow.

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