What You Should Know: MultiPlan, a provider of data-enabled cost management, payment, and revenue integrity solutions for 700+ healthcare payors announced the acquisition of Benefits Science LLC (BST) for $160M in cash and stock.BST was founded in 2012 by a group of MIT-trained experts in data science, including Dimitris Bertsimas, Ph.D., who is recognized as an early pioneer in healthcare analytics and who serves as the company’s chief data scientist. Dr. Bertsimas will continue with BST
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revenue integrity
Olive Partners with Magenta to Revolutionize Risk Adjustment Process
What You Should Know: - Olive, the automation company creating the Internet of Healthcare, today announced its partnership with Magenta Care Continuum, a HIPAA-compliant health records vault that includes care gap analytics. - Through the Olive Library, payers and providers can access Magenta's solutions to help close care gaps, improve billing and claims occurrence and ensure compliance and revenue integrity for value-based population management. Automating the Risk
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DeliverHealth Acquires Revenue Cycle Company PresidioHealth
What You Should Know: - DeliverHealth, a provider of technology-enabled solutions for hospitals, health systems, and group practices, today announced the acquisition of PresidioHealth, a healthcare technology and clinical intelligence company. Financial terms of the acquisition were not disclosed. - The acquisition enables DeliverHealth to further expand its software platform, thus improving coding quality and speeding up the reimbursement cycle for healthcare organizations. Combined
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Streamline Health Acquires RCM Consulting Firm Avelead for $20M
What You Should Know: - Streamline Health Solutions, Inc., a provider of the eValuator Revenue Integrity Program to help healthcare providers proactively address revenue leakage and compliance exposure, announced the acquisition of Avelead Consulting, LLC (“Avelead”), a provider of solutions and services to improve revenue integrity for healthcare providers. - Financial terms of the acquisition include closing cash and stock consideration valued at $20M, subject to
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The Future of Revenue Integrity: From Reactive to Predictive – RCM
Healthcare organizations have witnessed an explosion of new opportunities to extract value from the industry’s treasure trove of data in recent years, with success stories related to using advanced technology such as artificial intelligence (AI) and machine learning found in every sector. Revenue integrity is no exception. Error-prone manual processes that were formerly characterized by painstaking line-by-line analyses of claims are giving way to automation and analytics that
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Epic, Galen Healthcare, Chartis Group Named 2020 Overall Best in KLAS Awards
What You Should Know: - Epic was named the top Overall Software Suite for the eleventh consecutive year in the Best in KLAS 2021 Software & Services report, released today, which reports on the top vendors for 2020. Epic was also named the top Overall Physician Practice Vendor. Galen Healthcare Solutions was named the top Overall IT Services Firm. The Chartis Group earned the award of top Overall Healthcare Management Consulting Firm, edging out last year’s winner,
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Hospital Sustainability Demands that Revenue Integrity Move Front and Center
Razor-thin operational margins coupled with substantial and ongoing losses related to COVID-19 are culminating in a perfect storm of bottom-line issues for U.S. hospitals and health systems. A study commissioned by the American Hospital Association (AHA) found that the median hospital margin overall was just 3.5% pre-pandemic, and projected margins will stay in the red for at least half of the nation’s hospitals for the remainder of 2020. The reality is that an increase in
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Revint Merges with Triage to Deliver Comprehensive Revenue Integrity
What You Should Know: - Revint, a leader in technology-enabled revenue integrity solutions for healthcare providers, announced they will be merging with Triage Consulting Group, one of the nation’s premier healthcare revenue integrity companies. - With this merger, Revint continues to invest in its technology and product solutions that recover revenue through a guaranteed ROI model that hospital systems can depend on. Revint Solutions, a leader in technology-enabled revenue integrity
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Report: Modern Revenue Integrity Solutions Driving Payment Performance
What You Should Know: - New Chilmark Research report on revenue integrity in healthcare reveals a transitional market making strides to address the new burdens of modern care economics. - The ongoing COVID-19 public health emergency underscores the imperative need for automation and reduced administrative costs even clearer. Revenue cycle has and continues to be one of the most difficult challenges in healthcare. These issues manifest in the claims process of submission,
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HealthEdge Acquires Payment Integrity Solution The Burgess Group
What You Should Know: - HealthEdge Software announces the acquisition of The Burgess Group, LLC (“Burgess”), an innovative payment integrity software company focused on improving healthcare payment operations for an undisclosed sum. - The strategic acquisition will boost Health Edge’s position in the payment integrity market and extends best-in-class claims processing to include software-driven payment integrity - Burgess’ product, Burgess Source®, is the first solution to natively
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