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
Read More
Healthcare Policy Regulation & Reform | News, Analysis, Insights - HIT Consultant
Addressing ACA Data Security Challenges To Streamline Healthcare Operations
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
Read More
6 Most Common Value-Based Payment Models
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.
Read More
CMS Extends Partial Code Freeze for ICD-10-CM PCS and ICD-9-CM Codes
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
Read More
3 Biggest Challenges to Value-Based Payment Models Success
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
Read More
3 Ways Healthcare Price Transparency Could Save $100B Over 10 Years
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.
Read More
Big Insurance Giants Partner to Provide Price Transparency Tools to Consumers
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.
Read More
5 Considerations for Launching A Private Insurance Exchange
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.
Read More
Brace Yourself for Price Transparency in Healthcare
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.
Read More
Prior to ICD-10 Delay to 2015: 44% of Physicians Were Unprepared
Before the ICD-10 delay to 2015 by the government, 44 percent of physicians did not know whether they would be ready, according to the 2014 Practice Profitability Index (PPI). In fact, another 25 percent were certain they would not be prepared and face high transitions and ICD-10 upgrade costs.
Read More
