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MedHOK Named Finalist for the TBTF Emerging Technology Company of the Year Award

TAMPA, Fla. – Oct. 11, 2012 – MedHOK, one of the healthcare industry’s fastest growing software companies, has been named a finalist for the 2012 Tampa Bay Technology Forum (TBTF) Emerging Technology Company of the Year Award.

The award recognizes a technology company that has the potential to make a significant and lasting impact on the region. Winners will be announced Nov. 16, 2012, at the 9th Annual Industry Achievement Awards Gala.

“We have experienced incredible growth in the past year, driven by our focus on providing the healthcare industry with the innovative technologies it needs to improve quality and performance while reducing the costs of care,” said Anil Kottoor, president and CEO, MedHOK. “It is an honor to be selected as a finalist for an award that recognizes the dedication and quality of our team. Our team and innovative culture are our most important assets.”

MedHOK’s integrated care management, quality and compliance platform helps health plans, pharmacy benefit managers (PBMs) and accountable care organizations (ACOs) proactively close care gaps, comply with federal and state regulations, enhance care management and improve Star, HEDIS® and other quality scores. The organization offers fully NCQA-certified software for HEDIS®, Pay for Performance and Disease Management performance measures.

Founded in 2009, MedHOK currently has more than 23 million lives in production, making it one of the healthcare industry’s fastest-growing software companies.

About MedHOK

Tampa, Fla.-based MedHOK has more than 23 million lives in production, making it one of the healthcare industry’s fastest-growing software companies. It offers a cloud-based integrated software platform for care management, quality and compliance that enables health plans, PBMs and ACOs to manage and measure care against national quality standards for optimal outcomes. Its innovative modular software helps healthcare organizations meet quality, care and compliance objectives across business lines by facilitating real-time information sharing with all stakeholders to address disease management and care coordination, clinical quality and utilization review, and quality and financial measures. ICD-10 compliant, HIE-ready and securely accessible on any device, the MedHOK platform is user-friendly, rapidly deployed and easily configurable for a low total cost of ownership and rapid return on investment. It holds 2012 HEDIS®, Pay for Performance and Disease Management performance measures certification.

November 18, 2012 I Written By

Massachusetts eHealth Collaborative (MAeHC) Participates in Successful Massachusetts HIWay Kick-Off at Golden Spike Event

Healthcare IT Leader Receives Health Record Transaction from Beth Israel into MAeHC Quality Data Center Measurement and Reporting System

Waltham, Mass., October 16, 2012 – The Massachusetts eHealth Collaborative (MAeHC), a non-profit pioneer and leader in healthcare delivery through health information technology, announced today that it participated in the official launch of the statewide healthcare information exchange, known as the Massachusetts Health Information Highway (HIway).  During the kickoff event at the Massachusetts General Hospital, Governor Deval Patrick executed the exchange’s first transaction, transmitting his own health record between two hospitals on opposite ends of the Commonwealth.  As part of the event, dubbed the “Golden Spike”, MAeHC successfully received a health record from the Beth Israel Deaconess Medical Center (BIDMC) into its Quality Data Center (QDC), a hosted clinical quality measurement and reporting solution that helps provider organizations easily and accurately meet the performance measurement and reporting requirements of a wide range of government, private payer and internal quality initiatives.

“We are thrilled that the QDC was able to demonstrate the Massachusetts HIway’s ability to securely send a standardized patient medical record during today’s Golden Spike,” said Micky Tripathi, CEO for MAeHC. “This marks another huge advancement for the state’s healthcare information infrastructure and the safe and efficient transportation of EHRs. Today’s event was also a great opportunity to showcase the QDC’s ability to accept patient data and normalize it for reporting to various regulatory and compliance programs such as Meaningful Use and PQRS, all of which are aimed at improving the delivery of patient care.”

Upon receiving the BIDMC patient record, MAeHC’s QDC extracted the clinical data elements of the transmitted medical record and prepared it for future analysis and reporting. Now the medical record which belongs to Kathy Halamka, co-owner at Unity Farm and wife of BIDMC CIO, John D. Halamka, M.D., is stored in a high-performance cloud-based patient records data warehouse which is vendor-agnostic, federally-certified and able to securely support the growing number of quality reporting requirements providers face today.

