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...

How Healthcare Providers Can Benefit from Cloud Data Migration

HITInfrastructure Healthcare organizations seeking a flexible and secure strategy for storing and accessing their data assets are increasingly turning to cloud data migration.   While lower setup and maintenance costs are one of the initial attractions of...

Mental Health Data Security Critical in HIPAA Compliance

HealthITSecurity Mental healthcare is becoming an increasingly critical national issue. Covered entities and business associates that specialize in mental health are required to adhere to HIPAA regulations for maintaining, transferring, or sharing mental health...

After EHR Adoption, Revenue Cycle Technology Modernization Begins

RevCycleIntelligence Electronic health records (EHRs) revolutionized the way healthcare organizations collect, analyze, and report patient and practice data. And now that nearly 97 percent of hospitals and almost three-quarters of providers are using certified EHR...

How Hospitals Can Raise Patient Satisfaction, CAHPS Scores

PatientEngagementHIT Healthcare organizations with high patient satisfaction and CAHPS scores see a multitude of benefits. High patient satisfaction scores usually result in higher reimbursement payments from CMS, better patient retention rates, and the assurance...

How Do Artificial Intelligence, Machine Learning Differ in Healthcare?

HealthITAnalytics If the futurists, visionaries, and venture capitalists are to be believed, artificial intelligence is right on the cusp of becoming the most important breakthrough for healthcare since penicillin.  Self-driving cars, scary-smart advertising,...

FHIR Finally Brings the Internet to Bear on Healthcare’s Big Data

HealthITAnalytics Few modern technologies have been quite as transformational as the internet.  Pervading every facet of daily life, the information superhighway that society has come to know and love – and occasionally loathe – has enabled a...

How to Design and Develop a Mobile Health Application

mHealthIntelligence Healthcare providers looking to establish an mHealth strategy for patient or provider engagement likely see a mobile health application or two as a good place to start. Mobile health applications allow healthcare providers to connect with patients...

What is a HIPAA Business Associate Agreement (BAA)?

HealthITSecurity With the continued growth of healthcare data and a higher degree of interoperability between provider systems, HIPAA covered entities will need to form partnerships with other organizations to ensure the security of their data assets. These partnerships...

Using Enterprise Mobility Management (EMM) for Healthcare Data Security

HITInfrastructure Healthcare is going mobile and clinicians are utilizing more advanced devices as they cut their cords. But as staff members move around more freely, how can providers ensure that their patients’ protected health information (PHI) stays...

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