Christopher "Chris" Caramanico

Exciting times at 4C Digital Health! Wilmington, Delaware - 4C Digital Health (4C), the preeminent organization delivering independent financial oversight and control solutions for self-funded employee health plans, recently announced the strategic expansion of its services into the Commonwealth of Kentucky. In late 2023, 4C successfully competed for an initial award issued by Kentucky’s Department of Employee Insurance, and Kentucky has since extended the initial contract to allow 4C to continue its important work on behalf of the Commonwealth, its employees, and its taxpayers. The Kentucky Employee Health Plan (KEHP) serves more than 288,000 members, which amounts to 1 in 16 Kentuckians. In addition, KEHP spends over $1.8 billion dollars in total healthcare benefits on behalf of its members per year and covers over 8.2 million claims per year. KEHP objectives include “improving employee health and well-being” and “providing state-of-the-art benefits while maintaining reasonable premiums.” Recognizing its important fiduciary responsibilities to its employees and its state health plan, the Commonwealth of Kentucky enacted Senate Bill 42 (2023) introduced by Senator Stephen Meredith for the purpose of ensuring that critical health plan dollars are being spent properly on behalf of state employees. The legislation requires that 4C analyze 100% of medical claims submitted for payment to KEHP; identify erroneous overpayments; and identify inappropriate or erroneous fees imposed by KEHP’s third-party administrator. Ron Templeton CEO of 4C Digital Health stated: “4C Digital Health is grateful to the Commonwealth of Kentucky for recognizing the fiduciary responsibility that state and local governments have to their employee health plans and for the opportunity to provide our services in support of this mission. We appreciate Kentucky’s goal of using 4C’s expertise and innovative solutions to improve healthcare outcomes and reduce healthcare costs for the Commonwealth, its employees, and its taxpayers.” About 4C Digital Health: 4C Digital Health (https://lnkd.in/eB-fJg4X) is a healthcare data analytics company that was founded for the purpose of developing a disruptive technology targeted at bringing transparency and honesty to the healthcare marketplace.

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Tornado chart.. Tornado chart.. Tornado chart.. Check out this dynamic, interactive dashboard that enables healthcare providers to analyze patient`s costs from provider perspective. Utilizing the add-in featured tornado chart, we can effortlessly compare incurred costs Vs charges. The tornado chart allows for real time parallel comparison between costs and charges among different patient age groups or different diseases. Applying business intelligence in healthcare.. #healthcare #healthcaredata #datanalytics

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Epic Systems’ recent move to back the TEFCA medical records exchange is interesting. On the surface, it’s all about creating a seamless flow of patient data across hospitals, QHINs, and all relevant stakeholders. But let’s be real—data is the oil of the new economy, and interoperability is the pipeline that delivers this precious resource to all the right stakeholders. By aligning with TEFCA, Epic might just be positioning itself as the refinery. All in all, this is a welcoming move by Epic Systems—especially if it really is as straightforward as they make it sound. But given the lack of details, one has to wonder if there are any hidden catches. After all, when it comes to something as valuable as healthcare data, it’s wise to look out for the fine print. Let’s hope this is genuinely about improving patient care. https://lnkd.in/gDdDCcmj

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Let's keep hospice focused first and foremost on the PATIENT. After all, we only get one chance to do it right... "There are six primary trends that are influencing consolidation and professional practices: regulatory complexity. technology and integration, private equity ownership. demographics, economies of scale and consumer expectations,” Henderson said. “So many of these things that we see that are influencing health care consolidation need to be pointing toward the patient." #patientsfirst #hospicecare #youonlygetoneshot https://lnkd.in/gbbgV-YF

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In the recent #CTN episode, "Finding Harmony in Healthcare IT: Patient Value, Team Productivity and Cost-Efficiency," hosted by Sanjog Aul, the focus is on overcoming challenges and developing digital transformation strategies in healthcare. Jackie Rice, VP, CIO, Frederick Health, a key figure in healthcare IT, shares insights on handling internal challenges, fostering teamwork, and ensuring successful organizational change. She emphasizes the importance of staff retention and clear communication in achieving seamless digital transformation. Key insights from Jackie Rice: 1. Staff Retention and Teamwork: Jackie highlights the difficulty of replacing experienced employees and stresses the value of retaining knowledgeable staff and fostering teamwork. Regular "all in days" help create unity and collaboration. 2. Standardization and Cost Reduction: She discusses the need for standardizing applications to streamline processes and cut costs, including using AI and voice recognition to boost operational efficiency. 3. Vendor Negotiation: Jackie points out the importance of negotiating long-term contracts with vendors to ensure cost-effectiveness and better terms. Tune in to this discussion for valuable insights from Jackie Rice and other industry experts on improving healthcare IT for better patient care and operational efficiency. https://lnkd.in/gJcm5zvR #HealthcareIT #HealthTech #CloudComputing #AIinHealthcare #DigitalTransformation #PatientEngagement #TechInnovation #HealthcareChallenges #ITSecurity #CostEfficiency