“The BIDMC-MAeHC transaction during today’s event was a great demonstration of the Commonwealth’s new HIE infrastructure as well as the QDC’s capabilities,” said Halamka. “Now with streamlined access to the QDC, BIDMC’s reporting will be even faster and more accurate than ever before. MAeHC’s QDC has historically been one of the most trusted resources for BIDMC – reliable and safe enough for my wife’s EHR to be the first transmitted through the HIway – and we look forward to many more transactions via the state’s latest resource.”

MAeHC delivers hands-on tactical support and sustainable strategies to help providers improve healthcare delivery within their own organizations and across communities. The QDC uniquely helps MAeHC connect communities by providing a comprehensive, on-demand data warehousing solution that seamlessly extracts and aggregates data from multiple clinical systems and provides timely feedback that helps clinical teams improve overall quality.  For more information regarding the QDC, please visit: http://www.maehc.org/services/quality-data-services/.

About Beth Israel Deaconess Medical Center (BIDMC)

Beth Israel Deaconess Medical Center is a patient care, teaching and research affiliate of Harvard Medical School, and currently ranks third in National Institutes of Health funding among independent hospitals nationwide. BIDMC is clinically affiliated with the Joslin Diabetes Center and is a research partner of Dana-Farber/Harvard Cancer Center. BIDMC is the official hospital of the Boston Red Sox. For more information, visit www.bidmc.org.

About Massachusetts eHealth Collaborative (MAeHC)

The Massachusetts eHealth Collaborative is a national leader in the facilitation and management of electronic health record deployment, health information exchange and quality measure reporting. MAeHC is an independent non-profit corporation with a charitable mission to improve the delivery of health care by promoting the use of health IT.  Formed in 2004 as a collaboration of non-profit health care stakeholders to demonstrate the most effective ways to deploy EHRs and HIE to improve the quality, safety, efficiency, and affordability of care in Massachusetts, MAeHC now works across the United States with a wide range of physician practices, hospitals, state governments, contracting networks, management services organizations, HIE organizations, technology vendors, and consulting firms.  To learn more about the Massachusetts eHealth Collaborative, please visit www.maehc.org.

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OrthoNOW to Offer Activ Doctors Online Personal Health Records and E-Consultations as Standard Service Offering

MIAMI, Florida – October 24, 2012 – Activ Doctors Online, a global telemedicine innovator that offers a complete suite of telemedicine solutions in one unique integrated web-based platform, today announced a partnership with OrthoNOW, an orthopedic urgent care practice that provides immediate care on a walk-in basis for patients with sprains, broken bones and other orthopedic-related injuries. OrthoNOW will offer Personal Health Records (PHRs) and E-Consultations to patients through ACTIV’s PHR Platinum package.

ACTIV’s PHR Platinum will allow OrthoNOW patients to track and access their medical records and health information securely at ActivDoctorsOnline.com. Using the added Medical Records Assistance (MRA) feature, OrthoNOW patients can also have the system request and upload data on their behalf from selected physicians.

Empowered by access to medical records, ACTIV’s PHR Platinum also offers OrthoNOW patients the option of making routine check-ups through e-consultations rather than by a visit to the doctor’s office, which can be inconvenient and costly for some. OrthoNOW in Miami sees roughly 6,000 follow-up patients a year, with franchises planned to open in up to 13 states in the short term. E-consults help to manage the patient healthcare costs and scheduling challenges of a continuous treatment plan.

“OrthoNOW recognizes that advances in how doctors and patients communicate have valuable benefits in establishing new relationships and in efficiently managing care throughout long-term treatment,” said Dr. Alejandro Badia, Chief Medical Officer of OrthoNOW. “Activ Doctors Online gives our patients access to the right information about their health and the ability to carry out a treatment plan, at their convenience, with our specialist physicians.”

“This is an exemplary partnership that illustrates how Activ Doctors is empowering people with control over their health destiny,” said Activ Doctors Online Founder and Chief Executive Officer Florent Monssoh. “OrthoNOW patients will save time and money while producing the best possible outcomes for health conditions that are often quite serious. We are also honored to have Dr. Badia, a world renowned orthopedist, as an integral part of our global network of specialists.”

