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ACO | Accountable Care Organization | Policy, News, Analysis, Insights - HIT Consultant

3 Roadblocks to Achieving Interoperability In A Value-based Care System

by Abhinav Shashank, CEO & Co-founder at Innovaccer Inc. 12/05/2017 Leave a Comment

The secret to an interoperable, value-based system

I am sure I am not the only one who has lost count of the times I’ve been asked “Why can’t the systems talk to each other?” or, in more technical terms, “Why don’t we have interoperability?”The numerous health IT solutions that we have around us today were meant to improve not just the delivery of care, but also enhance patient outcomes as the care continues across multiple practices. At the most basic level, I suppose we can define interoperability as two or more systems communicating with each
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Einstein, Humana Enter Value-based Care Agreement to Offer Better Patient Experience

by HITC Staff 12/04/2017 Leave a Comment

Einstein, Humana Enter Value-based Care Agreement to Offer Better Patient Experience

Einstein Healthcare Network and Humana Inc. have entered into a value-based agreement designed to offer a coordinated, patient-centered experience to help Humana Medicare Advantage members achieve their best health. The value-based care agreement, in turn, teams Humana with Einstein Healthcare Network’s Accountable Care Organization, Einstein Care Partners, toward enhancing both the patient experience and patient outcomes in the Philadelphia area.Einstein Healthcare Network is a leading
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Study: More Than 40 States Have Invested In Value-Based Payment Models

by Jasmine Pennic 11/20/2017 1 Comment

Value-Based Reimbursement State-by-State i

A recent national study of state government programs finds more than 40 states strategically invested in value-based payment models, 23 with targets or mandates, and just 7 states trailing the trend. The study commissioned by Change Healthcare reveals 23 states have value-based targets or mandates that payers and providers agreed to achieve, 17 have or are considering adoption of ACOs or ACO-like entities, and 12 have or are considering episodes of care programs. Just 7 states have little to no
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MACRA: The Yardstick for Quality that Health Systems Need

by Nancy Pratt, Chief Operating Officer at AirStrip, 11/14/2017 Leave a Comment

NHIT Week: Reflecting on Health IT’s Transformation of Healthcare

The number of quality initiatives is rapidly rising in the healthcare industry as stakeholders shift their focus toward the value of patient care. In addition, with the recent implementation of the Medicare Access and CHIP Reauthorization Act (MACRA), the rules surrounding healthcare reimbursement are being rewritten, incentivizing healthcare providers to prioritize the quality of patient visits over the quantity.Historically, it has been difficult to achieve consensus on defining quality;
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6 Reasons Why Healthcare Needs The Internet of Things (IoT)

by Abhinav Shashank, CEO at Innovaccer Inc. 11/03/2017 Leave a Comment

Internet of Things: The Digital Future of Value-based Care

Editor’s Note: Abhinav Shashank is the CEO & Co-founder at Innovaccer Inc., a datashop integrating complex data across multiple distributed sources to give healthcare organizations greater insights to provider better care.Technology can never replace humans because the ultimate decision-making authority always lies with the individual. He or she can, however, in the course of time, opt for technological solutions that simplify their work and bring about efficiency.Convenience. Efficiency.
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Care Intelligence System: The Revolution of Innovations in Value-based Care

by Abhinav Shashank, CEO at Innovaccer Inc. 10/09/2017 Leave a Comment

Care Intelligence System: The Revolution of Innovations in Value-based Care

Keeping a system of records for storage and backup has always been a must for healthcare organizations all over the U.S. As the method of storing data went from paper to electronic, healthcare became more and more adept at collecting data and archiving it.However, the route of exchanging meaningful information was still lost on many. As of 2017, a majority of the health industry has adopted EMRs, however, gaining meaningful insights out of them is still an unfulfilled promise.The real trouble
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3 Ways MACRA is Changing Physician Payment in Medicare

by Saqib Ayaz 08/31/2017 Leave a Comment

3 Ways MACRA Is Changing Physician Payment In Medicare

The entry of the MACRA proposed rule, a little more than a year back, flagged a solid and remarkable consent to move towards esteem-based care, yet up to this point, a hefty portion of the subtle elements encompassing how it would be executed stayed obscure.In any case, a week ago, CMS discharged about 1,000 pages that shed light on how a doctor can improve their payments by following MACRA proposed rule.History Before MACRA proposed rule was introduced, specialists were paid for giving
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Led by BlueCross BlueShield, Healthify Raises $6.5M for Social Determinants Management Platform

by Jasmine Pennic 07/13/2017 Leave a Comment

Led by BlueCross BlueShield, Healthify Raises $6.5M for Social Determinants Management Platform

Healthify, a NYC-based community referral and social determinants management platform, closed a $6.5m Series A funding round led by BlueCross BlueShield Venture Partners (BCBSVP). The round also included participation from existing investors Primary Venture Partners (PVP) and Activate Venture Partners (AVP).Healthify will use the funds from the financing to expand its care coordination product suite and grow its network of customers and social service partners. To date, Healthify has raised over
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Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program

by Fred Pennic 06/07/2017 Leave a Comment

Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program

Following a slow start, U.S. physician groups have significantly accelerated their adoption of a key federal program aimed at improving the care of Medicare patients with chronic disease, while they remain relatively in the dark about the details of the 2015 law that the program has come to support.Forty-one percent of physician groups have launched a Chronic Care Management (CCM) program that meets the requirements for reimbursement by the Centers for Medicare and Medicaid Management (CMS),
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Innovaccer Launches New ACO Initiative to Assist IPAs and Providers Transition

by HITC Staff 05/24/2017 Leave a Comment

Innovaccer Introduces First-of-its-kind Initiative to Assist IPAs and Providers Transition to ACOs

Innovaccer Inc., a Silicon Valley-based Healthcare analytics company has launched a ‘no cost’ initiative to provide assistance to Independent Physician Associations (IPAs) and other transforming provider organizations to transition into an Accountable Care Organization (ACOs)The concept of value has become prominent in the advancing healthcare. Care teams are creating room for improvement in care delivery to bring down the cost of care with a better quality of care. The complexity and
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