re: Cigna payment model/denials - this is not surprising at all. I had a client sue another large national payer…
3M is reportedly seeking a buyer for its Health Information Systems revenue cycle and software business.
HIStalk Announcements and Requests
Let me get this straight. Health systems claim their big-ticket EHR purchase will improve outcomes and patient safety. When those systems go offline for days or weeks, they declare that going back to paper-based downtime procedures is a non-event that doesn’t put patients at risk. This is where the cynical you wants to speak up. I’ll also add for those without hospital IT experience that the real danger is in the recovery phase, where systems are brought back up with old and missing information and all hands are frantically back-entering orders and hoping they don’t get treated as new ones.
Also for your cynical consideration, the American Telemedicine Association is giddy at the prospect of ditching its virtual conference format and meeting in person next week in Boston.
I was reading about an upcoming White House plan to resettle Ukraine refugees in the US using sponsors who would be responsible for much of the logistics and cost to move a family here. One of many unfortunate barriers is a healthcare one – would you risk your family’s financial security to take on the health insurance premiums and medical costs of a family who is relocating for years to the only developed country that doesn’t offer national health insurance?
April 28 (Thursday) 2 ET. “Undercoded and Underpaid: Making It Easier to Document to Optimize Reimbursement.” Sponsor: Intelligent Medical Objects. Presenters: Deepak Pillai, MD, physician informaticist, IMO; June Bronnert, MSHI, RHIA, senior director of informatics, IMO; Nicole Douglas, sales engineer, IMO. The presenters will discuss how to simplify precise documentation for clinicians; the effects of imprecise coding on reimbursement; why accurate code capture at the point of care can have positive downstream impact on population health initiatives; and how third-party solutions integrated with the EHR can reduce documentation burdens.
Previous webinars are on our YouTube channel. Contact Lorre to present your own.
Acquisitions, Funding, Business, and Stock
Biofourmis secures $300 million in Series D funding, increasing its total raised to $445 million and bringing its valuation to over $1 billion. The company, which specializes in predictive analytics-based remote patient monitoring technology, has named former Medtronic and Intel chairman Omar Ishrak chairman of its board.
UnitedHealth will sell Change Healthcare’s ClaimsXten claims payment and editing software business to TPG Capital for $2.2 billion if its acquisition of Change is finalized.
Imaging real-world data vendor OneMedNet will go public via a SPAC merger at a valuation of $317 million. Paul Casey will remain as CEO.
AirStrip invests in clinical analytics company Fifth Eye as part of a collaboration that will include integration of Fifth Eye’s AHI System with AirStrip’s real-time clinical data platform for inpatient surveillance.
Specialist TeleMed secures unspecified funding from LifePoint Health (TN).
Healthstream announces Q1 results: revenue up 3%, EPS $0.09 versus $0.07. HSTM shares are down 11% in the past year versus the Nasdaq’s similar drop, valuing the company at $600 million.
Microsoft announces Q3 results: revenue up 18%, EPS $2.22 versus $2.03, beating analyst expectations for both. Microsoft Cloud revenue was up 32% to $23.4 billion.
- Northwell Health (NY) selects virtual care services from Teladoc Health.
Vidya Raman-Tangella, MBBS, MHA (AWS) joins Teladoc Health as chief medical officer.
WellSky hires Dale Zurbay (Nuance) as chief growth officer.
OmniLife names Dyan Bymark (Teladoc Health) chief commercial officer.
Memora Health promotes Omar Nagji to chief commercial officer and names James Colbert, MD (BCBS of Massachusetts) SVP of care delivery.
Chris Regan (Experian Health) joins Salesforce-owned MuleSoft as RVP of healthcare.
Announcements and Implementations
St. Lawrence Health (NY) will go live on Epic this weekend through its affiliation with Rochester Regional Health.
Clinical Architecture renames its Nomad data normalization and enhancement software to Nomentys.
University Health Network in Toronto will go live on Epic in June. The health system incorporated guidance from 80 patient partners in its configuration of the new software.
Ochsner Health (LA) has implemented Nym Health’s automated medical coding technology within its emergency departments.
Monument Health selects CereCore’s ServiceNow consulting services.
Rhodes Group, a laboratory software and consulting business, uses InterSystems Iris for Health to aggregate and normalize hepatitis C data from labs across New Mexico to support sharing with providers through the state’s HIE.
Nicklaus Children’s Health System launches its MyNicklaus app that includes wayfinding from Gozio Health.
In the Netherlands, Amstelland Hospital becomes the first hospital in Europe to implement Epic under the Epic Connect model.
KLAS summarizes US hospital EHR market share activity for 2021 (click the graphic to enlarge):
- Epic gained four new customers representing 28 hospitals and 13,000 beds last year, losing four due to M&A.
- Meditech Expanse was chosen by 74% of the company’s legacy customers that made a replacement decision in 2021, compared to 38% retention in 2020.
- Epic has 33% of hospitals and 44% of beds versus Cerner’s 24% and 27%, respectively.
- Allscripts and CPSI lost ground in 2021.
- Cerner had the largest net decrease in bed count last year, with half of those hospitals choosing Epic as a replacement and the other half switching to Epic after being acquired.
