Executives at the ViVE Payer Insights event earlier this year discussed prior authorization, AI, value-based care and the role of tech to help achieve their goals.

The post How Payers Use Tech to Support Healthcare Transformation appeared first on MedCity News.

A new eBook from HLTH and MedCity News captures how health insurers and their partners are using health tech to improve the patient experience, hea

The post Shifting the Payer Landscape with Health Tech appeared first on MedCity News.

The “vast majority” of provider-sponsored health plans are unprofitable, Flare Capital Partners Principal Parth Desai pointed out during a recent interview. He said most of these plans aren’t able to cover the large number of lives required to ensure a viable risk pool and maintain a healthy operating margin.

The post Why Are Most Provider-Sponsored Health Plans Unprofitable? appeared first on MedCity News.

In order to effectively address the nursing shortage, hospitals must embrace three key products on the market that has been proven to alleviate nurse burnout, according to Syl Trepanier, chief nursing officer at Providence.

The post Providence Chief Nursing Officer: All Hospitals Should Be Using These 3 Tools appeared first on MedCity News.

Health systems aren’t seeing a ton of ROI when it comes to their AI investments quite yet, as use of the technology is still in an iterative stage. However, Mount Sinai CEO Brendan Carr thinks that is likely to change in the next couple years.

The post Mount Sinai CEO: Hospitals Will Start Seeing ROI from Their AI Investments in a Couple Years appeared first on MedCity News.

Bill Fera — a principal and head of AI at Deloitte — said that the generative AI frenzy holds incredibly promising opportunities for health systems. He noted that in order for hospitals to succeed in the era of generative AI, they need to establish the right metrics for their pilots early on so they can quickly nix or scale them.

The post How Should Providers Be Approaching the Generative AI Frenzy? appeared first on MedCity News.

During a fireside chat hosted by MedCity News at ViVE, Blue Shield of California CEO Paul Markovich discussed the company’s decision to largely move away from CVS Caremark as its PBM and partner with several other companies.

The post Blue Shield of California CEO on PBM Shakeup: ‘It’s Going to Become the Norm’ appeared first on MedCity News.

At ViVE, investors and health system executives shared their biggest pet peeves when it comes to pitches from digital health startups.

The post 6 Mistakes Digital Health Startups Make When Seeking Funding or Customers appeared first on MedCity News.

At the ViVE event in Los Angeles last month, health tech executives shared how their companies are putting innovative ideas into action to address the most pressing needs in healthcare, as part of the Vibe at ViVE by MedCity News.

The post Vibe at ViVE: What Developments Hold Healthcare Executives’ Attention in 2024? appeared first on MedCity News.

Most health systems aren’t seeing a huge ROI from their AI investments yet. There are three changes that must happen in order for health systems to start seeing a greater ROI when it comes to AI deployments, according to Michael Kalishman, chief venture officer at Virginia-based Sentara Health.

The post These 3 Changes Must Occur for Hospitals to See Greater ROI from Their AI Investments appeared first on MedCity News.

This year’s ViVE conference featured a variety of news announcements — from company launches to new products to partnerships to acquisitions and more. In this list, MedCity News compiled short summaries for nine of the conference’s most notable announcements.

The post 9 ViVE Announcements You Don’t Want to Miss appeared first on MedCity News.

Telehealth is great at expanding access to care, but sometimes the quality isn’t there, according to Dr. Pat Carroll, chief medical officer of Hims & Hers.

The post Hims & Hers CMO: The Healthcare Industry’s Strengths and Weaknesses Regarding Telehealth appeared first on MedCity News.

Research shows that an average of 17.5 veterans die by suicide each day. At ViVE 2024, Shereef Elnahal, the U.S. Department of Veterans Affairs’ under secretary for health, declared that even one veteran dying by suicide is too many — and promised that the VA is pursuing partnerships aimed at addressing this harrowing problem.

The post Veteran Suicide Statistics Are Horrifying — What Is the VA Doing to Help? appeared first on MedCity News.

There are several misconceptions when it comes to mental healthcare, including that AI means fully automated therapy chatbots and that mental health and physical health are separated, according to Dr. Mimi Winsberg, chief medical officer of Brightside Health. 

The post What Are the Biggest Misconceptions in the Mental Health Space? One Exec Weighs In appeared first on MedCity News.

In the venture capital community, there’s a bit of a debate about what matters more to digital health investors in today’s fundraising environment — growth or profitability. Cathy Gao, a partner at Sapphire Ventures, thinks VCs are still putting a premium on growth, but she noted that the conversation is very nuanced.

