Justin Rockman, VP of Business Development at Surgimate
One of the biggest obstacles to data interoperability is the slow and piecemeal progress of healthcare organizations (HCOs) towards digitalization. While the benefits of digitalization are clear; improved efficiency, reliability of data, and enhanced communication, just to name a few; the critical (and most challenging) piece of the puzzle, is being able to share critical patient data between systems in a way that makes it easily
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Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
4 Ways to Improve Mental Health Through Digital Health
Jill Seidman Vice President, Provider Solutions, AVIA
Mental health care is undoubtedly one of the most pressing challenges that our national health system faces. Years of insufficient payment, infrastructure erosion, provider deficits, and stigma have created a fragmented patchwork of weak, under-coordinated and under-reimbursed treatment capabilities. Meanwhile, communities face an expanding crisis:
- 44.7 million American adults – including 10 million adults covered by Medicaid –
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Why Medicare Advantage Will Lead the Way on Healthcare Consumerism
Jeff Carroll, Senior Vice President, Health Plans, Lumeris
For years, the healthcare industry has been abuzz with the concept of “consumerism” and the potential implications to insurance companies, providers and patients. Stakeholders from across the industry have opined on what it means create a healthcare system more focused on consumers, often with little impact to actual consumer experience or outcomes.
One spot of genuinely consumer-centric innovation and execution is in the Medicare
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Top 10 Challenges, Issues and Opportunities Healthcare Executives Will Face in 2020
- The HealthCare Executive Group unveils its annual 2020 HCEG top 10 critical challenges, issues and opportunities healthcare executives expect to face in 2020.
- Over 100 C-Suite and director level executives were presented with a list of over 25 topics. Initially compiled from webinars, roundtables and the 2019 Industry Pulse Survey.
After 2.5 days of facilitated interactive discussions during
this week’s HCEG Annual Forum in
Boston, over 100 healthcare c-suite and director
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Montana Awarded $19M Grant for Statewide Health Information Exchange
Governor Bullock signed an executive order designating Big Sky Care Connect as the statewide health information exchange. Source: Montana.Gov
- CMS awards the state of Montana with a $19M grant to support a statewide health information exchange (HIE).
- Montana Governor Steve Bullock names Big Sky Care Connect as the operator of the statewide HIE.
- Big Sky Care Connect plans to start sharing healthcare data in 2020.
Montana Governor Steve
Bullock announced
the state
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Capital Rx Launches Clearinghouse Model to Bring Price Visibility to Prescription Drug Costs
Quick Glance- Capital Rx launches new innovative Clearinghouse Model, a new pricing framework that will itemize the actual unit cost for all drugs for the first time- The Clearinghouse Model will eliminate price variability for customers, ensuring that drug costs are the same for all customers.- Pharmacies in its retail network, which includes chains, like Walmart, Walgreens, to grocers and independent pharmacies, will be able to deliver the lowest prescription prices to customers.- While rising
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Top 5 Factors Impacting the US Population Health Management Market
The North American Population Health Management (PHM) reached the $4 billion milestone for the first time in 2018, despite growth slowing for the second consecutive year. With the US provider market consolidating and vertical integration increasing, vendors are having to adapt their offerings to keep up with changing needs. Here is our take on the five trends that will impact market growth over the coming years:
1 – A Market Still Maturing
As the market has evolved, providers are
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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
Shannon Wiggins, Manager with Dacarba LLC
In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along with several other updates. The designation changes are an
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Healthcare Leaders See AI As Front-Runner in Reducing Risks
Healthcare leaders see artificial intelligence (AI) as the front-runner in reducing risks, while they view online media as the riskiest technology, according to results of an annual survey by The Doctor Company. Conducted at a national summit of nearly 100 healthcare leaders to address some of the most pressing issues in healthcare. To understand what concerns these leaders have and generate meaningful conversations during the summit, participants were surveyed prior to the summit.Among the key
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10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
Moshe Starkman, Senior Director, Value-based Reimbursements, nThrive
The first two years of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Quality Payment Program (QPP) are in the books and many organizations are wondering if their strong performances will ever be met with a significant upside adjustment.
Year 1 (2017) enjoyed very high participation levels, 95% of eligible clinicians, but very low upside adjustments. Between the Test Pace option, artificially low bar
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