Editor's Note: This post is written by Albert Ghafari, a founding partner and Bryan Komornik, a Senior Manager in the management consulting practice at Invoyent, a Chicago-based consulting firm dedicated to helping payer and software clients transform the healthcare industry by delivering clear, market-driven strategies that serve their customers and improve the lives of members.
The Aetna-Humana and Cigna-Anthem merger announcements represent a growing trend toward consolidation in
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Is Accountability The Missing Element in Better Healthcare?
Editor’s Note: Irv Lichtenwald is president and CEO of Medsphere Systems Corporation, the solution provider for the OpenVista electronic health record. Prior to joining Medsphere, he served as CFO of Advent Software, a leading provider of investment management solutions. Between 1995 and 2003, Irv led Advent through three public stock offerings.
Who is accountable for the actions of Adam Lanza, the troubled young man who in December 2012 killed 26 people in Newtown, Connecticut?
He is, of
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Why Non-Specific ICD-10 Codes Are a Non-Issue
A safe harbor or grace period that would allow the submission of “less specific” ICD-10 codes after the ICD-10 transition continues to be raised as a way to alleviate the burden of the transition on physicians. For example, HR 2247, the ICD-TEN Act, would prohibit Medicare from denying claims “due solely to the use of an unspecified or inaccurate subcode.” A letter to the Centers for Medicare & Medicaid Services (CMS) from several members of Congress recommends that CMS indicate “whether
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Catholic Health’s CIO Talks Leveraging Health IT for Value-based Care
Editor's Note: Deloitte Insights for CIOs provides relevant research, fact-based analysis and pragmatic perspectives on the technology issues that matter most to CIOs and other executives with an interest in technology.
When it comes to disruptive forces, health care providers seem to have it all: evolving legal and regulatory requirements, unsustainable economics, challenging demographic shifts, industry consolidation, and fast-moving technology-driven change, among others. All of these
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Importance of Expanding Health IT Incentives to Mental Healthcare
Editor’s Note: Irv Lichtenwald is president and CEO of Medsphere Systems Corporation, the solution provider for the OpenVista electronic health record. Prior to joining Medsphere, he served as CFO of Advent Software, a leading provider of investment management solutions. Between 1995 and 2003, Irv led Advent through three public stock offerings.
Chances are good someone close to you is suffering from a mental health disorder right now.
You may not know it. While paranoid schizophrenia
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Do We Really Understand Documentation Requirements for ICD-10 PCS?
Editor's Note: Dr. Jon Elion is the founder and CEO of ChartWise Medical Systems, He is a practicing board-certified cardiologist in Providence, RI and an Associate Professor of Medicine at Brown University.
After decades of experience with ICD-9, we have learned and come to grips with its quirks. We do not yet have that comfort level with ICD-10 -- after all, it’s still pretty new to most of us in the U.S. I’m not really concerned about the diagnosis side of ICD-10 and its Clinical
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6 Reasons Why ICD-10 Safe Harbor Is Dangerous for Healthcare Delivery
Editor's Note: The Coalition for ICD-10 has issued the following statement in response to the recent efforts to create a "safe harbor" for physicians, which would prohibit claims from being denied due to incorrect or unspecified ICD-10 codes, will result in dangerous consequences for the healthcare delivery system.
Multiple bills have been introduced in Congress that create a “safe harbor” for physicians by prohibiting claims from being denied “due solely to the use of an unspecified or
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Information Blocking in Health IT: Myth or Reality?
Editor's Note: Irv Lichtenwald is president and CEO of Medsphere Systems Corporation, the solution provider for the OpenVista electronic health record. Prior to joining Medsphere, he served as CFO of Advent Software, a leading provider of investment management solutions. Between 1995 and 2003, Irv led Advent through three public stock offerings.
Do we believe in something we can’t see?
The suggestion has been made that some vendors are actively engaged in “information
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How Apple, Qualcomm & Lawyers will Revolutionize Healthcare
Editor's Note: This post is written by Jeffrey Vogel, David Wong and Kathleen Collins from Bulger Partners, an advisory firm that specializes in healthcare IT.
The opportunity for technology in healthcare is monumental – and it’s no surprise that change is needed. Healthcare is a cumbersome, $3 trillion industry bloated with high costs, inefficiencies, and information asymmetries. Today, the wealth of data being created in medical settings is often not archived, shared, or
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5 Cultural Pitfalls To Avoid In Health System Integration
Editor's Note: This spotlight article was recently included in PwC's Q1 2015 US health services deals insights report.
These days it seems every health system is in the middle of a transformation — be it buying, selling or trying to integrate the assets it has amassed over time. Being in the business of transformation, this means we find ourselves invariably and repeatedly answering the question, "What are the big stumbling blocks to avoid?"
Without fail, our answer will include some
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