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📊 When was the last time you optimized your EHR? If it’s been 3–5 years, it’s time to take a closer look. We help healthcare organizations maximize the value of their EHR investments with tailored optimization strategies and Epic Refuel projects. 🚦Signs you need optimization: 🔹 High clinician dissatisfaction 🔹 Workflows that don’t match organizational needs 🔹 Frequent help desk tickets Our seasoned consultants ensure your system supports your team—not the other way around. Ready to unlock the full potential of your EHR? #EHROptimization #EpicRefuel #HealthcareEfficiency #PatientCare

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Healthcare systems have spent over a decade shifting to value-based care (VBC) to improve outcomes and cut costs. Leaders are now focusing on fine-tuning the VBC flywheel for better health and growth. To achieve success, it is necessary to refine contract modeling, optimize networks, and balance automation with expert input. Innovaccer's data management solutions help providers improve performance, leveraging data-driven tools for enhanced patient care management. 🚀Read the blog: https://lnkd.in/ghTffgVW #HealthcareInnovation #AIinHealthcare

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Thank you to our wonderful participants this afternoon in the HCT Consulting Group Healthcare Transformation Executive Roundtable. Brian D. Washburn, DHA, MHA, FACHE, FACMPE, CHFP, PMP Chris Saxman Elizabeth Crawford Restat Elya Prystowsky, MS, PhD Mark Korth. I was encouraged by several insights from this amazing group: 👉 #Transformation - we know it when we see it! 👉 #Valuebasedcare - we know it when we don't! 👉 #Valuebasedcare means different things to #patients and #providers but we should not lose sight that like or not, we have to play by the language and definitions being proposed by the Centers for Medicare & Medicaid Services 👉 #Transformation towards #VBC should be keeping healthcare simple, local and well-coordinated - what 99% of people are trying to do today. Organizing to stop the despicable 1% is adding 30% of costs to everyone - especially #ruralhealth 👉 #EMR Transformation has put some hospitals out of business and in some communities, when the hospital closes, the whole community shuts down 👉 #Transformation this group sees on the horizon includes demand for change only intensifying, doing more with fewer providers, addressing #documentation challenges, #AI should focus on removing the hassle of the little things 👉 MAJOR RISK AHEAD - Will #transformation defined by CMS + #BigTech lead to a loss of simplifying the provider-patient experience? Will documentation to meet #VBC demands only escalate due to the 'potential' of what technology offers? And therefore, will health disparities only expand due to the inability of #ruralhealth to keep up? Ultimately - will we eventually have to unwind many of the current technology investments to one day return to a simpler provider-to-patient connection? Thanks again to our amazing participants. DM me if you'd like to be on our roster to participate in the next one!

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Traditional EHR systems often fall short in supporting the essential functions of Enhanced Care Management (ECM) under #CalAIM. ECM requires seamless coordination across physical, behavioral, and social determinants of health, proactive member engagement, and real-time data exchange—capabilities that extend beyond the scope of many EHRs. Our Incedo #CareManagement platform is fully aligned with ECM and fills the gap of traditional EHR systems. Incedo offers an integrated whole-person approach to care management and facilitates collaboration across providers and managed care plans to improve outcomes for California’s most vulnerable populations. If you’re looking for a complete #ECM solution, let’s talk about how Incedo can help. https://hubs.ly/Q02RnVwW0 #HealthcareInnovation

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A big congratulations to our portfolio company, Chronicled, on their remarkable achievement! Chronicled's innovative MediLedger Network is continuing to revolutionize contract management and ensure accurate pricing across extensive health systems network. We're thrilled to see Prisma Health, South Carolina’s largest health organization, join other leading health systems, including OSF HealthCare and Baptist Health System KY & IN, on the MediLedger network. The pain point Chronicled's Mediledger is addressing for Prisma is succinctly depicted by Jennifer Bair, PharmD, MBA, BCPS, Vice President, Pharmacy Services and Chief Pharmacy Officer of Prisma Health: “With a vast network of healthcare facilities and a substantial inventory of pharmaceuticals, Prisma Health was in need of a solution that could simplify communication lines and guarantee that we receive the correct negotiated prices for pharmaceutical products promptly...” And the solution with Mediledger: “The current manual processes are time-consuming and often lead to errors and cash flow issues. MediLedger’s blockchain solution will enable us to collaborate in real-time with group purchasing organizations, manufacturers, and wholesalers, identifying and addressing pricing discrepancies before they impact our operations.” This is a significant step forward in setting new standards for trust and accuracy in the healthcare industry. We are incredibly proud to support Chronicled on their journey and can't wait to see their continued growth and success. 👏 Kudos to the entire Chronicled team for this well-deserved recognition! Maurizio Greco Haris Kamal Eric Garvin David Aho Matthew Immerso Rick Perry https://lnkd.in/gEsD5eUy #Innovation #HealthcareTechnology #Pharma #Blockchain #SupplyChain

