Embold Health’s Post

Embold proudly announces the addition of Medicare data into the dataset powering our #healthcarenavigation products, resulting in a total of over 200 million covered lives. This allows us to capture a broader picture of provider quality, increasing the ability of our clients, their employees, and their members to find the right care for their needs. Read more about our latest dataset and methodology update here!

What is your criteria for determining if a service should include prior auth? Volume? Cost? Internal Expertise? MRIoA’s PA Optimization™ analytics delivers a customized CPT code-level ROI assessment of Prior Authorization programs that not only enables Health Plans to manage a more targeted prior authorization list, but also lessons the burden on both providers and members! https://lnkd.in/g7e3-aU7

#ClientSpotlight: “The system is now doing risk scoring on clients, so that we can scale it to be able to target specific individuals who actually need to have some sort of intervention. We’re really positive about that development, and what that bodes for the future.” -Brad Bickham, Addus HomeCare We're excited to work alongside Addus as they utilize Netsmart solutions to create a whole-picture of their data, enabling them to better leverage quality metrics and feel even more confident navigating #ValueBasedCare. Read more: https://okt.to/Zh7epP

A house subcommittee recently discussed the best ways to support and accelerate the shift from fee-for-service to value-based care, which incentivizes better health for patients. Among the solutions supported by the industry: Continue advanced alternative payment model (A-APM) incentives, which provide resources to invest in the infrastructure required to succeed in VBC — including data analytics platforms and workflow tools. https://ow.ly/Sk7U50Ssf4N

We’re excited to share the full story on why we launched CareTimeV3! Here's an example of an agency that has started seeing REAL changes in their day-to-day processes: "Prior to the New EVV Portal there was a blind spot between our EMR and the MCO EVV Vendor. Many claims did not make it to the payer, and it was very difficult to figure out why. I strongly value the ability to see that the claim has been forwarded to MCO EVV Vendor. I can now get clear visibility into the claim data (visits) transferred to the MCO EVV Vendor., and I can see and interact with the actual data that was sent to the vendor. None of this was visible to me before. This shortens the time researching missing and rejected data and makes the research more self-service." Read the full press release here: https://hubs.ly/Q02gDlMd0 #homecare #caretimeV3 #homecaretechnology

A house subcommittee recently discussed the best ways to support and accelerate the shift from fee-for-service to value-based care, which incentivizes better health for patients. Among the solutions supported by the industry: Continue advanced alternative payment model (A-APM) incentives, which provide resources to invest in the infrastructure required to succeed in VBC — including data analytics platforms and workflow tools. https://ow.ly/EAXF50StXgs

As we conclude Health Care Value Week, this week's blog shares how MDaudit is assisting the transition to value-based care. We believe healthy outcomes are rooted in the daily internal clinical processes around patient care. By providing the appropriate technologies and tools necessary to continuously monitor and identify at-risk billing patterns, MDaudit lessens the burden of administrative tasks on clinicians, allowing them to focus on quality care and outcomes. https://hubs.ly/Q02jvM7J0 #mdaudit #valuebasedcare #hcccoding #medicalcoding #HCCModelV28 #riskadjustment

Elevate your wound care documentation with insights from Cathy Thomas Hess on the ThinkFlow strategy. Perfect for anyone looking to improve their practice. #HealthcareInnovation #DocumentationExcellence

A house subcommittee recently discussed the best ways to support and accelerate the shift from fee-for-service to value-based care, which incentivizes better health for patients. Among the solutions supported by the industry: Continue advanced alternative payment model (A-APM) incentives, which provide resources to invest in the infrastructure required to succeed in VBC — including data analytics platforms and workflow tools. https://ow.ly/bHCs50SrFtA