To find out more about how organizations and consumers can take control of their health destiny through Activ Doctors Online’s Web-based information and telemedicine platform, call 888-51-ACTIV or visit www.activdoctorsonline.com.

About Activ Doctors Online

The Activ Doctors Online personal health records system and suite of telemedicine solutions help people and organizations reduce their healthcare costs while better managing their healthcare to save money, time and even lives.  The company provides a secure, user-friendly portal for individuals and families to control their health information through professionally managed Personal Health Records. Members can also use the portal to access a network of more than 1,500 physician specialists for second medical opinions, and to connect with their primary physicians through e-consult.  Global operations encompass the U.S., Europe and Asia.

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New Tool from RealMed Resolves Claim Denials Faster, Improves Physicians’ Cash Flow

Health Care Providers Can Resolve Denied Insurance Claims Faster, to Reduce the Cost of Collection

INDIANAPOLIS–(BUSINESS WIRE)–RealMed announces the addition of a denial management tool that helps physician practices resolve their denied insurance claims more quickly, resulting in better cash flow for the practice.

Reducing the cost to collect on unpaid medical claims is a significant financial challenge for physician practices, where the average practice may experience a claim denial rate of greater than 10 percent, with more than 60 percent of those denials ultimately being written off due to their difficulty to collect.

Physician practices now have the ability to analyze claim denials using detailed reports, so they can more quickly initiate process changes to close gaps in time-to-payment. Using RealMed’s enhanced real-time reporting and on-demand explanations of benefits, physician practices can determine if denials are payer-specific, biller-specific, coding errors, or part of a pattern — and can take action.

According to RemitDATA, the company whose processing enables the new RealMed tool, physician practices can expect to reduce denial rates to three to four percent, a level associated with best practices as described in the 2011 MGMA study of performance and practices of successful medical groups.

“Providing health care management solutions that enable real transparency into our customers’ claims, billing and collection processes translate into significant cost advantages that include lowering denial rates, being paid faster and improving staff productivity,” says Scott Herbst, senior vice president of provider solutions at RealMed. “By including RealMed’s denial management tool among our portfolio of offerings, we can continue to support our customers’ growing need to improve financial and operational process efficiencies.”

Physician practices can benchmark their business performance against peers, which is especially important as evolving payment models and new coding practices are changing the landscape for physician reimbursement. Armed with information about how their denial rates compare with similarly sized competitors in the same specialty, providers can adjust workflows and automate rework to become more efficient.

“Strategic insight to denial patterns can create a distinct financial advantage for physician practices,” said Sean Kilpatrick, director of the provider portfolio for RealMed. “Simply put, denial management tools can help health care businesses run better — and in this era of emerging new payment models and continuously changing regulatory mandates such as ICD-10 and ANSI 5010, physician practices need every advantage they can get.”

About RealMed

RealMed, an Availity company, is a national leader in revenue cycle management solutions for the health care industry. RealMed solutions connect physicians, practice management systems and health plans with essential real-time business information to drive staff productivity and facilitate better patient experiences. For more information, visit www.realmed.com or call 877-RealMed.

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Baptist Health South Florida Selects CareCloud to Drive Adoption of Electronic Health Records by Physicians Across Florida

Largest Not-for-profit Healthcare Organization in the Region Looks to Improve Patient Care and Efficiency by Subsidizing CareCloud’s EHR to Over 2,500 Affiliated Physicians

MIAMI–(BUSINESS WIRE)– CareCloud, a leading provider of cloud-based practice management, electronic healthcare record (EHR), Revenue Cycle and medical billing software and services, today announced that Baptist Health South Florida, the largest not-for-profit healthcare organization in the region, will subsidize CareCloud’s integrated electronic health record and practice management solution to more than 2,500 community-based physicians in an effort to improve patient care across South Florida. Affiliated physicians will also have access to CareCloud’s revenue cycle management services as part of this new partnership aimed at connecting physicians across South Florida to drive better care coordination for patients and lower healthcare costs.

