- 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 level
Read More
Medicaid | Medicaid Patients | Medicaid Reform | Regulation, Policy, Analysis, Insights - HIT Consultant
Montana Awarded $19M Grant for Statewide Health Information Exchange
- 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 has received $19 million from the Centers for Medicare and Medicaid
Services (CMS) to support a statewide health information exchange (HIE). The
funding
Read More
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
Read More
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 taking
Read More
How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?
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 effort to respond to the notion that the
Read More
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
Read More
10 Considerations for Success In A Post-MACRA Value-Based Healthcare Reality
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 (3 points) for an upside adjustment, and numerous opportunities to score
Read More
How Tech Giants are Helping Providers Reinvent Patient Care
Healthcare costs are on the rise, and they show no signs of leveling off. According to the latest data available from the Centers for Medicare and Medicaid Services, healthcare spending in the United States reached $3.5 trillion in 2017, or $10,739 per person. Those costs are projected to rise by about five percent year-over-year.
As expenditures continue to skyrocket, healthcare providers are looking to new technologies and care strategies that can help them treat patients more effectively at a
Read More
Tufts Health Plan and Harvard Pilgrim Health Care to Merge
Harvard Pilgrim Health Care and Tufts Health Plan announced their intent to merge their nonprofit organizations. The new organization, yet to be named, will become one of the region’s largest nonprofit health services organizations and will serve close to 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island. Combined offerings include offering employer-sponsored plans; Medicare and Medicaid plans; Qualified Health Plans; and plans for those who are dually
Read More
Connecticut Launches State-Wide Hospital Quality Scorecard & Cost Estimator
The Connecticut Office of Health Strategy (OHS) has launched a state-wide online hospital quality scorecard and cost estimator solution called Healthcare CT to assist residents in making informed decisions concerning their healthcare among healthcare providers. The website has interactive tables and graphs that allow consumers to search, sort, and filter by entity, quality measure, health topic, and rating. In addition, the solution promotes cost transparency in healthcare improves access to
Read More
