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

Stanford Health Taps Lumeris to Optimize Medicare Advantage Plan

by Jasmine Pennic 03/19/2019 Leave a Comment

Lumeris, Stanford Health Partner to Optimize Medicare Advantage Plan

Stanford Medicare Advantage plan seeks sustainable value-based care growth and continued innovations to serve seniors in collaboration with Lumeris.Lumeris, a provider of value-based care, and Stanford Health Care are partnering on a long-term collaboration for the further development of Stanford Health Care Advantage, a Medicare Advantage (MA) plan in Northern California. Once finalized, Lumeris will help optimize and grow the MA plan throughout the region and support Stanford Health Care's
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The Blueprint to Scaling Social Determinants of Health (SDOH) Data Collection

by Lindee Chin, MD, Senior Clinical Director of Value-Based Care at Edifecs 03/18/2019 Leave a Comment

In the value-based care world, cost-effective treatment, quality of care, and patient outcomes determine payment. Social determinants of health (SDOH) represent the economic, psychological, educational, environmental and social barriers that limit healthy behaviors, access to care and adherence to treatment resulting in poor health outcomes. Many stakeholders in health care are trying to address social determinants as part of their value-based care strategy. However, many organizations are
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Missouri Health Connection, DrFirst Partner to Offer Clinicians Turnkey Access to Medication History Data

by Jasmine Pennic 03/12/2019 Leave a Comment

Missouri Health Connection, DrFirst Partner to Offer Clinicians Turnkey Access to Medication History Data

DrFirst, a provider of e-prescribing, price transparency, and medication management solutions, announced today that it has successfully implemented an interoperability gateway with Missouri Health Connection (MHC) that will give clinicians easy access to medication data history. MHC is the only secure, statewide HIE in Missouri supporting over 8,000 clinicians, hundreds of clinics and community health centers and more than 75 hospitals, and health plans with access to comprehensive patient
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Allina Health and PatientWisdom Partner to Improve Patient Engagement

by Jasmine Pennic 03/06/2019 Leave a Comment

PatientWisdom

Today, Allina Health announced a new partnership with PatientWisdom, Inc. to improve patient engagement through the use of the digital platform, PatientWisdom. The platform is integrated with electronic health record (EHR) systems and patient portals and allows patients to share personal/health details before their clinical encounter. PatientWisdom then distills the information into an at-a-glance inSIGHT summary which is sent to care teams before the visit to understand what matters to their
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Why Walmart Centers of Excellence Model Could Redefine How Employers Deliver Quality Care

by Larry Leisure, Co-founder & Managing Partner, Chicago Pacific Founders 03/06/2019 Leave a Comment

Why Walmart's Center of Excellence Model Could Redefine How Employers Deliver Quality Care

Mitigating the cost of healthcare expenses has long been an uphill battle for employers, though the problem has become particularly pressing in recent years. The price tags for routine treatments and specialty services alike are on the rise; patients and payers alike shoulder heavy cost burdens for everyday care needs. The benefits packages that may have provided sufficient coverage a decade ago are now stretching to cover costs -- and the companies paying out those benefits are desperately
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eHealth Exchange Integrates FHIR Directory with InterSystems to Power Network Expansion

by Jasmine Pennic 03/04/2019 Leave a Comment

eHealth Exchange, a nationwide health information networks connecting the public and private sectors, announced it will integrate its FHIR Healthcare Directory with InterSystems solutions. The integration will enable the HIE network to enhance its patient-centric services while also completing its implementation of the Carequality Interoperability Framework, which is used by an estimated 600,000 physicians to share data today across and among networks. Integration DetailsThe eHealth Exchange
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Survey: Executives Predict Accelerated Shift to Value-based Payments in 2019

by Jasmine Pennic 02/20/2019 Leave a Comment

Survey: Executives Predict Accelerated Shift to Value-based Payments

According to a recent Lumeris-sponsored survey, forty-six percent of healthcare executives believe their organization’s pace of change toward value-based payment is moving quickly or very quickly, up 14 points from Q2 2018. Additionally, sixty-two percent of health systems indicated that they plan to assume additional risk in the next 12 months. Of these, ACOs (46%), Medicare Advantage (31%), and bundled payments (23%) were common methods for increased risk assumption. The Lumeris-sponsored
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Why It’s Time to Take a More Adult Approach to Healthcare Policy

by Ron Ritchey, M.D.,Chief Medical Officer of eQHealth Solutions 02/05/2019 Leave a Comment

Why It's Time to Take a More Adult Approach to Healthcare Policy

One of President Harry Truman’s most famous quotes was “It is amazing what you can accomplish if you do not care who gets the credit.” Yet historically, the political approach to healthcare has been less like colleagues working toward an intelligent, practical solution and more like two children fighting over a favorite toy. Both sides wanted the credit for delivering a comprehensive healthcare plan and policy themselves, so they did all they could to prevent the other side from winning. Even
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How Improving Primary Care Can Drive Innovation in Care Delivery

by Dr. Paul Grundy - Member, Strategic Advisory Council, Innovaccer 01/22/2019 Leave a Comment

How Improving Primary Care Can Drive Innovation in Care Delivery

Despite having some of the most advanced healthcare tools and highly-trained practitioners, the United States has one of the least efficient healthcare systems of all developed countries.Over the years, I have come to realize that it’s not the development of devices or the medical prowess that makes the difference: it is the delivery of these services and the impact it creates on the population. Moreover, it is our delivery of care to patients which is often inefficient and ineffective, leaving
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State of Georgia Expands Partnership with Sharecare to Improve Health of State Employees

by Jasmine Pennic 01/08/2019 Leave a Comment

State of Georgia Expands Partnership with Sharecare to Improve Health of State Employees

Walmart to contribute annual incentive dollars earned through Sharecare to help eligible State Health Benefit Plan members purchase prescription medications and vision products at its retail stores; Emory Healthcare and Rollins School of Public Health to measure the impact of the new incentive program.Georgia Department of Community Health (DCH) is launching a new incentive program to reward State Health Benefit Plan (SHBP) members who engage in healthy behaviors through Sharecare’s
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