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...

Benefits of Software-Defined Networking in Healthcare

HITInfrastructure Healthcare organizations are rapidly introducing more connected devices into their health IT infrastructures, which calls for increased network visibility and management. Entities currently deal with Wi-Fi connectivity supporting cloud applications,...

The Difference Between Medicare and Medicaid Reimbursement

RevCycleIntelligence Medicare and Medicaid are government healthcare programs that help individuals acquire coverage, but similarities between the programs more or less end there. Medicare and Medicaid reimbursement structures vary significantly by program and state....

Overcoming Patient Barriers to Chronic Disease Management

PatientEngagementHIT Improving adherence to chronic disease management and treatment plans is a critical facet of improving outcomes and keeping costs low. In order to engage patients, communicate efficiently, and help individuals achieve their wellness goals, providers...

Data Integrity Strategies for Patient Matching, Identification

HealthITAnalytics Patient matching errors are an insidious but all-too-common threat to patient safety in the healthcare setting.  While providers have generally embraced the idea that a patient’s electronic record should follow her from the moment...

Telepsychiatry Opens a New Window into Behavioral Healthcare

mHealthIntelligence Telepsychiatry is one of the fastest-growing platforms in the telemedicine space these days, due in large part to improvements in video-conferencing technology. Mental healthcare is described as the one medical field in which the doctor doesn’t...

EMR v. EHR: Electronic Medical, Health Record Differences

EHRIntelligence The terms electronic medical record (EMR) and electronic health record (EHR) have become widely synonymous, but they did not start that way and some still argue that a distinction between is necessary to restate. Healthcare organizations and...

Turning Healthcare Big Data into Actionable Clinical Intelligence

HealthITAnalytics Healthcare organizations on the hunt for lower costs, better outcomes, and value-based care bonuses have invested heavily in hoarding as much big data as they can get their hands on.  From customer service call logs and clinical documentation...

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...

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