- Cerner hasn’t had a net-new large health system sale since 2013.
Government and Politics
The White House’s plan for expanding access to COVID-19 treatments such as oral antivirals includes working with EHR vendors, with Cerner and Epic specifically mentioned, to incorporate or antiviral treatment content and availability information.
VA Secretary Denis McDonough expresses confidence that the agency has the budget needed to complete its projected 10-year, $16 billion rollout of Cerner, despite a new OIG report that estimates it will need an additional $2 billion for every year that implementations runs behind schedule.
New Hampshire regulators say that the board of the non-profit parent company that owned failed Lakes Regional General Hospital and Franklin Hospital should have reined in hospital executives who undertook an aggressive expansion and a $42 million implementation of Cerner as an aging local population increased the Medicare and Medicaid share of the money-losing hospitals.
A study describes how clinical radiologists at NYU’s medical school create videos explaining a patient’s imaging results in plan language with annotations, then post them to the patient portal for both patients and referring providers. The one-minute videos take the radiologist about four minutes to create using a PACS-integrated reporting tool. On the downside, three-fourths of the videos were never opened and 91% of surveyed patients said they preferred both a written and video report. I’ll also add that the sample video report was full of unnecessary jargon (like bone names) delivered in a monotone.
Maybe this is telehealth’s jump-the-shark moment. A group of doctors who are famous on TikTok and Instagram sells memberships – in the form of NFT cartoon icons — in what one founder hopes will become a metaverse-powered virtual clinic. MetaDocs and its providers, such as Dr. Pimple Popper, is taking heat because the company is not licensed as a telemedicine service and its doctors aren’t licensed in all states, meaning the social media stars can’t legally offer paying customers prescriptions or medical advice. Medical toxicologist Ryan Marino, MD comments commendably drily, “If your child is in respiratory distress in the middle of the night, having a surgeon famous for dancing on TikTok text you might not be that useful.” The company is quickly developing a user waiver that its service is for “informational purposes only” and refocusing its virtual clinics on “third-world countries” that presumably have a short supply of both doctors and lawyers. The company’s website says it plans to act as a connection among doctors, Web3, and healthcare, contributing ideas related to blockchain-powered EHRs, tokenizing services and procedures, and the overall digitization of healthcare.
One of my favorite booths at the HIMSS conference is always that of the Philippine Delegation, some super-nice folks who describe the advantages of health IT outsourcing to the Philippines and remind us that they provide more US nurses than any other country outside the US. They report a good HIMSS22 exhibit experience, expecting sales of $30-$40 million from 300 leads, 25 deals that have already closed, and four new partnerships.
- Quil employees take part in the company’s fourth annual day of service.
- Agfa HealthCare welcomes four new peregrine falcon chicks at its headquarters in Belgium.
- Cerner announces that it added 71 new clients in 2021 and extended or expanded relationships with 330 others.
- Baker Tilly donates $10,000 to Cray Youth and Family Services and the Washington Township Special Olympics.
- Biofourmis will present at the ATA Telehealth Innovators Challenge during ATA 2022 May 1-3 in Boston.
- Bravado Health publishes a new executive brief, “The high cost of low task adherence for surgical and non-surgical procedures.”
- CarePort will exhibit at ACMA National 2022 May 1-4 in Dallas.
- Cerner releases a new podcast, “How TEFCA impacts the future of healthcare.”
- Change Healthcare releases a new podcast, “Capitol Connection: Post-Pandemic Healthcare Policy.”
- Clearsense publishes a new case study, “Archiving Solution Delivers Rapid ROI.”
- RxRevu announces that three of the top 10 health systems on US News & World Report’s Best Hospitals list for 2021-22 are now part of its prescription cost and coverage network.
- Overcoming Labor Shortages Through Automation and Outsourced Services: Part One (AGS Health)
- 5 questions to ask before you use predictive algorithms in healthcare (Arcadia)
- How AI Can Generate Ideal Audience Segments in Healthcare (Actium Health)
- Building Tools in DRVS for Family Planning Programs (Azara Healthcare)
- Pings Patient Notification Connects People in Need to Support (Bamboo Health)
- Streamlined referrals and better patient care with technologies for home health (CarePort)
- Community: 3 Examples of How CHIME Brings People Together (CHIME)
- Exploring the implications and infancy of Artificial Intelligence (AI) for labor and delivery (OBIX Perinatal Data System, developed by Clinical Computer Systems)
Mr. H, Lorre, Jenn, Dr. Jayne.
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Allscripts long ongoing woes that continued in 2021 makes me think of Glen Tullman who ran the company for 15 years including during a time when Federal money could have made any EHR company leader look like a genius and yet, he left the company fundamentally and structurally in a pitiful state.
A reminder to everyone that many of those popular as “visionaries” on the health conference and venture capital circuit don’t have a good track record to back up that billing!
Mr. H, in fairness to Cerner, you missed the key factual exception to their market share dry spell: “Outside of Cerner’s government contracts,”
In fairness to you, they haven’t really delivered a functioning EHR to the DoD or VA, so easy to explain the oversight.