Josh Scales, MBA, CLSSGB

#ATANexus is off to a great start. Honored to join Helen Hughes in an important conversation about mastering the execution of inpatient virtual care. When it comes to measuring the Return on Innovation, the call to action is clear: 1. Identify, and align, on the problem your program is solving. 2. Quantify data in the current state-you need to measure what your program achieves. 3. Look for partners who are ‘in it’ with you.

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The healthcare landscape is evolving rapidly, emphasizing the importance of diversifying vendor partnerships. At Inovalon, we lead the way in advocating for multi-vendor strategies to improve patient care and protect data security. Dive into this informative Reuters article with Eron Kelly for a detailed look at this transformative trend. #Healthcare #Innovation #DataSecurity

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The grass is always greener where you water it. The same is true for EHR implementations. Organizations that take the time to continually optimize systems often realize better outcomes and minimize end-user disruption. Check out this video interview with John Lynn and North Country Healthcare where they discuss the advantages of watering your EHR. #healthit #ehroptimization

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Clinicians need comprehensive patient information to deliver higher-quality care. But how can you unify data from multiple stakeholders?     For answers, look to Dr. Denise Hines, DHA, PMP, FHIMSS, executive director of the Georgia Health Information Network (GaHIN), the state’s nonprofit health information exchange.    Dr. Hines is that rare leader who connects the dots in healthcare. Her deep experience in health systems, physician offices, technology vendors, and state government has prepared her to transform healthcare in Georgia.    How?    She’s advancing healthcare connectivity by expanding the HIE’s focus beyond traditional provider data. Leveraging InterSystems HealthShare, the exchange links to state agency information, historical lab results, telehealth data, and social determinants of health data.    A clinician can consult a patient’s admission, discharge, and transfer history alongside their housing data — all in an effort to treat patients in a more holistic way that addresses their full spectrum of needs.    This is exactly the kind of use case that makes our work worthwhile. It shows how patients thrive when you combine interoperable data with advanced technology and an innovative mission to serve patients and communities. Thank you, Dr. Hines.    Where else have you seen interoperability make a difference, not just in healthcare, but where society as a whole benefitted?    #Healthcare #Interoperability #HEI

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The recent #CTN episode, "Optimizing Healthcare IT for Enhanced Patient Care and Efficiency," dives deep into the key strategies and challenges in healthcare digital transformation. Meet Chris Paravate, MBA, CHCIO, PMP, CPHIMS, CDH-E, CIO at Northeast Georgia Health System, who shares valuable perspectives on IT culture, talent growth, and a seamless patient experience across the care continuum. Chris underscores the importance of alignment, cohesive organizational support, and core values in achieving successful digital transformation. Key insights from Chris Paravate: - IT-Business Alignment: Establish clear alignment within the first team, including peers and the CFO, to remove issues and create simpler ways of working, enhancing the overall operational strategy. - Productive Work Environment: Focus on core values and flexibility in work environments to foster a productive space that encourages talent growth and efficient problem-solving. - Enhancing Patient Experience: Address the consistency of patient experience across diverse settings, leverage common platforms, and prioritize continuity in patient interactions to build strong patient relationships with the brand. Tune in to this enriching conversation and gain actionable insights from Chris Paravate and other industry leaders on optimizing healthcare IT for better patient care and efficiency. Watch now: https://lnkd.in/d-tw9Qu8 Join the conversation and share your thoughts! #HealthcareIT #DigitalTransformation #PatientCare #Efficiency #CTN #HealthTech #LeadershipInTech #ITGovernance

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Missed our webinar about the hype surrounding AI and outpatient infusion coding? Watch this snippet from the event to see how having an automated solution can simplify your coding so that you aren't leaving revenue on the table.

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Enhancing Quality Improvement in Hospitals with ORControl™ Quality Improvement (QI) in healthcare isn’t just about outcomes—it’s about creating smoother, safer, and more efficient processes. ORControl™ empowers hospitals with minute-by-minute coordination, optimized OR utilization, and instant day-of-surgery insights, helping clinical teams stay aligned and proactive. By addressing challenges as they happen, ORControl supports a more streamlined, patient-centered approach to perioperative operations and day-of-surgery workflows. Learn more about how ORControl is transforming QI initiatives and advancing healthcare standards in this article by Becker's Health. View full article below ⬇

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Value-based care (VBC) is rapidly gaining traction as healthcare systems recognize its potential to improve outcomes and reduce costs! VBC is a healthcare delivery model that prioritizes patient outcomes and quality of care over the volume of services provided. This approach emphasizes the importance of preventive care, chronic disease management, and coordinated care among healthcare providers. By focusing on the overall well-being of patients, value-based care aims to improve health outcomes, reduce hospital readmissions, and lower healthcare costs. The model encourages healthcare providers to work collaboratively, share information, and make informed decisions that benefit patients’ long-term health. Moreover, value-based care fosters a patient-centered approach, where patients are actively involved in their own care decisions. Active participation empowers patients to take charge of their health, leading to better adherence to treatment plans and healthier lifestyles. By aligning financial incentives with patient outcomes, value-based care promotes a more sustainable and efficient healthcare system. It also addresses disparities in healthcare access and quality, ensuring that all patients receive the care they need, regardless of their socioeconomic status. Overall, value-based care represents a shift towards a more holistic and equitable healthcare system that prioritizes the needs and well-being of patients!    This article from the Centers for Medicare & Medicaid Services (CMS) offers some insights on VBC: https://lnkd.in/gSMxTyj3 #ValueBasedCare #HealthEquity #PreventativeCare #ChronicDiseaseManagement

