6+ hour, 45+ min ago  (236+ words) Baba Emerges from Stealth with $6.5M to Launch Medicare Advocacy Platform'HIT Consultant What You Should Know - The Launch: Baba, a new patient advocacy platform for older adults, has emerged from stealth with over $6.5M in seed funding led by General Catalyst. - The…...

1+ week, 1+ day ago  (177+ words) Pivot Point Consulting Acquired by SV Health Investors' Portfolio Company to Expand Managed Services'HIT Consultant What You Should Know - The Deal: Innovative Consulting Group (ICG), a portfolio company of SV Health Investors, has acquired Pivot Point Consulting. Pivot Point was…...

3+ week, 6+ day ago  (518+ words) A new industry report from Homecare Homebase (HCHB) reveals a paradox at the heart of the sector. While demand is at historic highs11,200 Americans turn 65 every dayaccess to care is shrinking. Referral conversion rates have plummeted 13% since 2018, resulting in 4.2 million individuals…...

3+ week, 6+ day ago  (490+ words) Missed referrals represent a major, recurring cause of revenue leakage for providers and delays in access to care for patients." When a physician refers a patient to a specialist, the ideal outcome is a prompt appointment and clear documentation that…...

1+ mon, 1+ week ago  (216+ words) " Kaiser Permanente affiliates have agreed to a $556M settlement to resolve allegations of violating the False Claims Act by submitting invalid diagnosis codes to inflate Medicare Advantage (MA) payments." " The settlement, involving multiple Kaiser Foundation and Permanente Medical Groups, addresses a…...

1+ mon, 3+ week ago  (337+ words) Financial challenges are not new to healthcare. A perfect storm of converging trends has left many organizations operating within razor-thin margins in recent years." For safety-net providers, the latest financial uncertainties introduced by the One Big Beautiful Bill Act present…...

7+ mon, 1+ week ago  (514+ words) The reality is that inaccurate provider data now carries significant financial, legal, and reputational risks. Health plans must verify and update provider information at least every 90 days, promptly remove unverified providers, and reflect updates within two business days." In short,…...