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...


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 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...

Patient Privacy Rights Education Requires Provider Input

HealthITSecurity For healthcare to work for everyone, providers and other organizations face the responsibility of providing patient privacy rights education and safeguarding patient data. When a patient goes to the doctor for the first time, he or she...

EHR Usability, Workflow Strategies for Reducing Physician Burnout

EHRIntelligence The passage of the HITECH Act of 2009 marked the dawn of a technological transformation in healthcare and led to widespread electronic health record (EHR) use in hospitals, physician offices, and health systems. After almost a decade of fed...

How to Choose a Population Health Management Company

HealthITAnalytics Population health management is quickly becoming a critical competency for healthcare organizations large and small.  From the primary care offices responsible for preventive services to inpatient hospitals on the hook for penalties ar...

Using Telehealth Technology for Care Coordination During a Disaster

mHealthIntelligence When disaster strikes, healthcare providers are usually among the first to arrive, carrying whatever they need to deliver quick and urgent care. Telehealth is now a critical part of the first responder toolkit, giving providers the help the...

Using Telehealth to Coordinate Care for Substance Abuse Disorders

mHealthIntelligence Telehealth and mHealth are giving healthcare providers a well-stocked toolbox to treat people with substance abuse disorders and addiction issues, many of whom require around-the-clock, on-demand support and care coordination to stay on a t...

Data Analytics Add Value to Healthcare Supply Chain Management

RevCycleIntelligence Hospitals spend nearly one-third of their overall operating expenses on healthcare supply chain management. Buying supplies, equipment, and the latest innovations to support high-value care delivery is expensive, especially as hospitals and...

How AI, Blockchain Combine to Fuel Healthcare Big Data Analytics

HealthITAnalytics Every healthcare organization across the care continuum is currently racing to gain an edge over their peers by using big data analytics to provide the best solution to the puzzle of the Triple Aim. There are countless impactful strategies ...

Medical Device Security Requires Collaborative Action from Industry

HealthITSecurity Medical device security has become a much bigger concerns for healthcare organizations since ransomware attackers began using vulnerable medical devices in their attack campaigns. There has always been industry and regulatory concern about ...

X

Sign up for our free newsletter:

Our privacy policy

no, thanks

Continue to site...