Healthcare IT Interoperability, EHR interoperability, Hospital Interoperability

Value-Based Payment

Verma: Price Transparency Rule a “First Step” for Consumerism

January 11, 2019 - The hospital price transparency mandate that went into effect on January 1 is still ruffling feathers among healthcare providers, leading CMS Administrator Seema Verma to reiterate the importance of giving consumers access to pricing data. In a media call held on January 10, Verma stressed the foundational role of the informed consumer in containing national spending while improving...

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Humana Value-Based Care Program Unveils First Participants

by Kyle Murphy, PhD

Nearly seven months since announcing its value-based care incentive program for hospitals, Humana has revealed its first participants. Four hospitals have agreed to participate in the Hospital Incentive Program (HIP) for commercial...

Medicaid Analytics Support Social Determinant Incentive Payments

by Thomas Beaton

Payers looking for innovative ways to control the costs of care have been turning their attention to the social determinants of health, the non-clinical factors that often lead to issues with care access, non-adherence, and the development...

Emergency Coverage Top Healthcare Consumer Demand For Payers

by Thomas Beaton

A new poll from the American College Of Emergency Physicians (ACEP) and Morning Consult found that 95 percent of healthcare consumers say payers should cover emergency services. Out of the 1,791 healthcare consumers surveyed, about 31...

Doctors Provide 5 Alternative Payment Model Improvements

by Thomas Beaton

A journal article published in the American Journal of Managed Care, outlines recommendations from several doctors on significant ways alternative payment models (APMs) can be improved and better designed. APMs are being promoted...

25% of Health Plans Implement Alternative Payment Models

by Vera Gruessner

Among commercial health plans, Medicare Advantage, and Medicaid markets, approximately 25 percent of reimbursement is expected to be in the form of alternative payment models by the end of 2016, according to a new report from the Health...

Top Three Ways Health Information Exchange Benefits Payers

by Vera Gruessner

When health payers and providers utilize health information exchange, they will make significant gains in reducing healthcare spending, reducing duplicative testing and services, and improving their use of preventive medical services,...


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