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Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant

Why Medicare Advantage Will Lead the Way on Healthcare Consumerism

by Jeff Carroll, Senior Vice President, Health Plans, Lumeris 09/16/2019 Leave a Comment

Why Medicare Advantage Will Lead the Way on Healthcare Consumerism

  For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes. One spot of genuinely consumer-centric innovation and execution is in the Medicare Advantage (MA) space, where select health plans can offer
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Innovaccer Launches Patient-Centered Medical Homes (PCMH) Solution

by Fred Pennic 09/13/2019 Leave a Comment

Innovaccer Launches Patient-Centered Medical Homes (PCMH) Solution

- Innovaccer launches Patient-Centered Medical Homes (PCMH) solution aimed at assisting organizations as they embark on the journey of delivering patient-centric, cost-effective care by transitioning into a PCMH and advancing primary care. - With PCMH Pre-validation from the NCQA, Innovaccer provides over 40% of the total credits needed for certification. - The solution saves providers from the trouble of navigating through EHRs and Excel sheets with automated care delivery support at
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Montana Awarded $19M Grant for Statewide Health Information Exchange

by Jasmine Pennic 09/10/2019 Leave a Comment

Montana Awarded $19M Grant Statewide Health Information Exchange

- CMS awards the state of Montana with a $19M grant to support a statewide health information exchange (HIE). - Montana Governor Steve Bullock names Big Sky Care Connect as the operator of the statewide HIE. - Big Sky Care Connect plans to start sharing healthcare data in 2020. Montana Governor Steve Bullock announced the state has received $19 million from the Centers for Medicare and Medicaid Services (CMS) to support a statewide health information exchange (HIE). The funding
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27 Healthcare Consumer Insight & Digital Engagement Trends to Watch

by Fred Pennic 09/09/2019 Leave a Comment

Healthcare Consumer Insight & Digital Engagement Trends

- Majority of patients are depending on online reviews, ratings, and reputation more than ever when choosing a physician, according to a new Binary Fountain survey. - Recent years have shown explosive growth in the use of digital tools for research into the choice of physician and healthcare needs. - The 2019 “Healthcare Consumer Insight & Digital Engagement survey reveals critical trends into how patients look to online reviews, ratings and brand reputation when it comes to
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Emoji Buttons Effective in Gauging Doctor/Patient Satisfaction in Real-Time

by Jasmine Pennic 09/09/2019 Leave a Comment

- Penn Medicine researchers implemented emoji button terminals reflecting a range of emotions and sentiments -- stationed around emergency departments (EDs) finds them effective in monitoring doctor and patient sentiments in real-time. - Conducted during a five-month study period in 2018, nearly 14,000 sentiments were recorded across the three terminals, one was set up near physician workstations, another at nurses’ workstations, and the last at the patient exit. - The nurses’ station
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Aledade, The Physicians Integrated Network Forms Value-Based Care Collaboration in Greater Philadelphia

by Jasmine Pennic 09/04/2019 Leave a Comment

Aledade ACO

- Aledade ACOs and the Physicians Integrated Network (TPIN) join forces to improve care coordination, quality of care, and patient health outcomes - Under the value-based care agreement, and TPIN’s leading network of independent specialists have agreed to a care compact and intend to explore additional opportunities for clinical collaboration across all payers. - TPIN’s network is made up of 700 physicians practicing in 24 clinical specialties throughout greater Philadelphia, Delaware
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Eden Health Earns NCQA Patient Centered Medical Home Recognition

by Fred Pennic 09/04/2019 Leave a Comment

Eden Health Earns NCQA Patient Centered Medical Home Recognition

- Eden Health earns National Committee for Quality Assurance’s (NCQA) Patient-Centered Medical Home (PCMH) recognition.- PCHM recognition underscores Eden Health’s trailblazing role as a tech-enabled primary care delivery model.- PCMH is widely regarded as the highest quality recognition that exists for primary care.Eden Health, which delivers primary care in the workplace, near the workplace and virtually, announced it has earned the National Committee for Quality Assurance’s (NCQA) Patient
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Partners HealthCare Transitions to Medicare Shared Savings Program (MSSP)

by Fred Pennic 08/23/2019 Leave a Comment

Partners HealthCare Transitions to Medicare Shared Savings Program (MSSP)

Partners HealthCare has transitioned to a Medicare Shared Savings Program (MSSP) through the Centers for Medicare and Medicaid Services (CMS), from its previous Medicare ACO, the Next Generation Accountable Care model, without disruption to patient care. The Medicare Shared Savings Program (MSSP) is an alternative payment model that promotes accountability for a patient population, coordinates items and services for Medicare fee-for-service beneficiaries, and encourages investment in high
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Signify Health, Remedy Partners Merge to Create Market Leading Value-Based Care Enablement

by Fred Pennic 08/20/2019 Leave a Comment

Signify Health, Remedy Merge to Create Market Leading Value-Based Care Enablement

Signify Health and Remedy Partners have signed a definitive agreement to merge to create a market-leading platform delivering value-based care enablement. Together, Signify Health and Remedy Partners both portfolio companies of New Mountain Capital LLC will leverage clinical, behavioral and social data amidst an accelerating market shift from fee-for-service toward value-based payments and arrangements based on the quality and total cost of care for a patient.Merger Creates Combined Revenue of
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SHIEC: HIEs Provide Critical Infrastructure to Support Nationwide Interoperability

by Fred Pennic 08/20/2019 Leave a Comment

SHIEC: HIEs Provide Critical Infrastructure to Support Nationwide Interoperability

America’s health information exchanges (HIEs) provide critical infrastructure to support interoperability serving 92% of Americans, delivering more than one billion clinical alerts annually, according to a recent Strategic Health Information Exchange Collaborative survey.These are real-time notifications of hospital admissions, discharges or transfers (ADTs) delivered to doctors, hospitals and other organizations tasked with coordinating the care and services of high-needs patients. These alerts
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