According to a new joint study by the RAND Corporation and the American Medical Association, physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.The study is a follow-up to a similar one conducted in 2014 to assess how physician practices were responding to alternative payment models. These models are
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Medicare Insurance| Regulatory, Policy, Patients Analysis, Insights - HIT Consultant
Mingle Analytics, SilverVue Merge to Form Mingle Health to Focus on Value-based Care Delivery
Mingle Analytics Inc., a provider of Medicare quality reporting, and SilverVue, Inc., a supplier of care management software, today announce their merger. Mingle Health is a new company focused on transforming value-based care delivery by solving the pain points in quality reporting while improving patient outcomes and strengthening practice health.Together, Mingle Health will deliver an all-in-one platform that includes the consulting, analytics, and tools to streamline medical practices,
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Value-based Care Success: 7 Stages of the Health Data Life Cycle
Back in the day – the late 1960s, when social norms and the face of America was rapidly changing – a familiar public service announcement began preceding the nightly newscast. “It’s 10 p.m. Do you know where your children are?” Today, as the healthcare landscape changes rapidly with a seismic shift from the fee-for-service payment model to value-based care models, there’s a similar but new clarion call for quality healthcare: “It’s 2018. Do you know where your data is?”Compliance with the
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Breaking: CMS Proposes Historic Changes to Restore the Doctor-Patient Relationship & Streamline Clinical Billing
CMS proposed historic changes to Physician Fee Schedule (PFS) and the Quality Payment Program (QPP) to restore the doctor-patient relationship and streamline clinical billing.On Thursday, , the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve
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How Blockchain Technology Could Help Prevent Medical Fraud
Most people know blockchain as the transaction ledger associated with cryptocurrency transactions. However, evidence suggests a specific use for it that applies to health professionals — reducing medical fraud. Blockchain’s Innate Characteristics May Cut Down on FraudIndividuals think blockchain shows promise for minimizing fraud in medicine because of some of the features it offers. For example, many fraudulent practices in the health industry and elsewhere begin when people manipulate or
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OnlyBoth Launches AI-Driven Home Health Agency Benchmarking Engine
Pittsburgh-based OnlyBoth Inc., today announced the launch of its no-cost Home Health Agency benchmarking engine, which applies innovative artificial intelligence (AI) technology to Medicare data previously gathered about providers. The unique engine delivers text-based insights so users can easily compare and contrast home health agency performance for informed decision-making.As transparency becomes more of a requirement, particularly with the CMS news about the prices this week, so will
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CareSet Labs Releases Next-Gen Medicare Doctor Referral Dataset
CareSet Labs has announced the release of Root NPI Graph, a new version of the “shared Medicare patients in time” provider teaming dataset. The Root NPI graph is the next-generation version of the Doctor Referral teaming dataset commonly available from Medicare. The dataset can be used by data scientists, researchers and innovators including pharmaceutical companies to help decode Medicare claims data to guide new drug launches.Created by Fred Trotter through the Freedom of Information Act
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Survey Reveals Physicians Accelerating Adoption of Medicare’s Chronic Care Management Program
Following a slow start, U.S. physician groups have significantly accelerated their adoption of a key federal program aimed at improving the care of Medicare patients with chronic disease, while they remain relatively in the dark about the details of the 2015 law that the program has come to support.Forty-one percent of physician groups have launched a Chronic Care Management (CCM) program that meets the requirements for reimbursement by the Centers for Medicare and Medicaid Management (CMS),
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NantCare Unveils Solutions to Support CMS Oncology Care Model
NantCare, a member of the NantWorks will be providing community oncology practices with solutions and resources that will help these practices comply with the administrative and clinical requirements put forth by the CMS’ new Oncology Care Model (OCM). Typically only available at large cancer institutions, NantCare will provide access to clinical trials through facilitation of participation in Cancer MoonShot 2020’s QUILT Trials, eliminating the need for patients to travel to major cancer
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Highmark to Offer Welltok’s CaféWell Rewards Platform for Medicare Plans
Highmark, the fourth largest Blue Cross and Blue Shield-affiliated company has partnered with Welltok to reward Highmark’s Medicare Advantage Passport program members for healthy actions through Welltok’s CaféWell Rewards platform. By creating a single destination where seniors can access information related to their health and well-being, the collaboration aims to close gaps in care and advance population health efforts. With Welltok’s CaféWell Rewards, Highmark is now rewarding healthy
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