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 engagem...


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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 imp...

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 account...

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 a...

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-...

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 domina...

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...

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...

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...

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 tr...

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 provider...

5 Steps for Planning a Healthcare Artificial Intelligence Project

HealthITAnalytics Artificial intelligence and machine learning are quickly overhauling the processes of researching, purchasing, and implemented IT tools in the healthcare industry.  With new breakthroughs announced almost every day and thousands of com...

How Hospital Merger and Acquisition Activity is Changing Healthcare

RevCycleIntelligence As value-based reimbursement puts financial pressure on providers, healthcare organizations are striving for efficiency, cost control, and sustainability. An increasingly popular strategy to fulfill all these goals is to engage in hospital ...

How Rideshare Companies Can Address Social Determinants of Health

PatientEngagementHIT Rideshare companies, such as Uber and Lyft, are cruising into the healthcare spotlight. As medical professionals focus on improving patient access to care and addressing the social determinants of health (SDOH), these rideshare services are...

How Healthcare Providers, Vendors Can Collaborate on IT Security

HealthITSecurity Healthcare providers and vendors struggle with some of the same  IT security challenges. When working with vendors around security issues, healthcare organizations need to go beyond the business associate agreement (BAA) required by HI...

Applying Automation Technology to Health IT Infrastructure

HITInfrastructure As healthcare organizations rely more heavily on technology to support patients and clinicians, the automation of health IT infrastructure can become a valuable strategy for reducing waste and improving performance. Automation can be applie...

What Are the Benefits of Clinical Documentation Improvement (CDI)?

EHRIntelligence As healthcare organizations continue to utilize data that is becoming increasingly complex, it is essential that the data is captured and documented properly. Clinical documentation improvement (CDI) helps ensure that the events of the pati...

Remote Patient Monitoring Brings mHealth Care Management Into the Home

mHealthIntelligence Remote patient monitoring programs have the potential to reduce chronic care costs and hospital readmissions and improve clinical outcomes by moving care out of the hospital or doctor’s office and into the home. Most of these programs...

Can Health IT Platforms Support Success as Artificial Intelligence Looms?

HealthITAnalytics The healthcare industry is frequently labeled as one of the slowest sectors to adopt new technologies, respond to consumer demands, and implement process changes that take advantage of the type of big data analytics that are revolutionizing...

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