The post Growth or Profitability: Which One Do Investors Care More About? appeared first on MedCity News.

Vale Health announced its launch on Monday at ViVE. The startup’s platform helps health systems connect their patients to health and wellness products, which are becoming increasingly interesting to consumers. Vale has 16 founding health systems partners that will go live with the platform, with the Froedtert & the Medical College of Wisconsin health network being the first.

The post 16 Health Systems Help Launch Health & Wellness Marketplace appeared first on MedCity News.

Epic’s Payer Platform is being integrated with Highmark’s claims data on Google Cloud, the companies announced Monday at ViVE. This will give providers better insight into patients’ health.

The post Highmark Health Collaborates with Epic, Google Cloud To Improve Payer/Provider Coordination appeared first on MedCity News.

In an interview at the Vive conference in Los Angeles, John Couris said that while he is sympathetic toward Change Healthcare’s current woes, he wants definitive answers soon.

The post Tampa General Hospital CEO on Change Healthcare Breach: They Are Going To Have To Give an Update Soon appeared first on MedCity News.

At the Payer Insights sessions on Day 1 of ViVE 2024, a panel on prior authorization offered compelling insights from speakers who shared the positive developments in this area after years of mounting frustration. Speakers also shared challenges as they work with providers to figure out how policy developments and technology will work in practice.

The post At ViVE 2024, Panelists Share Prior Authorization Progress and Frustration in Payer Insights Program appeared first on MedCity News.

At ViVE 2024, Tarun Kapoor — chief digital transformation officer at New Jersey-based Virtua Health — highlighted a conundrum he thinks may be the reason why AI hasn’t been able to move the needle when it comes to solving the clinician shortage.

The post The Healthcare AI Question No One Wants to Answer appeared first on MedCity News.

When it comes to behavior change support, humans are still better than AI, according to Dr. Carolyn Bradner Jasik, chief medical officer at Omada Health.

The post What Omada Health Wouldn’t Use AI For appeared first on MedCity News.

A preview of ViVE 2024 offers a sneak peek at the agenda and how the Payer and Provider Connect meeting platform initiatives have been revamped to maximize the quantity and quality of meeting for healthcare executives.

The post ViVE 2024: Optimizing Provider and Payer Meetings appeared first on MedCity News.

This year, ViVE will celebrate nurses throughout the event’s programming, highlighting how their role has evolved, the challenges they face and how they are spurring innovation in different models of care. The event is powered by HLTH and the College of Healthcare Information Management Executives (CHIME).

The post ViVE to Champion the Role of Nurses in Healthcare Delivery appeared first on MedCity News.

Elevance Health is finding ways to connect with the community in order to achieve better health equity.

The post Payer’s Place: Shantanu Agrawal, MD, MPHIL, Elevance Health appeared first on MedCity News.

This year’s HLTH conference brought a bevy of news announcements — from partnerships to new product features to acquisitions and more. In this list, MedCity News compiled short summaries for 11 of the conference’s most notable announcements.

The post 11 HLTH Announcements You Don’t Want to Miss appeared first on MedCity News.

At the HLTH conference last week, MedCity News’ editorial team interviewed 11 health leaders from a variety of organizations to get a sense of which areas within healthcare will see consolidation over the next 12 months.

The post 4 Areas Within Digital Health That Will See Consolidation Next Year appeared first on MedCity News.

At HLTH 2023, I had dozens of conversations with providers, digital health investors, startup CEOs and other players in the healthcare industry. When I got home, I compiled seven refreshingly honest takes I heard from them while at the conference.

The post 7 Hot Takes I Heard at HLTH appeared first on MedCity News.

Health tech to support care for seniors and track the progression of conditions such as Parkinson’s disease and heart failure were on display at HLTH 2023. The National Institute on Aging also added a startup boot camp leading up to HLTH.

The post Health Tech for Aging Population Punctuates HLTH 2023 appeared first on MedCity News.

The opening day of the HLTH 2023 event offered a surprising announcement from venture capital firm General Catalyst. Weight Watchers CEO called for a change in how we talk about obesity. ENGAGE at HLTH offered compelling discussions around retail health, prescription drug prices and investment trends.

The post Venture Capital Firm Shares Ambitious Value-Based Care Strategy: Buy a Health System appeared first on MedCity News.

What does the future hold with AI and the healthcare ecosystem? Camille Harrison with GuideWell, Florida Blue joins the Payer’s Place to share her thoughts.

The post Payer’s Place: Camille Harrison, GuideWell, Florida Blue appeared first on MedCity News.