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

Premier Launches Physician Enterprise Collaborative to Identify Margin Improvements for Medical Groups

by Fred Pennic 06/01/2018 Leave a Comment

Premier’s Physician Enterprise Collaborative

Premier Inc., a healthcare improvement company, is launching a new performance improvement collaborative to help health systems navigate the integration and alignment of employed and affiliated medical groups while optimizing overall practice performance. The Physician Enterprise Collaborative seeks to help medical groups identify margin improvements equivalent to 5 to 7 percent of professional net patient revenue (cash collections of billing activity).Officially beginning in June 2018,
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OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine

by Jasmine Pennic 04/26/2018 Leave a Comment

OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine

Pittsburgh-based OnlyBoth Inc., today announced the launch of its no-cost Home Health Agency benchmarking engine, which applies innovative artificial intelligence (AI) technology to Medicare data previously gathered about providers. The unique engine delivers text-based insights so users can easily compare and contrast home health agency performance for informed decision-making.As transparency becomes more of a requirement, particularly with the CMS news about the prices this week, so will
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AMIA Urges Lawmakers to View Broadband Access as Social Determinant of Health

by Fred Pennic 04/18/2018 Leave a Comment

AMIA Urges Lawmakers to View Broadband Access as Social Determinant of Health

In comments submitted to the House Energy & Commerce Subcommittee on Communications and Technology on 4/16, the American Medical Informatics Association (AMIA) urged lawmakers to view broadband access as a social determinant of health, warranting a more nuanced approach to managing Internet traffic through tiered pricing, known as paid prioritization.  The Federal Communications Commission (FCC) has finalized a rule, effective April 23, 2018, known as the Restoring Internet Freedom Order,
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Optum and HealthBI Team Up on Value-based Care Partnership

by Fred Pennic 03/23/2018 Leave a Comment

Optum and HealthBI Team Up on Value-based Care Partnership

Optum, the health business services arm of UnitedHealth Group, and HealthBI announce a partnership aimed at creating an industry-changing operation model for providers to practice and improve value-based care. The venture is initially aimed at boosting performance of Medicare Advantage plans.This partnership between Optum and HealthBI represents an exciting new chapter for true connected, value-based care, aimed at definitively proving that payer-provider collaboration moves the needle on better
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Survey: 64% of Executives Believe EHRs Have Failed to Deliver Critical VBC Tools

by HITC Staff 03/05/2018 Leave a Comment

Survey: 64% of Executives Believe EHRs Have Failed to Deliver Critical VBC Tools

64 percent of healthcare executives say EHRs have failed to deliver better PHM tools, and about half claim they would be willing to switch EHRs to get these capabilities, according to new data from Sage Growth Partners (SGP). The EHR market is maturing at the same time that value-based care has grown more permanent roots. As the inpatient EHR market begins to consolidate, SGP conducted an online survey of 100 healthcare executives (87% C-suite) to understand their perspectives about what EHRs
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Adventist Health System Forms First Accountable Care Organization

by HITC Staff 02/22/2018 Leave a Comment

Adventist Health System (AHS) today announced that the Centers for Medicare & Medicaid (CMS) has approved the formation of its first Accountable Care Organization (ACO) and its participation in the Medicare Shared Savings Program. The ACO provides the infrastructure for the Shared Savings Program, which cares for senior citizens across the state of Florida. Nearly 55,000 Medicare beneficiaries are expected to be part of the Shared Savings Program in the inaugural year.Approximately 1,500
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ACOs Generated $300M in Savings Over 3 Years Via Lightbeam Technology

by Jasmine Pennic 02/21/2018 Leave a Comment

Accountable care organizations (ACOs) using Lightbeam technology have generated over $300M in savings over the last three performance years, since the Centers for Medicare & Medicaid Services (CMS) Medicare Shared Savings Program (MSSP) began. Lightbeam’s platform facilitates end-to-end population health management for ACOs, payers, provider groups, health systems and other healthcare organizations aspiring to provide superior care at a lower cost.Over the life of the program, Lightbeam
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Innovaccer Launches ACO Compare to Analyze ACO Performance Trends

by Jasmine Pennic 02/15/2018 Leave a Comment

Innovaccer Launches ACO Compare to Analyze ACO Performance Trends

Accountable care organizations are playing a pivotal role in the value-based ecosystem. Since their formation in 2012, MSSP ACOs have saved over $2 billion for millions of assigned beneficiaries. More importantly, the quality of care has improved drastically as a direct result of the collaborative efforts by ACOs. The average quality scores of 2016 are higher than ever, attesting that ACOs are instrumental in advancing value-based care.However, the overall results, as observed on ACO Compare, do
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Survey: 50% of Providers Are Not Using Social Determinants of Health

by Fred Pennic 02/09/2018 Leave a Comment

According to a LexisNexis survey, 88 percent of hospital CIOs say the ideal time for patient engagement is prior to admission through community health efforts. Collaborating with healthsystemCIO.com, the survey reveals that hospitals and health systems are using social determinants of health (SDOH) data to enhance patient engagement programs.When asked about using SDOH data, 50 percent of providers stated they are not using SDOH data in patient engagement; however, 42 percent say SDOH data is
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UniNet Integrates Data With Innovaccer to Power Value-based Initiatives

by HITC Staff 02/06/2018 Leave a Comment

UniNet Integrates Data With Innovaccer to Power Value-based Initiatives

UniNet Healthcare Network, a clinically integrated network (CIN) that brings together providers from across Nebraska and southwest Iowa, today announced their collaboration with Innovaccer Inc., a San Francisco-based healthcare data platform company, to integrate data from multiple sources for advanced analytics-based insights and care coordination across their network.With over 3,000 providers serving in 76 different locations, UniNet’s vision is to create a healthier population, one person at
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