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Really interesting article. ASC operations are proving crucial for the successful adoption of value-based payment systems and evolving healthcare as we know it. Strong operational foundations inherently lead to economic success and greater flexibility in adopting new care models, which in turn improves patient outcomes. #ASCs #Healthcare #PatientCare

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If you're worried about building trust in AI maybe quit (obsessively) talking about it so much in your marketing/messaging/positioning. Seriously, the only people who truly care about your tech stack are VCs....customers/users sure don't. Tell me how your solution helps me and quit wasting my time telling me how you built it and what's under the hood. #ai #generativeai #healthcareai #medicalai #software #applications #saas #cloud #marketing #messaging #positioning #strategy #gotomarket https://lnkd.in/gWuf8Yc9

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Maxim Abramsky, AVP Product Management, Edifecs is featured in a recent article in Healthcare IT Today regarding automated #priorauthorization. Maxim states, "The main obstacle is a big disparity in terms of data formats, ease of access, and interoperability between Provider (EHR) and Payer (Interop, Care Management) systems. One of the biggest obstacles is the heavy lift of getting providers and payers on the same technology base. Tailwind here is the CMS-0057F mandate that at least forces Payers to implement the same technology. I think it will take the industry 3-5 years for automated prior authorization to be pervasive." To read the full article, visit https://lnkd.in/gUakvfbZ #CMS #PriorAuthorization #interoperability

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Radiologists are achieving payments 500% above the Qualified Payment Amount (QPA) in surprise billing disputes, thanks to the No Surprises Act. This figure is staggering and highlights an important reality: many providers might not realize the tremendous potential of this opportunity. When the No Surprises Act (NSA) was enacted in 2022, the rates at which providers were reimbursed took a major hit, often cut in half. Payors exploited the QPA to justify lower payments, essentially giving themselves the green light to underpay claims. If a provider disagreed with the payment, they had to navigate the cumbersome claims process to recover what they deserved. But here’s the good news: By participating in the IDR process, radiologists are claiming up to 5 times their initial payments. This result is a powerful incentive for payers to engage in a meaningful negotiation and ensure fair compensation. Providers should leverage the NSA to their advantage - and capture every dollar they’re owed.

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As 2024 concludes, healthcare leaders have gained critical insights amidst rapid advancements and challenges. Here's a glimpse of the year's key lessons: 🔍 Data as a Strategic Ally: Harnessing real-time analytics transforms operations and patient care. 💻 Telehealth’s New Era: Virtual care isn't just an option—it's expected. 🩺 Workforce Resilience: Supporting staff well-being is pivotal for quality care. 💡 Personalized Patient-Centered Care: Building trust through tailored approaches ensures loyalty and satisfaction. 📜 Adapting to Regulations: Proactive compliance safeguards growth and quality. 🚀 Tech Integration: Innovations like AI show promise but demand careful execution. 💰 Value-Based Care's Rise: Aligning rewards with patient outcomes reshapes operations. As we step into 2025, the focus remains on resilience, innovation, and care. These takeaways set the stage for a robust and adaptable future. What 2024 lessons resonate most with your healthcare journey? Let’s connect and discuss! #HealthcareLeadership #InnovationInCare #2024Lessons #FutureOfHealthcare

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Simplify financial management with PointClickCare's Marketplace! 🌟 Oaks Senior Living, Presbyterian Communities of South Carolina, and Cambridge Healthcare Services, LLC transformed their workflows by integrating TransactCare with PointClickCare’s EHR. The results? ✅ Seamless data flow ✅ Reduced manual entry ✅ Improved payment tracking Learn more about the power of integrated solutions: https://bit.ly/3ZqowiA #HealthTech #SeniorCare #Efficiency

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Great Post Bob ... I have said a few times... "The role of Supply Chain in healthcare is evolving significantly, shifting from a transactional role to a strategic function with a direct impact on financial performance. Supply Chain now has a presence at the C-level, underscoring its importance in driving margins and supporting sustainable financial models. By adopting a holistic approach to expense management and overseeing all non-labor spending, Supply Chain leaders can create substantial value.And its not all created equal. Exmaple: reducing costs by just 5% can yield the same profit impact as increasing revenue by 100%, highlighting the efficiency of cost management over revenue initiatives in improving profitability. This transformation aligns closely with strategic imperatives around delivering higher value with fewer resources, supporting revenue generation, and enhancing competitive advantage. Moving towards clinically integrated, population health-focused, and value-based contracting models is critical for the future."

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Streamlining scheduling operations for #healthcare providers is crucial, yet often daunting. Georgia Urology faced this challenge head-on when they moved from a 60+ tab spreadsheet to manage their rules and preferences to an intelligent scheduling solution. Dash® streamlined their workflow, simplifying referral management and reducing staff administrative burden. Their success story speaks volumes—explore the full story in our case study below. Want to learn more about their journey? Register for our upcoming webinar: https://lnkd.in/eR2fZfjA #healthcaretech #patientaccess #patientengagement

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