Finance/RCM (119)

The goal is to advance value-based care in the state by revamping how payers and providers are paid. OneCare Vermont CFO Tom Borys and Interim CEO Abe Berman explains.

Jennifer Goldsack, CEO Digital Medicine Society (DiMe), explains how a cross-agency, cross-industry collaboration is driving the Center for Medicare and Medicaid Innovation's first truly interoperable payment model.

Utilization has dropped to 5.4% of medical claims since telehealth use skyrocketed during the pandemic, says Steven Ullman, director at the Center for Health Management and Policy at the University of Miami.

John Pickhaver, head of infrastructure and energy capital for the Americas at Macquarie Capital, discusses the White House-led initiative to improve energy efficiency across the healthcare sector and Macquarie’s $300 million contribution.

As a starting point, plans can collect information on race and ethnicity from their members, says Leah Dewey, vice president of clinical and consumer engagement operations at Cotiviti.

Ryan Helon, EVP of investment funds at Rev1 Ventures, discusses the firm's recently announced Catalyst Fund III, how it seeks to invest in innovative life sciences companies and why Rev1 is a beneficial partner for startups and founders. 

Niall O'Connor, chief technology officer at Cohere Health, shares strategies and insights on how payers and providers can prevent overwhelming administrative processes with automation.

Michael Hasselberg, the University of Rochester's chief digital health officer, and Dr. Justin Norden, a partner at GSR Ventures, share how their partnership is helping both the health system and the venture firm in the current economic environment.

Inovalon SVPs Kristopher Volrath and Karly Rowe discuss the tools available to help payers and providers come together to achieve the goal of value-based care.

Sphere Chief Revenue Officer Ryne Natzke, and Chief Product Officer John Welch talk about digital patient engagement and payment tools that provide price transparency and convenience for consumers by allowing them to better manage care expenses.

John Gaines, VP of marketing at Cohere Health, talks about streamlining the lengthy prior authorization process for providers and payers as well as determining best care paths for patients using machine learning.

Lightbeam Health Solutions, with CareSignal tech, provides a population health platform that helps improve the quality while reducing the cost of care, Lightbeam President Jerry Shultz and CareSignal CEO Blake Marggraff point out.