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

Report: 66% of Providers to Focus on Improving RCM in 2016

by Fred Pennic 01/25/2016 Leave a Comment

Providers to Focus on Improving RCM in 2016

With the ICD-10 transition in our rearview, 66% of providers plan to focus on improving their overall revenue cycle management processes in 2016, according to the post-ICD-10 implementation survey from Navicure. Fifteen percent indicated they would be working towards a value-based care model while another nine percent are updating and automating patient collections strategies. Navicure and Porter Research deployed the survey in December 2015 as the final wave of a research study designed to
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5 Healthcare Supply Chain Trends to Watch in 2016

by Fred Pennic 01/14/2016 Leave a Comment

5 Healthcare Supply Chain Trends to Watch in 2016

For the past several years, spurred by regulatory healthcare reform and the overarching need to make the industry more sustainable, the healthcare supply chain has evolved from simply a transaction-driven process into a strategic, data-driven operation. As a result, the healthcare supply chain acts as a backbone for the industry’s drive to reduce costs while simultaneously improving patient care. With the last few years defined by supply chain innovation and exploration in healthcare, Global
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Health Choice Preferred, Cigna Form Accountable Care Collaboration

by HITC Staff 01/13/2016 Leave a Comment

Health Choice Preferred logo

Health Choice Preferred, a division of IASIS Healthcare, and Cigna have announced an accountable care collaboration designed to offer more than 16,000 Cigna commercial customers in Utah a more coordinated, personalized healthcare option. The collaboration ties value-based incentives to performance improvements that support population health management and improve outcomes for Cigna’s customers. Health Choice Preferred’s integrated network of healthcare providers utilize a broad range of
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Report: Value-based Care Driving Remote Patient Monitoring Adoption

by HITC Staff 12/15/2015 Leave a Comment

Remote Patient Management Platforms

The healthcare industry's transition to value-based care and the regulatory penalties associated with readmissions are driving the adoption of remote patient monitoring. According to a recent report from Frost & Sullivan, remote patient monitoring is increasingly becoming a critical tool to support the new value-based care environment. As a result, the remote patient monitoring market is expected to grow at a rate of 13.2 percent through 2020.  Defining Remote Patient Monitoring Remote
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ACO: Integrated Health Network Exceeds Clinical Quality Goals

by HITC Staff 12/07/2015 Leave a Comment

ACO: Integrated Health Network Exceeds Clinical Quality Goals

  Integrated Health Network of Wisconsin (IHN) exceeded its clinical quality goals in the first year of a three-year accountable care relationship with UnitedHealthcare, due to enhanced care coordination for patients and better sharing of clinical and financial data. The results are based on the experiences of 60,000 employer-sponsored health plan participants who sought care from IHN physicians in 2014. During the first year of the program, more patients received the preventive
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KPMG Survey: Only 11% Consider ICD-10 Transition A Failure

by HITC Staff 12/01/2015 Leave a Comment

Only 11 percent of healthcare organizations described the ICD-10 transition as a "failure to operate in an ICD-10 environment," according to KPMG LLP survey. The survey of 298 attendees of the Nov. 9 Webcast, ICD-10: Just the Beginning, found 80 percent of organizations said the ICD-10 transition has proceeded smoothly. 28 percent stated the ICD-10 transition has been smooth and another 51 percent found "a few technical issues, but overall successful."  "While there seems to be a fairly smooth
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10 ICD-10 Codes Doctors May Need this Thanksgiving

by HITC Staff 11/25/2015 Leave a Comment

10 ICD-10 Codes Doctors May Need this Thanksgiving

The updated ICD-10 coding system has brought clinicians very interesting (and, admittedly, slightly humorous) diagnostics entries. As the weather cools, the last leaves fall off the trees and tables get packed with food and family for Thanksgiving, it’s a good time to take a look at some of those codes that will have doctors and patients prepared (for anything) this year. The following infographic created by PatientKeeper compiles 10 Thanksgiving-themed ICD-10 codes that physicians’ should
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Aetna Inks First Pediatric ACO Collaboration

by Jasmine Pennic 11/23/2015 Leave a Comment

Aetna

Aetna and The Children’s Hospital of Philadelphia (CHOP) have announced a new accountable care organization (ACO) collaboration designed to improve the quality of care and lower health care costs through more coordinated care. This is Aetna’s first pediatric ACO arrangement.  ACO Agreement Details Under the contract, members of Aetna commercial plans (up to age 19) in the five-county Philadelphia area and Burlington County, N.J., and who receive care from CHOP physicians, became part of the
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KLAS: Advisory Board, Premier Top Firms for Value-based Care Consulting

by HITC Staff 11/20/2015 Leave a Comment

KLAS Report Highlights Population Health Management Early Leaders

As healthcare moves from a fee-for-service model to a value-based care (VBC) model, many providers are having to reengineer aspects of their business. "Value-Based Care. Making the Shift: Who Can Help?" is the first report published about this market segment by KLAS. The report found that Advisory Board, Conifer and Evolent scored high with providers in giving them confidence to deal with evolving alternative payment models and preparing for future risk. Top Firms for VBC Consulting/Management
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AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

by HITC Staff 11/16/2015 Leave a Comment

AMIA Urges CMS to Rethink Informatics Policies as New Models of Care Emerge

In comments submitted to the Centers for Medicare & Medicaid Services (CMS), the nation’s leading data scientists in healthcare urged federal officials to use new payment policies to reassess how providers are required to use informatics tools, and rethink how quality is measured in a digital world. Officials from the American Medical Informatics Association (AMIA) said new and novel ways to deliver care will rely on dynamic uses of information technology (IT) and other informatics tools, so
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