News

COVID’s Impact on Healthcare Organizations’ Revenue and Reimbursement: The Lessons We Learned

Posted in Client News Coverage on Tuesday, April 13, 2021.

It has been more than a year since the start of COVID-19 pandemic. While it will be years before we truly know the effect it will have on our overall health, economy and society, there are a lot of things we do know about the impact on health systems.

Healthcare systems stepped up in a heroic way. They managed to test, treat and cure millions of patients. We went from having no standard test for COVID-19 to being able to test more than 2 million people in a single day. (Data from the Covid Tracking Project).

Health IT Answers»

Establishing Long-Term, Cost-Effective Test and Blood Utilization Programs

Posted in Client News Coverage on Tuesday, April 13, 2021.

In today’s quality-driven, outcomes-focused landscape, it is important for healthcare organizations to strike the proper balance between driving better patient outcomes and enhancing efficiencies while still controlling overhead costs. A growing number of forward-thinking organizations are accomplishing this by implementing utilization programs that put operational processes under a microscope and turn lagging, outdated workflows into lean, money-saving activities.

It is a wise target, because unnecessary testing and blood waste put a huge financial strain on health systems. More than $340 billion is spent every year on excessive and inefficient care services, while nearly 50% of all blood transfusions and lab tests run across the continuum of care are unnecessary.

Health IT Answers»

PHINs: Addressing the Fundamental Flaws that Have Broken Healthcare

Posted in Client News Coverage on Tuesday, April 13, 2021.

The fundamental problem with healthcare can be summed up in one sentence: We expect healthcare services that cater to our individual needs, yet the health care system operates under a one-size-fits-all, trial-and-error model. It is a model that results in missed diagnoses, protracted illnesses, and even premature death and wastes $935 billion annually.

The financial toll of this outmoded approach pales in comparison to the human toll. More than 128,000 people in the U.S. die each year from taking medications as prescribed—four times the number of people killed by prescription painkillers and heroin combined, as reported by the Centers for Disease Control and Prevention.

HIT Consultant»

Carrot Health CFO Named “Notable Leader in Finance” by Twin Cities Business

Posted in Press Releases on Monday, April 12, 2021.

MINNEAPOLIS – April 12, 2021 – Carrot Health, a leading provider of healthcare solutions powered by consumer and claims data, announced today that CFO Steve Sigmond was named one of Minneapolis-St. Paul’s Notable Leaders in Finance by Twin Cities Business magazine. Sigmond was recognized for the instrumental role he has played in building the company he co-founded in 2014 into the data analytics market leader it is today.

The Notable Leaders in Finance program recognizes finance industry professionals who have affected change, demonstrated a willingness to share expertise, and exhibited leadership in specific initiatives or programs at their organization that created significant, positive, and measurable results. Sigmond and his fellow honorees will be profiled in a special section in the April/May 2021 print issue of Twin Cities Business and online at tcbmag.com.

Healthcare’s Precision Medicine Imperative

Posted in Client News Coverage on Thursday, April 08, 2021.

When it comes to healthcare in the U.S., we expect services that cater to our individual needs from a system that operates under a one-size-fits-all, trial-and-error model — one that results in missed diagnoses, protracted illnesses, and premature death while wasting up to $935 billion annually.

The financial toll of this outmoded approach pales in comparison to the human toll. More than 128,000 people in the U.S. die each year from taking medications as prescribed — four times the number of people killed by prescription painkillers and heroin combined, as reported by the Centers for Disease Control and Prevention.

Medium»

Carrot Health CEO Named 2021 Health Care Hero by Minneapolis/St. Paul Business Journal

Posted in Press Releases on Monday, April 05, 2021.

MINNEAPOLIS – April 5, 2021 – Carrot Health, a leading provider of healthcare solutions powered by consumer and claims data, announced today CEO Kurt Waltenbaugh was named one of 2021’s Health Care Heroes by the Minneapolis/St. Paul Business Journal. Waltenbaugh, who was recognized in the Health Entrepreneur category, was honored for his substantial achievements at the helm of Carrot Health and the impact he and the company have had on the Minneapolis/St. Paul Community.

Recognizing that 2020 was an unprecedented year, the Business Journal launched the Health Care Heroes awards to honor the healthcare workers who have gone above and beyond in their efforts to fight the global COVID-19 pandemic while continuing to provide care for non-COVID patients. The program recognizes Twin Cities’ individuals who have put innovation, care, dedication, and compassion to work to improve the human condition. Honorees were announced on April 5* by the Business Journal and will be recognized during a virtual event on June 10 and in a June 11 special print edition.

MSPBJ Announces First-Ever Health Care Heroes Honorees

Posted in Client News Coverage on Monday, April 05, 2021.

2020 was an unprecedented year. Health care workers have gone above and beyond in their efforts to fight a global pandemic while continuing to provide care for non-Covid patients. Meanwhile, researchers, entrepreneurs and manufacturers specializing in the health care sector continue to develop new products and services to improve access and outcomes.

To honor their work, the Minneapolis/St. Paul Business Journal has launched our Health Care Heroes awards, recognizing individuals in the Twin Cities for putting innovation, care, dedication and compassion to work to improve the human condition. We received over 115 inspiring and impressive nominations for the inaugural year of this project, making the judging extremely difficult.

Minneapolis/St. Paul Business Journal»

Carrot Health Using Voting Records, Home Data to Gauge Health

Posted in Client News Coverage on Monday, April 05, 2021.

