The Centers for Medicare & Medicaid Services (CMS) recently proposed a new rule to advance interoperability and improve the prior authorization (PA) process for Medicare and Medicaid patients. Specifically, the rule stipulates that health plans adopt electronic prior authorization processes, adhere to shorter turnaround times, clearly communicate denial reasons, publish key metrics annually, and implement the Fast Healthcare Interoperability Resources (FHIR) Application Programming Interface
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Electronic Health Record
Biden Admin Builds on Cancer Moonshot with 13 More Initiatives
What You Should Know: - One year ago, President Joe Biden and First Lady Jill Biden reignited the Cancer Moonshot, setting an ambitious, achievable goal: to reduce the death rate from cancer by at least 50 percent over the next 25 years, and improve the experience of people and families living with and surviving cancer, ultimately ending cancer as we know it today. - The Cancer Moonshot has spurred tremendous action across the federal government and from the public and private
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Edifecs and VirtualHealth Partner to Automate Prior Authorization
What You Should Know: - Today, Edifecs and VirtualHealth, a medical management company, announced a new partnership automated prior authorization to VirtualHealth’s HELIOS® platform for healthcare payer and provider clients. - The Edifecs solution will automate and optimize the prior authorization process across HELIOS to significantly reduce the administrative burden, alleviate friction between payers and providers, and ultimately expedite patient care. Growing Need for Automated Prior
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Health Gorilla Launches Pharmacy Data, Powered by DrFirst
What You Should Know: - Health Gorilla, a Health Information Network (HIN) and leading interoperability platform launches Pharmacy Data, a new product enabling seamless access to complete medication history data from most major pharmacies. - Pharmacy Data is powered by a new partnership with DrFirst and its MedHx Population Risk Management (PRM) solution to provide deduplicated medication history from local and national data sources, including prescribing data, pharmacy
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Boosting Clinical Trial Recruitment Requires Humanity – and Technology
Clinical trials should be a time of promise for better patient outcomes, as they explore new ways to potentially help patients suffering from a variety of conditions. Instead, this phase of treatment development is often met with exasperation as patients, researchers, and drug developers deal with the many barriers to clinical trial recruitment and access. There are two central – and intrinsically linked – problems with the current state of clinical trial recruitment in the U.S.:
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Top 10 Health Technology Hazards in 2023 to Watch
What You Should Know: - ECRI, the nation's largest non-profit patient safety organization, names communications gaps with recalls of home-use medical devices as the nation’s most pressing health technology safety issue for 2023. - ECRI’s Top 10 Health Technology Hazards for 2023 list identifies the potential sources of danger that will warrant the greatest attention for the coming year and offers practical recommendations for reducing
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Unlocking Patient Medical Records Through Digital Retrieval of Clinical Data
Thousands of times a day, at health systems throughout the US, workers manually search for patient medical charts, print them out on paper, or save them to a file—and then fax, mail, or email them to a payer or third party who has requested it. The productivity for this often manual approach is about five charts an hour per worker, and the average cost to retrieve a medical record varies by state, health system, and the number of pages. The cost per medical record ranges from about $25 to
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Study Reveals Current Landscape of FHIR Apps
What You Should Know: - A study led by Regenstrief Institute Research Scientist Titus K. Schleyer, DMD, PhD, is among the first to survey the current landscape of FHIR® apps, providing a snapshot of how the innovative standard is used to enable the flow of health information - FHIR apps can pull in data from most electronic health record systems, facilitating secure movement of information when and where needed. Expanding the Horizon of Patient Data Security Via FHIR Apps FHIR,
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MEDITECH International Deal with CloudWave Delivers Expanse EPR Expanse EPR to Over 500k UK Patients
What You Should Know: - MEDITECH UK has announced they’ve chosen CloudWave’s OpSus Cloud Services to power its MEDITECH Expanse EPR (Electronic Patient Record) and MEDITECH Cloud Hosted offering to East Cheshire NHS Trust and Mid Cheshire Hospitals NHS Foundation Trust. The United Kingdom public-sector trusts are part of the National Health Service (NHS). They will be working with CloudWave and MEDITECH to deploy a cloud-based
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Franciscan Health to Deploy Innovaccer Health Cloud to Eliminate “Data Islands”
What You Should Know: Today Innovaccer, Inc., the Health Cloud company, announced that Franciscan Health, a 12-hospital system with facilities in Indiana and Illinois, is deploying Innovaccer® Health Cloud to enhance risk-based contract performance and to launch a next-generation experience platform to deliver sophisticated customer and patient relationship management strategies. - Franciscan Health plans to leverage Innovaccer Health Cloud’s Data Activation Platform to integrate
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