Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Features

How Payers Can Improve HEDIS Quality Measure Performance

HEDIS quality measures have a significant role in the healthcare industry regarding closing gaps in care and decreasing the use of costly acute care through preventive services. By placing a greater focus on value-based care and quality improvement across healthcare organizations, HEDIS quality measures hold a critical place in helping providers achieve these goals. Health insurance companies...


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Key Steps for Payer Success in Accountable Care Organizations

In recent years, healthcare reforms have set out to reduce constantly rising medical costs, improve coverage for the many Americans who lacked primary care access, and advance population health outcomes. Over the past few years, the accountable...

The Progress and Challenges of the Affordable Care Act

Before the Patient Protection and Affordable Care Act (ACA) became law on March 23, 2010, the healthcare industry faced a number of obstacles particularly in terms of providing medical care and health insurance to many low-income families and...

How Medicare, Medicaid, and CHIP Guide the Health Payer Industry

Medicare, Medicaid, and CHIP, the three major public insurance programs overseen by CMS, often set the tone for the large private health payer industry.  CMS is using all three programs to actively encourage the movement towards value-based...

How Health Insurance Mergers Could Change the Payer Industry

During the summer of 2015, Aetna and Humana, as well as Anthem and Cigna, started a merger process that would reduce four of the nation’s largest insurers down to just two. If the mergers are successful, only three payers would dominate...

How Payers Could Succeed in ACA Health Insurance Exchanges

State and federal health insurance exchanges stemming from the Patient Protection and Affordable Care Act (ACA) offer medical coverage for families and individuals that would have otherwise had little opportunity to obtain a health plan and healthcare...

How Payers Should Prepare for Value-Based Reimbursement

Value-based reimbursement is a new payment strategy between insurers and providers meant to foster higher quality care by incentivizing strong performance with shared savings, bonuses, or other financial rewards. This diverges from the more traditional...

How to Overcome the Challenges of Bundled Payment Models

Bundled payment models are a form of reimbursement between payers and providers that adheres to an episode of care instead of payment for a particular medical service. This reimbursement system was created to transition healthcare providers from...

How the Affordable Care Act Changed the Face of Health Insurance

The Patient Protection and Affordable Care Act (ACA) has revolutionized the health insurance industry in a number of ways. Its impacts have been vast and wide. One of the most significant impacts of the landmark legislation is the upward trajectory...

What Are the Benefits of Accountable Care Organizations?

Accountable care organizations (ACOs) are provider and payer arrangements established to improve care coordination between primary care physicians, hospitals, specialists, and public or private health payers. The Centers for Medicare &...

Time, Commitment Required for ACO, Value-Based Care Success

In healthcare, as in so many other areas of life, patience is a virtue. Providers and payers pursuing ACO development will need to have plenty of it before their care transformation efforts pay off with significant cost savings. As providers...

Best Practices for Value-Based Purchasing Implementation

RevCycleIntelligence The value-based purchasing boat is leaving the dock and providers can either choose to board and shift their care delivery and reimbursement methods to align with the push for value or be left behind. Value-based purchasing made a splash as part...

Healthcare Data Storage Options: On-Premise, Cloud and Hybrid Data Storage

HITInfrastructure Healthcare organizations are building their IT infrastructures to be more flexible and scalable to meet the growing data demand. With value-based incentives for data analytics and the increased number of connected medical devices constantly collecting...

Can Application Programming Interfaces Inspire a Better EHR?

HealthITAnalytics Almost everybody can recall being told the stories of Archimedes in the bath and Isaac Newton under the apple tree experiencing spontaneous moments of ingenuity and inspiration that irrevocably changed how scientists – and everyone who...

The Evolving Role of mHealth in Medication Management and Adherence

mHealthIntelligence mHealth offers many unique methods for helping patients take their medicine. And with a healthcare industry seeing non-adherence rates of as high as 50 percent and annual costs of between $100 billion and $300 billion, doctors are taking notice....

Top Strategies for Collecting Patient Financial Responsibility

PatientEngagementHIT Patient financial responsibility – or the amount of out-of-pocket healthcare costs patients incur – has been increasing in recent years, presenting a new foil to the patient experience. Providers must both adjust to consumer-centered...

Data Security Considerations in Healthcare Interoperability

HealthITSecurity While more healthcare organizations are utilizing electronic health records (EHRs) and adding to the increase in healthcare interoperability finding a health IT option that provides better patient care and keeps PHI secure is not always easy....

How Virtual Desktop Infrastructure Supports Patient Care

HITInfrastructure Value-based care initiatives have pushed healthcare organizations to embrace more advanced technology as priorities have shifted from security concerns to how to access information securely, quickly, and conveniently. Virtual desktop infrastructure...

Understanding the Quality Payment Program’s Advanced APM Track

RevCycleIntelligence From bundled payments to accountable care organizations, alternative payment models (APMs) are not new to healthcare providers. But the final MACRA implementation rule created a new subset of Advanced APMs, which could bring providers more revenue...

Improving Clinical Data Integrity through EHR Documentation

EHRIntelligence Findings from a recent EHR usability study conducted by the National Institute of Standards and Technology (NIST) once brought to the fore the problem of clinical documentation in the digital age of healthcare. The study of EHR use, particularly...

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