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While an EHR is a clinical documentation system, they are also a billing system. Both have an impact on patient experience. So, when #FORBES makes recommendations based on organization type, it's worth checking out. Thanks Becker's for passing this along. surprisingly, the EHR that dominates the market is not mentioned, ironically, released this week during their executive conference. #patientexperience #patientaccess #Healthcare #ehr #emr #patientsatisfaction

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Here are our EVP of Health & Business Development's final thoughts on the Sage Growth Partners survey of more than 100 C-Suite executives about "Health System Leader Perceptions and Priorities." #health #healthcare #digitalhealth #virtualcare #patientcare #telehealth #telemedicine

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Join us for an enlightening session on Provider Enablement in the realm of Value-Based Care (VBC). Dive deep into the evolving landscape where third-party companies are revolutionizing VBC by managing risks and enhancing care outcomes. View the SOA Health Meeting agenda here: https://optumin.co/jgzooj #Optum #SOA #providers #ProviderEnablement #VBC 

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In healthcare we have a BAA, which after due diligence, should leave culpability with the vendor. A new facet that needs to be looked into during the due diligence process is what LLM is being used, how will my PHI not flow to the open market LLM, and the need for future compliance. I think the rush into the void of AI!!!!!!, is perhaps at an infancy stage and requires a maturity due to the nature of PHI. We are entrusted with our patients private information, we need to treat it as such.

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Prioritizing wellness means embracing proactive, personalized care. The latest Federal Health IT Plan highlights how enhanced data sharing and interoperability are key to improving health outcomes for all. By using technology to connect patients and providers, we can empower individuals to prevent disease and live healthier, longer lives. Read on to learn more: #Wellness #PreventativeCare #HealthTech #Longevity

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https://lnkd.in/eyTV68Z3 this article highlights EMR adoption however it doesn't mention some additional key players like Athena for example. the key takeaway is the all EMRa come with pros and cons and to get the most value requires improving staff knowledge or the toolset and processes. often custom reporting is required for a clean Revenue Cycle function. I've worked for many clients who used only a fraction of their EMRs capabilities often because they were not aware of them and didn't know the right questions to ask to pull that knowledge from the EMRs customer success teams. having a trusted partner that understands your processes and can help align clinical and back office operations with data, reporting and increasing AI applications is critical to leverage such toolsets properly. Leaders should not consider these tools plug and play. maybe one day...

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Update to MA 2025 Final release ( more details are still required). The final (4/23/24) introduces changes to the regulations concerning agents, brokers, and Third-Party Marketing Organizations (TPMOs) in several areas: Unified Compensation Framework: The new regulations implement a unified compensation structure for agents and brokers across all plans. A single compensation rate is set for all plans, updated annually, which also includes a revision of the scope of items and services within agent and broker compensation. Separate payments for administrative services by agents and brokers are eliminated (administrative is defined but more details coming). Oversight and Compliance: Enhanced oversight measures are introduced to ensure that agents, brokers, and TPMOs (includes FMO’s) comply with the updated compensation structures and marketing rules. TPMO Marketing and Data Privacy: TPMOs are now subject to stricter marketing and communication rules. The final rule prohibits TPMOs from selling or sharing personal beneficiary data collected during marketing activities without explicit beneficiary consent. A new one-to-one consent structure is required, where TPMOs must obtain explicit consent from the beneficiary for each TPMO that will receive their data, ensuring more transparent and controlled use of beneficiary information. Prohibitions on Overrides: The regulations explicitly prohibit compensation structures that include additional payments known as "overrides" for TPMOs, which could influence the marketing and enrollment practices in favor of higher-paying plans. As we all know this will need further evaluation but recordings; trainings; portals etc will all be included in the total capped enrollment comp. #MAfinal2025 #medicareadvantage

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Interoperability and data sharing are revolutionizing healthcare, making it more connected and patient-centric. I'm thrilled to see these advancements being recognized and discussed.   In this article from Healthcare IT Today, I delve into how innovative technologies like AI and advanced EHR systems are enhancing interoperability, normalizing disparate data elements for seamless integration, and creating comprehensive longitudinal patient records. These improvements are crucial for better accessibility, quality of care, and ultimately, patient outcomes.   Embracing scalable and adaptable system architectures allows healthcare systems to leverage shared data more effectively, driving better results for patients and providers alike.    #HealthcareInnovation #Interoperability #CliniCompEHR #DataSharing #DigitalHealth #PatientCare #AI #HealthIT

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Are you tired of the hassle and headaches of prior authorizations? Our new eBook, "A Comprehensive Guide for Taking the Pain Out of Prior Authorizations," is here to transform your experience! This must-have guide delves into why prior authorizations are necessary, explores their impacts, and provides an in-depth look at their complexities. Packed with valuable tips and strategies, this eBook will equip you with the knowledge and tools to streamline the prior authorization process. Don't miss out on this essential resource—download your copy now and make prior authorizations easier than ever before! https://lnkd.in/gJP5E_rw

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Instead of using a third-party app, consider a license for the validated MMAS scales directly into your EHR. Here’s why: ✅ Simplified Licensing – Fewer terms, less hassle. 💸 Cost-Effective – No hidden software fees. 🔒 Better Data Security – Keep patient data in-house. 💻 Customizable Workflows – use internal Large Language Learning models that you control. Tailored for your clinicians. 🕒 Independence from Vendor Support – Manage updates on your schedule. Think about the benefits of keeping validated tools close to home. Better efficiency for your team, better outcomes for your patients! www.moriskyscale.com #HealthcareInnovation #EHR #PatientCare #HealthcareTech #ClinicalWorkflows #MedicationAdherence

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