Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Healthcare Policy

Medicaid Expansion Brought More Cancer Screenings among Women

by Vera Gruessner

Several years ago, the Supreme Court ruled that state Medicaid expansion under the Patient Protection and Affordable Care Act is to be optional for each region. This led a large number of states to forego expanding their Medicaid program for...

The History and Evolution of CHIP and the Medicare Program

by Vera Gruessner

When the medical industry including diagnostics and treatment became more complex and sophisticated in the early 1900s, everyday citizens began to see a surge in the costs for healthcare services. With more complicated procedures, treatment for...

Top 3 Recent Outcomes of the Affordable Care Act in 2015

by Vera Gruessner

The Obama administration’s Patient Protection and Affordable Care Act has dealt with a multitude of opposition since its passage and this past year has been no different. There are still partisan politics at play when it comes to the healthcare...

Will the US Embrace the Affordable Care Act in Future Years?

by Vera Gruessner

The Patient Protection and Affordable Care Act has had many obstacles in the way when revolutionizing the healthcare insurance field and broadening access to medical care for the US population. What does the future hold for the Affordable Care...

New Framework for MACRA’s Alternative Payment Models Released

by Vera Gruessner

Earlier this year, the federal government passed the Medicare Access & CHIP Reauthorization Act of 2015 (MACRA), which reforms the Medicare program by abolishing the Sustainable Growth Rate (SGR) formula, developing a more effective value-based...

Is Employer Mandate in Affordable Care Act Constitutional?

by Vera Gruessner

On Monday, the Association of American Physicians and Surgeons (AAPS) filed an amicus brief with the US Supreme Court that asks the justices to provide a writ of certiorari in a court case that claims the employer insurance mandate of the Patient...

Prescription Drug Spending Growth Skyrocketed 13% in 2014

by Vera Gruessner

In 2014, the rise of prescription drug spending hit 13 percent while overall healthcare spending growth increased by 5 percent. This steep rise is causing concern among both federal agencies like the Centers for Medicare & Medicaid Services...

Top 4 Policy Changes Affecting the Health Payer Market in 2015

by Vera Gruessner

The last year has had a huge impact on the health payer market as well as the entire healthcare industry from providers and educational institutions to the federal government and the patient community. Below we will outline the top four policy...

Why Value-based Care Needs Clinical Decision Support Tools

by Vera Gruessner

Ever since new legislation such as the Affordable Care Act or the Health Information Technology for Economic and Clinical Health (HITECH) Act were passed, the healthcare industry has been reforming and moving toward value-based care. There are...

Will Health Insurance Exchange Remain Intact Despite Hurdles?

by Vera Gruessner

What will happen to the health insurance exchange created by the Patient Protection and Affordable Care Act? Will it continue on as originally planned by the Obama administration? Or will new legislation and the decisions of insurance companies...

The Senate Passes Bill to Repeal Chunks of Affordable Care Act

by Vera Gruessner

On Thursday, the United States Senate voted 52 to 47 in passing a legislation that would gut major provisions within the Patient Protection and Affordable Care Act. This is the first time the Senate has approved such a bill and has the opportunity...

Is UnitedHealthcare Leaving a ‘Death Spiral’ for Exchanges?

by Vera Gruessner

The insurer UnitedHealthcare has recently announced that it would consider moving away from the Affordable Care Act’s health insurance exchanges due to significant profit losses. The actions of this large health payer could be an indication...

Could New Legislation Stop the Hikes in Generic Drug Prices?

by Vera Gruessner

When it comes to containing healthcare costs, one of the biggest culprits of rising prices is the pharmaceutical industry, which has recently exhibited spikes in generic drug prices, according to a press release from the Healthcare Supply Chain...

Three Steps to Address Healthcare Spending of New Technologies

by Vera Gruessner

Healthcare spending accounts for a wide variety of procedures, services, and technologies adopted or offered by medical providers, payers, and patients. In recent years, the healthcare industry has also begun implementing new technologies and...

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