Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Features

How Payer Philanthropy Can Address Social Determinants of Health

Rising healthcare costs associated with an increase in chronic diseases have led many payers to seek out strategies to get ahead of the spending curve while improving the overall health of their member populations.   As population health management becomes more important for financial success on the provider side, payers are taking a similar approach to preventive, proactive engagement...


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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...

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...

3 Keys to a Successful Value-Based Care Implementation

EHRIntelligence The goals of value-based care are clear — improved population health, increased patient satisfaction, and reduced cost — but the means of getting there aren’t. Healthcare organizations are grappling with the transition from...

How mHealth Technology Improves Population Health Messaging

mHealthIntelligence Healthcare providers are finding out that smartphones and mobile health messaging platforms are changing how they administer population health programs. The attraction is simple: smartphones, nowadays, are ubiquitous. With roughly 96 percent...

Overcoming Rural Hospital Revenue Cycle Management Challenges

RevCycleIntelligence Despite serving as a critical healthcare safety net for millions of patients, many rural hospitals are constantly on the brink of closing their doors due to a number of revenue cycle management challenges.  Eighty-two rural hospitals have...

Patient Pre-Registration Tips for a Quality Consumer Experience

PatientEngagementHIT Patient pre-registration is a key strategy for improving the onboarding and intake process, which can often get bogged down with complicated data collection and administrative tasks. By collecting patient intake materials ahead of the appointment,...

Telemedicine Robots: Out of Science Fiction and Into the Mainstream

mHealthIntelligence Long a staple of science fiction, robots are now proving their value as a telemedicine resource. Originally designed to ferry supplies around the hospital or give surgeons a steadier hand for delicate medical procedures, robots are now finding...

For Opioids and Substance Abuse, Big Data Analytics Is Just the Beginning

HealthITAnalytics Fentanyl, heroin, prescription opioids, and a growing number of synthetic drugs killed more than 50,000 Americans in 2016.  It is a statistic that is hard to compute –numbing in its scope and staggering in the sheer complexity of trying...

Benefits, Challenges of Secure Healthcare Data Sharing

HealthITSecurity The continued push for nationwide interoperability has helped fuel the growth of secure healthcare data sharing. Covered entities and business associates are exploring how to enhance patient care by engaging in health information exchange (HIE),...

Navigating the Hype of Healthcare Artificial Intelligence Companies

HealthITAnalytics Few phrases in the healthcare IT world conjure up quite as much excitement as “artificial intelligence.”  Sweeping through vendor marketing teams like a tidal wave of opportunity, nearly every technology company has at least...

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