Core Administrative Processing Systems (CAPS) operate as the brains behind a health plan’s business. These systems are critical to the smooth functioning of a health plan. Today, many payers run on decades-old CAPS systems built on legacy technologies. This can be a serious drawback.
Legacy systems may have been efficient based on the technology and best practices of decades past, but have aged beyond their time. They often require an increasing number of workarounds and fixes to try to
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Carequality
KLAS: Epic, NextGen, Cerner Best at Making Outside Patient Data Usable
What You Should Know:
- New KLAS report finds acute and ambulatory care EMR
vendors Cerner, Epic and NextGen are best at making outside patient data usable
for clinicians (data from outside the clinician's health system).
- KLAS report examines adoption and usability among advanced
users of the main acute and ambulatory care EMR vendors.
The national interoperability networks of Carequality and CommonWell Health Alliance have become some of the primary means by which patient records
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CommonWell Enables Payer Access to Nationwide Interoperability Network
What You Should Know:
- CommonWell Health Alliance enables payer access with the addition of a new service provider, DataFile Exchange to support the operational services specific to the Payment and Health Care Operations use case.
CommonWell
Health Alliance today announced it is extending its interoperability
services to enable additional use cases beyond treatment and patient access,
starting with Payment and Health Care Operations data requests.
Data File Exchange
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Fresenius Kidney Care Rolls Out National Data Exchange Network
What You Should Know:
- Fresenius Kidney Care, the dialysis services
division of Fresenius Medical Care North America, rolled out CommonWell health
data exchange services to its dialysis facilities nationwide.
- This initiative is a significant stride towards better-coordinated care for patients requiring life-sustaining dialysis for kidney failure and will enable the real-time exchange of critical patient health information--allowing healthcare providers to access the most
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Redox Adds Access to More Than 500k Carequality-Enabled Physicians
What You Should Know:
- As a Carequality Implementer, Redox has added access to
more than 500,000 Carequality-enabled physicians to its already extensive
network.
- Redox members can use the same patient search query to
search all the participants in the Carequality framework as they would if they
used a direct patient search API provided by an electronic health record (EHR)
vendor.
Redox
Inc., the leading interoperability platform for healthcare data exchange,
today announced that
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Carequality Releases Implementation Guide for Electronic Case Reporting
What You Should Know:
- Carequality releases an implementation guide for electronic case reporting that enables automated, electronic case reporting to public health agencies, including the CDC.
- Carequality worked closely with the Association of Public Health Laboratories (APHL) in developing the new implementation guide.
- This is Carequality’s second implementation guide, the first being the Query-Based Document Exchange Implementation Guide, which was originally adopted in 2015
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InterSystems Launches HealthShare Managed Connections to Improve Data Exchange
What You Need to Know:
- InterSystems launches InterSystems HealthShare® Managed Connections, a service that enables healthcare organizations to take advantage of a network of connections to a vast number of patient records via a central hub and exchange data easily.
- As a CommonWell ConnectorTM product, HealthShare Managed Connections empowers users with the ability to access the CommonWell Health Alliance network—representing more than 15,000 provider sites and 76
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Executive Insights: Top Healthcare Predictions & Trends to Watch in 2020
As we close out the year, we asked several healthcare industry executives to share their predictions and trends for 2020.
Robbie Hughes, Founder, and CEO, Lumeon
“Following the announcement of the Trump administration's price transparency requirement – and the ensuing backlash from hospital groups – the issue of price transparency will dominate the healthcare industry next year. Regardless of the outcome of the lawsuit, I expect we'll see more attention around the importance of the
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Health Gorilla Becomes Largest Interoperability Provider in Puerto Rico
- Health Gorilla expands clinical interoperability efforts in Puerto Rico with four new partners adopting its secure interoperability solution. - Through its expanded client base and patient reach, Health Gorilla has become the largest interoperability solutions provider in Puerto Rico.Health Gorilla, a Silicon Valley-based secure interoperability solution, announced today new partners that have adopted its technology platform to advance clinical interoperability efforts in Puerto Rico. Health
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Brightree Integrates With CommonWell to Improve Post-Acure Care Interoperability
SaaS provider Brightree announced plans to connect its tens of thousands of home health and hospice customers with 50,000+ provider locations and health systems around the country via the CommonWell Health Alliance, and through CommonWell to Carequality. As the first CommonWell integration focused solely on post-acute care, this is a major milestone in improving interoperability for post-acute care providers and their patients, solving for the “black-hole” phenomenon that occurs when patients
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