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...

How to Comply with the HIPAA Breach Notification Rule

HealthITSecurity As more healthcare organizations face the daunting task of dealing with a data breach, more of them will have to become intimately familiar with the HIPAA Breach Notification Rule. The rule requires HIPAA covered entities and business assoc...

Developing Patient Teach-Back to Improve Patient Education

PatientEngagementHIT As healthcare costs continue to skyrocket, medical professionals know that a well-informed patient is a more engaged, healthier, and less costly patient. Critical to supplementing those efforts is ensuring patients understand a care concept...

Combating Chronic Disease through the Social Determinants of Health

HealthITAnalytics Healthcare providers do their very best to understand everything they need to know about their patients during the few scant minutes they are able to spend with each individual.  Once or twice a year, or maybe when a sore throat strike...

Integrating a Telehealth Platform into a Diabetes Prevention Program

mHealthIntelligence Telehealth technology is helping to improve care management and coordination for the estimated 30 million Americans living with diabetes. Now, providers are moving into connected care technology to help more than 84 million at risk of acqui...

FHIR is Blazing a Path to Patient-Centered, Data-Driven Healthcare

HealthITAnalytics Only a few short years after the Fast Healthcare Interoperability Resources were introduced to the healthcare industry, almost no one knows what they are. The lengthy, somewhat cumbersome proper name has nearly disappeared from print, and i...

Moving Beyond the Portal with Patient Engagement Technologies

PatientEngagementHIT As value-based payments push healthcare towards a culture of patient-centered care, organizations are looking for patient engagement technologies that offer more meaningful relationships than what are typically available through a basic pat...

Complying with the HIPAA Privacy Rule During Emergency Situations

HealthITSecurity Emergency situations and natural disasters, such as hurricanes, pandemics, or mass casualties, can quickly overwhelm healthcare systems. The last thing on people’s minds in those situations is complying with the HIPAA Privacy Rule. So...

How Health Data Standards Support Healthcare Interoperability

EHRIntelligence Achieving true healthcare interoperability across the care continuum is a top priority for providers, payers, and other key industry stakeholders. Seamless, comprehensive data sharing is particularly important for healthcare organizations l...

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