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Best Practices for Value-Based Purchasing Implementation

RevCycleIntelligence The value-based purchasing boat is leaving the dock and providers can either choose to board and shift their care delivery and reimbursement methods to align with the push for value or be left behind. Value-based purchasing made a splash as...

Healthcare Data Storage Options: On-Premise, Cloud and Hybrid Data Storage

HITInfrastructure Healthcare organizations are building their IT infrastructures to be more flexible and scalable to meet the growing data demand. With value-based incentives for data analytics and the increased number of connected medical devices constantly...

Data Security Considerations in Healthcare Interoperability

HealthITSecurity While more healthcare organizations are utilizing electronic health records (EHRs) and adding to the increase in healthcare interoperability finding a health IT option that provides better patient care and keeps PHI secure is not always...

Judy Faulkner: Epic Is Changing the Big Data, Interoperability Game

HealthITAnalytics In the flashy, crowded, dizzyingly large vendor halls at the annual HIMSS Conference and Exhibition, attendees tend to find their way around by using some of the biggest, tallest, or most unique booths as a compass.  A left at Cerner;...

Considerations for Deploying Healthcare Wireless Networks

HITInfrastructure Wireless networks are the lifeblood health IT infrastructure, but developing and deploying reliable WiFi to support present and future IT initiatives can be a challenge.   Clinicians and staff are becoming dependent on mobile and...

Health Information Governance Strategies for Unstructured Data

HealthITAnalytics While electronic health records still have the potential to standardize care by enabling advanced analytics and informing clinical decision-making, much of the data held within these systems – and a large proportion of the data used...

Exploring Two-Sided Financial Risk in Alternative Payment Models

RevCycleIntelligence As value-based care becomes the name of the game in healthcare, public and private payers are pushing providers to take on more financial accountability for their services through alternative payment models. In a fee-for-service world,...

How Payers Can Improve HEDIS Quality Measure Performance

HealthPayerIntelligence HEDIS quality measures have a significant role in the healthcare industry regarding closing gaps in care and decreasing the use of costly acute care through preventive services. By placing a greater focus on value-based care and quality...

Balancing Patient Portal Privacy and Access for Pediatric Care

PatientEngagementHIT Patient portals are an important regulatory requirement, with industry professionals touting their ability to better engage the patient and help all participating parties manage patient health. While pediatric and adult patients tend to use...

Using Risk Scores, Stratification for Population Health Management

HealthITAnalytics Population health management requires providers to maintain a delicate balance between taking a long view of generalized patient trends and focusing personal attention on the individual and the distinctive circumstances that will influence...

Why Application Programming Interfaces Are Key for Healthcare

HITInfrastructure Healthcare organizations seeking to create interoperability between internal apps, EHRs, and other data exchange tools, are increasingly turning to application programming interfaces (APIs) to manage the flow of information between...

Key Steps for Payer Success in Accountable Care Organizations

HealthPayerIntelligence In recent years, healthcare reforms have set out to reduce constantly rising medical costs, improve coverage for the many Americans who lacked primary care access, and advance population health outcomes. Over the past few years, the...

Top Revenue Cycle Management Vendors and How to Select One

RevCycleIntelligence As value-based reimbursement models, such as the upcoming Quality Payment Program, break down the walls between care quality and healthcare payments, more providers have set their sights on implementing vendor-sponsored revenue cycle...

What Providers Should Know to Improve Patient Access to Healthcare

PatientEngagementHIT Patient engagement, consumer satisfaction, and patient access to healthcare are three of the most critical pieces of the value-based care puzzle. As outcomes, satisfaction, and patient loyalty become more important to financial security for...

Understanding HIPAA-Compliant Cloud Options for Health IT

HITInfrastructure Healthcare providers looking for HIPAA-compliant applications, storage, and networking options are increasingly turning to the cloud, which has quickly become a low-cost way to develop the complex infrastructure required to support a...

The Progress and Challenges of the Affordable Care Act

HealthPayerIntelligence Before the Patient Protection and Affordable Care Act (ACA) became law on March 23, 2010, the healthcare industry faced a number of obstacles particularly in terms of providing medical care and health insurance to many low-income families...

How to Maximize Revenue with Improved Claims Denials Management

RevCycleIntelligence Claims denials may be a part of life for healthcare revenue cycle managers, but a prevention-focused denials management strategy may be able to significantly reduce the number of times billing staff are faced with unpaid claims. Recent...

How Healthcare Can Prep for Artificial Intelligence, Machine Learning

HealthITAnalytics The term “artificial intelligence” often conjures up visions of apocalyptic landscapes decimated by hyper-intelligent machines with a penchant for destroying societies foolish enough to place their trust in autonomous robots and...

How Medicare, Medicaid, and CHIP Guide the Health Payer Industry

HealthPayerIntelligence Medicare, Medicaid, and CHIP, the three major public insurance programs overseen by CMS, often set the tone for the large private health payer industry.  CMS is using all three programs to actively encourage the movement towards...