“As a leading provider of care in South Florida, we are in constant communication with community physicians regarding their technology needs and market trends impacting their practice operations. With national and other various payer programs now in place granting financial incentives to physicians who can meaningfully use electronic healthcare record technology, we are committed to providing and subsiding the latest in cloud-based technologies that help drive better patient care while also connecting community physicians to our hospitals and other care givers,” said Mimi Taylor, Corporate Vice President and Chief Information Officer for Baptist Health South Florida. “With their flexible architecture and modern design, we feel CareCloud’s EHR offering will enable physicians across our care continuum to move their practices online with greater ease, less disruption to their practice workflow while also gaining greater insight into their patient population and ability to coordinate care.”

As part of Baptist Health’s community connectivity program, Baptist Health will subsidize up to 85% of CareCloud’s cloud-based EHR and practice management solution to South Florida medical groups. In addition to the subsidies they receive from Baptist Health, physicians may also be eligible for up to $44,000 in Medicare incentives over five years as part of the American Recovery and Reinvestment Act and using CareCloud’s certified product.

Along with having discounted access to the company’s EHR and practice management offering, physicians will also have access to CareCloud Concierge, a complete revenue cycle management service that utilizes dynamic rules intelligence software, expert live support and real time business analytics and reporting tools to help medical practices increase collections and streamline operations. To learn more about CareCloud and its full product offering and pricing visit; www.carecloud.com/pricing/.

“Baptist Health South Florida continues to fortify their leadership position in healthcare both locally and nationally, as they look to aggressively connect area physicians using the latest cloud-based technology. The promise of electronic health record technology can only be fully realized if all key stakeholders in the healthcare continuum are connected and can act on real-time health information,” said Albert Santalo, Chairman and CEO of CareCloud. “They also understand that healthcare is seeing massive change in how physicians deliver care and are reimbursed for it. We are thrilled to be able to offer our leading revenue cycle management service as part of this program and help area medical groups deliver the best care possible while bolstering their overall business outcomes.”

About Baptist Health South Florida

Baptist Health South Florida is the largest faith-based, not-for-profit healthcare organization in the region. Baptist Health includes Baptist Hospital, South Miami Hospital, Baptist Children’s Hospital, Baptist Cardiac & Vascular Institute, Mariners Hospital, Homestead Hospital, Doctors Hospital, West Kendall Baptist Hospital and Baptist Outpatient Services. Baptist Health Foundation, the organization’s fundraising arm, supports services at all hospitals and facilities affiliated with Baptist Health. For more information, visit BaptistHealth.net, and connect with BaptistHealthSF on FacebookTwitter and YouTube.

About CareCloud

CareCloud is a leading provider of cloud-based practice management, electronic health record (EHR) and medical billing software and services for medical groups. The company’s products are connecting providers to one another – and to their patients – through a fully integrated digital healthcare ecosystem that can be accessed on any browser or device.

CareCloud is helping thousands of physicians to increase collections, streamline operations and improve patient care in over 30 states. The company was named a winner of IBM’s SmartCamp Silicon Valley 2010 for its innovative technology and received over $20 million in Series A funding from Intel Capital and Norwest Venture Partners. To learn more about CareCloud, please visit www.carecloud.com.

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Large Pioneer ACO Outlines Role of Clinical & Business Intelligence in Value-Based Care

CHICAGO (November 15, 2012) – As patient care models evolve to value-based care, clinical and business intelligence (C&BI) tools are playing a central role for organizations operating under new payment models. HIMSS Analytics published a new white paper titled “Banner Health Network Pioneer ACO Clinical Intelligence & Business Intelligence Approaches” that looks at how Banner Health Network is designing and implementing C&BI to effectively operate in a value-based care model.

Headquartered in Phoenix, Ariz., Banner Health Network (BHN) is one of 32 organizations selected in 2011 by the Centers for Medicare and Medicaid Services for its Pioneer Accountable Care Organization program. BHN stood out as a Pioneer candidate since it had experience coordinating care across multiple patient care settings. BHN expanded an existing ACO relationship with Aetna to include full technology and analytics support for its ACO patient populations. The report covers the results of in-depth interviews with BHN executive staff to explore the organization’s progress and multi-layered approach to C&BI.

