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

5 ICD-10 Areas that Should Not Be Delayed

by Jasmine Pennic 06/13/2014 Leave a Comment

5 ICD-10 Areas

As healthcare organizations around the country struggle with the impacts of the latest ICD-10 delay, many are looking for ways to mitigate the financial and productivity impacts. Healthcare organizations can now take advantage of the additional time and refine their ICD-10 plans in such a way that minimizes impacts on productivity and reimbursements to more fully realize cost and quality improvements. Here are five ICD-10 areas that should not be delayed according to Wolters Kluwer Health: 
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The State of Private Health Insurance Exchange Adoption in 2014

by Fred Pennic 06/11/2014 2 Comments

Private Health Insurance Exchanges 1

Array Health, provider of private health insurance exchange technology has released a report which reveals consumer-focused shopping and enrollment is the most valuable capability for a successful private exchange, according to opinions of healthcare industry professionals. The results, collected May 2014, indicate continued growth for the private exchange market, as more than 75 percent of respondents believe most insurers will offer proprietary exchanges by the end of 2016. Consumers are
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Addressing ACA Data Security Challenges To Streamline Healthcare Operations

by Fred Pennic 06/05/2014 Leave a Comment

Addressing ACA Data Security Challenges

This post is sponsored by Accellion.  Nina Seth, Accellion's healthcare expert, discusses the ACA data security challenges and explores the move towards utilizing technology to streamline healthcare operations.  As have most areas, the healthcare industry is beginning to fall victim to consumerization. Its an interesting shift, because while healthcare services are built upon the fact that human beings need individual support and care, much of the industry has run for decades as if its
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6 Most Common Value-Based Payment Models

by Fred Pennic 05/29/2014 Leave a Comment

While 75% of providers currently participate in at least one value-based payment model, and more than 60% expect them to become the dominant payment model, fewer than 30% believe they offer a good level of reward for the risk. This is according to a study published by Availity, one of the nation’s leading health information networks.
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CMS Extends Partial Code Freeze for ICD-10-CM PCS and ICD-9-CM Codes

by Fred Pennic 05/22/2014 Leave a Comment

Today, Centers for Medicare & Medicaid Services (CMS) announced that the partial code freeze on updates to the ICD-10 and ICD-9-CM diagnosis and procedure codes will continue until October 1, 2015. Regular updates to ICD-10 will begin on October 1, 2016, one year after the newly announced compliance date. According to the official statement, "the ICD-10 Coordination and Maintenance Committee will continue to meet twice a year during the partial freeze. At these meetings, the public will be
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3 Biggest Challenges to Value-Based Payment Models Success

by Fred Pennic 05/21/2014 3 Comments

Value-Based Payment Models

Coordination of care, data accuracy and staff acceptance are among the top three challenges to the future use of value-based payment models, according to a new study by Availity. The study found 75 percent of providers currently participate in at least one value-based payment model in addition to traditional fee for service with 60 percent expecting them to become the dominant payment model. Despite its growing dominance, fewer than 30 percent believe they offer a good level of reward for the
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3 Ways Healthcare Price Transparency Could Save $100B Over 10 Years

by Fred Pennic 05/16/2014 Leave a Comment

Healthcare price transparency initiatives, which includes providing patients, physicians, employers and policymakers more information on healthcare prices could reduce U.S. healthcare spending by an estimated $100 billion over the next decade, according to a new analysis from the Gary and Mary West Health Policy Center.
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Big Insurance Giants Partner to Provide Price Transparency Tools to Consumers

by Fred Pennic 05/15/2014 Leave a Comment

Aetna, Humana and United Healthcare have announced that it will work with the Health Care Cost Institute (HCCI) to develop and provide healthcare price transparency tools for consumers.
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5 Considerations for Launching A Private Insurance Exchange

by Jasmine Pennic 05/15/2014 Leave a Comment

Now is the time for insurers to shore up their private insurance exchange strategies to be successful for the 2015 enrollment season, the single most time-consuming administrative challenge for HR professionals every year.
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Brace Yourself for Price Transparency in Healthcare

by Margalit Gur-Arie 05/15/2014 Leave a Comment

It’s here. For the first time in 35 years (or 33, depending on which click bait headline you clicked on), the much anticipated data on Medicare payments to physicians, has been released to the public, on the historic date of April 9th, 2014.
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