The secret to good health? Get enough sleep, eat well — and maybe vote regularly, according to Carrot Health, a Minneapolis firm that's working to better understand what are often called the social determinants of health and has collected data on millions of Americans.

The firm's approach is attracting attention: Carrot has already landed four of the country's top 10 health plans as its clients, CEO Kurt Waltenbaugh said.

The firm seeks to better understand the social factors that make people unhealthy and the barriers that prevent them from getting well. To do that, it needs a whole lot of data.

Minne Inno»

Self-Scheduling and COVID-19: Necessity Adds to Health Care’s Patient Matching Woes

Posted in Client News Coverage on Friday, March 26, 2021.

The explosive popularity of telehealth to ensure ongoing access to care as COVID-19 ravages the nation brings with it an equally rapid rise in patient self-scheduling—an upward trajectory accelerated by the need for streamlined methods of scheduling vaccinations.

Born of necessity, self-scheduling has nonetheless added to the already dismal state of patient matching. Desperate for appointments, many patients inadvertently create multiple medical record numbers as they work through the schedule system, wreaking havoc on health care organizations’ electronic master patient index (EMPI) and EHR systems, as well as the ongoing quest for a 1% or lower duplication rate.

For The Record»

Leveraging Lab Insights To Improve Short- and Long-Term Response To COVID-19

Posted in Client News Coverage on Thursday, March 18, 2021.

When I founded hc1 a decade ago, I believed that every patient should be treated as a unique individual. We built the hc1 Platform because we saw that if every individual’s laboratory data–which drives 70% of the diagnostic and therapeutic decisions–could be organized intelligently, we could unlock an unprecedented level of clinical decision support to personalize and improve care for all patients.

We knew that the platform would effectively lay the foundation for targeted pharmacogenomics and precision prescribing techniques. What we did not know at the time was that the decision to place our stake in the promise of lab insights would ultimately help drive an improved public health response to an unprecedented crisis: the COVID-19 pandemic.

Electronic Health Reporter»

Carrot Health Surpasses 25 Million Individual Scored Lives and 400 Million Claims/Encounter Records, Solidifying its Position as Top Health Consumer & SDoH Analytics Provider

Posted in Press Releases on Tuesday, March 16, 2021.

Achieving key milestones further solidifies its position as the healthcare industry’s leading provider of data and analytics for social determinants of health

MINNEAPOLIS – March 16, 2021 – Carrot Health, a leading provider of healthcare solutions powered by consumer and claims data, announced today that the Carrot MarketView® platform has now delivered individual-level social determinants of health (SDoH) scores for more than 25 million managed lives.

Carrot Health’s robust integrated dataset — the first and largest in healthcare — now encompasses more than 400 million claims/encounter records. Carrot MarketView aggregates more than 80 data sources to provide the nation’s leading health plans, including four of the top 10 plans, with insights into how best to engage members and manage their health, as well as to identify and drive growth opportunities.

Making the emergency department utilization, SDOH connection

Posted in Client News Coverage on Monday, March 08, 2021.

Overreliance on geographic or population averages to quantify and measure social determinants of health (SDOH) can send healthcare organizations down a costly and inefficient path when it comes to designing interventions to improve outcomes and reduce costs. Because these averages tend to mask the discrete patient experiences, their use can result in programs that fail to fully address the barriers representing the greatest potential for improving health outcomes — and healthcare organizations’ returns on investment.

Managed Healthcare Executive»

Hayes CTO Discusses AI-Enabled Revenue Integrity at Health Datapalooza 2021

Posted in Press Releases on Tuesday, February 23, 2021.

Ritesh Ramesh discussed the role of augmented intelligence in achieving revenue integrity to help healthcare organizations regain solid financial footing post-COVID-19.

Wellesley, MA — February 23, 2021 — Cloud, data, and augmented intelligence (AI) have critical roles to play in solving key business problems around operational and financial areas for healthcare organizations as we enter 2021 and beyond. That was the message shared by Hayes CTO Ritesh Ramesh during a rapid-fire panel focused on Patient Care in the Era of COVID – Data and Systems during the virtual 2021 Health Datapalooza and National Health Policy Conference, hosted by AcademyHealth.

Perspectives: Will People Return to Senior Care Facilities After the Pandemic? (Part I)

Posted in Client News Coverage on Tuesday, February 16, 2021.

The Wall Street Journal recently published an article posing that the pandemic is reshaping how Americans care for senior family members, and that more families will opt to keep loved ones at home, rather than relying on senior care facilities. While the pandemic has and will certainly continue to reshape the senior care industry, what might the industry look like in the coming years and after the pandemic?

To find out, we asked senior care industry professionals for their thoughts, insights, and predictions. We’re pleased to share them with you now.

iAdvance Senior Care»

Revenue Integrity Moves Center Stage in 2021: Five Trends That Will Drive Adoption of More Holistic Strategies

Posted in Client News Coverage on Tuesday, February 09, 2021.

There will be little nostalgia associated with placing 2020 in rearview mirror for most health care stakeholders. Especially on the financial front, the year has left provider organizations with unprecedented challenges that will likely follow them well into 2021.

One report released in September 2020 suggested that for-profit hospitals will continue to see a financial decline for another 12—18 months. In tandem with those challenges, health care organizations face mounting compliance concerns related not only new COVID-19 guidance and telehealth, but also the introduction of new Evaluation and Management (E&M) codes. Add an uptick in audit activity to the mix, and it stands to reason that revenue integrity must become a top priority.

Integrated Healthcare Executive»