Banner Health Network – the Organization: With the overall mission to provide excellent patient care, BHN followed three key drivers, identified as the “triple aim,” from the Institute for Healthcare Improvement. BHN had an existing infrastructure to support claims payment, medical management, customer service and other health-plan-like activities, which gave it several critical components needed to support the Pioneer ACO model. In addition, senior leadership viewed existing healthcare fee-for-service payment models as unsustainable. As noted in the white paper, “We are moving from an acute care system to a more comprehensive delivery system that is more viable and stable,” says Dr. Tricia Nguyen, Chief Medical Officer.

Clinical & Business Intelligence in Action: Because BHN is transitioning from fee-for-service payment and incentive methodology to a value-based methodology, physicians must receive the right information at the right time to drive more efficient patient care that results in higher quality outcomes.  Adhering to this philosophy, BHN used C&BI to:

  • Implement payment codes that encourage and reward physicians to spend more time reviewing patient risk scores and profiles based on data gathered from BHN information systems that inform physicians about the status of their patients.
  • Manage and refine communication with specialists to help motivate them to follow processes that align and coordinate patient care with BHN standards.
  • Leverage business intelligence to track gaps in care, healthcare risks, communication plan effectiveness, and to benchmark progress toward the desired change in physician and patient engagement.
  • Establish executive level support and leadership through a Business Intelligence Data Governance program, managed by the Executive Steering Committee, with clearly defined roles and responsibilities for each level of data governance to avoid information silos.

“Our research with Banner Health Network provides valuable insights into how this health system leverages clinical and business intelligence in transitioning to a new model of accountable care.  The BHN executive team supports the use of C&BI tools to better understand patient populations and offer patient-level care coordination with high-quality, standardized information,” says James E. Gaston, Senior Director, Clinical and Business Intelligence, HIMSS Analytics.

Collaboration for a Technology Solution:  At Banner Health Network, the distinction between clinical and business intelligence often overlaps, impacting business performance and optimizing patient care.  To better manage C&BI efforts, BHN expanded its existing ACO relationship with Aetna to include technology to better support its value-based care models and patient populations. This support covers population health management and patient services for more than 200,000 Banner Health Network patients, including more than 50,000 Medicare fee-for-service patients who are part of the Pioneer ACO savings program.

The Aetna Accountable Care Solutions (ACS) technology helps physicians see patient data at the individual and population level, and predict risk and opportunities for health and wellness programs. It also enables them to track, monitor, coordinate and report on patient health outcomes.  BHN provides physicians a comprehensive care management model supporting Pioneer ACO efforts so that patient engagement happens in a more meaningful way, including nursing home and palliative care. Using the Aetna ActiveHealth technology care management programs and outreach, BHN is at the early stage, but leading edge, of building and designing true population-based health management tools.

“Value-based care requires physicians to understand and impact the health of individuals and populations of patients, particularly those with chronic disease where intervention and management is key to better health outcomes and cost. The range of technologies from our Aetna companies complements Banner Health Network’s technology to empower full clinical integration and intelligence,” said Charles D. Kennedy, chief executive officer, Accountable Care Solutions from Aetna.

Read “Banner Health Network Pioneer ACO Clinical Intelligence & Business Intelligence Approaches” at www.HIMSSAnalytics.org/research on the HIMSS Analytics website. Contact James E. Gaston at James.Gaston@HIMSSAnalytics.org for more information on this research.

About Aetna

Aetna is one of the nation’s leading diversified health care benefits companies, serving approximately 37.3 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional, voluntary and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities, Medicaid health care management services and health information technology services. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans, health care providers, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see www.aetna.com.

About HIMSS Analytics 

HIMSS Analytics is a wholly owned not-for-profit subsidiary of the Healthcare Information and Management Systems Society (HIMSS).  The company collects and analyzes healthcare information related to IT processes and environments, products, IS department composition and costs, IS department management metrics, healthcare trends and purchase-related decisions.  HIMSS Analytics delivers high quality products, services and analytical expertise to healthcare delivery organizations, healthcare IT companies, state governments, financial companies, pharmaceutical companies, and consulting firms.  Visit www.himssanalytics.org for more information.

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