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...


More 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...

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 Open Source Software Benefits Health IT Infrastructure

HITInfrastructure Health IT infrastructure forms the foundation for everything that happens in a healthcare organization, from quality improvement and patient safety to financial sustainability and business intelligence. While many different health IT strategies...

What Are the Social Determinants of Population Health?

HealthITAnalytics Financially and clinically successful population health management programs must take much more into account than what happens to a patient while she is sitting on the exam table.  As the healthcare system’s responsibility expands...

Key Strategies for Succeeding with Healthcare Bundled Payments

RevCycleIntelligence Healthcare bundled payments are a value-based reimbursement model that uses a single, comprehensive payment to address an entire defined episode of care. This alternative payment model has become a critical stepping stone for providers as they...

What Telemedicine, Telehealth Resource Centers Offer to Providers

mHealthIntelligence Healthcare providers, organizations and vendors interested in knowing more about telemedicine and telehealth have a ready resource at their fingertips: a network of telehealth resource centers covering every region of the country. Established...

Integrating Patient Engagement Strategies into Specialty Care

PatientEngagementHIT Integrating meaningful patient engagement strategies into primary care is often cited as one of the industry’s greatest challenges, but specialty healthcare providers may face even more obstacles when trying to forge strong patient relationships....

Leveraging Business Intelligence for Healthcare Management

HealthITAnalytics Considering that the phrase “value-based care” is almost always immediately followed by a discussion about how to trim inefficiencies and improve patient outcomes, few industries are more in need of comprehensive insight into their...

Using Broadband to Support Internet of Medical Things

HITInfrastructure Healthcare organizations are adopting Internet of Medical Things (IoMT) devices to connect patients and clinicians to the network. IoMT devices provide remote monitoring solutions for patients and collect valuable data that can be used for analytics....

How Providers Can Address Online Physician Reviews, Social Media

PatientEngagementHIT Online physician reviews are growing in popularity, with more patients leveraging different social media platforms to express their healthcare experience and learn more about their provider options. Based upon their social media management strategies,...

X

Sign up for our free newsletter:

Our privacy policy

no, thanks