Medicare
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3 Quality, Coordination Lessons From The Beacons
Being able to digitally submit clinical quality measures (CQMs) to Medicare is one of the big promises of health IT for physicians and providers — and it’s still coming, along with other administrative simplifications. Read More »
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4 Strategies to Combat Healthcare Fraud
The healthcare industry continues to face fraud, and much of it goes unexamined every year. The GAO estimates that in 2010 more than $70 billion in improper payments were made by the federal government within the Medicare and Medicaid programs alone. Read More »
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5 Health IT Pieces Of Congress Agenda For 2015
With Republican majorities poised to take control of the Senate and House of Representatives, the 2015 Congress is expected to address several health IT programs. Although controlling spending and promoting free enterprise remain GOP tenants, the approach by Congress to various health IT issues will vary...
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5 Healthcare Data Governance Best Practices
Information governance is the formulation of policy to optimize, secure, and leverage information as an enterprise asset by aligning the objectives of multiple functions. In our experience, information governance practitioners face critical challenges in explaining the value to the business.
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5 Telehealth Bills To Watch
Federal and state legislation on the use of telehealth has been a hot topic for lawmakers over the past year.
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5 Ways That Our Healthcare System Is Broken Infographic
How is our healthcare system doing? What changes need to be made? Is the Affordable Care Act the answer? What suggestions do you have to help fix our healthcare system? What are you doing to help reduce healthcare costs? How are you offsetting Medicare cutbacks? Read More »
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500 Groups Urge Congress To Kill IPAB
Pressure continues building to kill Medicare's Independent Payment Advisory Board, with more than 500 organizations banding together to send a letter to Congress on Thursday urging its repeal. Read More »
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A Call To Action For A Nationwide Interoperable Health IT Infrastructure
Today we are pleased to release Connecting Health and Care for the Nation: A 10-Year Vision to Achieve an Interoperable Health IT Infrastructure. This paper describes ONC’s broad vision and framework for interoperability and is an invitation to health IT stakeholders – clinicians, consumers, hospitals, public health, technology developers, payers, researchers, policymakers and many others – to join ONC in developing a defined, shared roadmap that will allow us to collectively achieve health IT interoperability as a core foundational element of better care, at a lower cost and better health for all...
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A Legal Challenge to CMS' Reliance on the RUC
This week in a Maryland federal court, six physicians based at the Center for Primary Care in Augusta, GA filed suit against HHS Secretary Kathleen Sebelius and CMS Administrator Donald Berwick. Read More »
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A New Breed: Ceo Robert Wentz positions Oroville Hospital as major open-source EHR player
...under the Affordable Care Act everyone has to get on an electronic health records system (EHR) by 2015. If health-care systems such as hospitals and primary-care clinics are not able to demonstrate “meaningful use” of a certified EHR system by the end of 2014, they will be subject to financial penalties that will increase over time. Read More »
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A New Kind of Doctor's Office Charges a Monthly Fee and Doesn't Take Insurance — and It Could Be the Future of Medicine
Dr. Bryan Hill spent his career working as a pediatrician, teaching at a university, and working at a hospital. But in March 2016, he decided he no longer wanted a boss. He took some time off, then one day he got a call asking if he'd be up for doing a house call for a woman whose son was sick. He agreed, and by the end of that visit, he realized he wanted to treat patients without dealing with any of the insurance requirements. Then he learned about a totally different way to run a doctor's office...
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A New Pricing Model for Medicaid Management Information Systems (MMIS)
The Centers for Medicare & Medicaid Services’ (CMS) recent $5 billion-per-year commitment to modular Medicaid Management Information System (MMIS) technologies has signaled a long-overdue paradigm shift in the way we think about Medicaid information systems. This shift is already beginning to revolutionize and improve a health care system that over 73 million people depend on every day. Currently, MMIS services is at least a $7 billion-per-year industry. As the influence of modular, cloud-based, and SaaS (Software as a Service) technologies continue to exert themselves on MMIS, this industry will mature and move into the 21st century. One exciting aspect of this maturation will be a new pricing model for MMIS services.
A Simple Request From The Front Lines Of Healthcare
I know that there is going to be another scuffle over the Sustainable Growth Rate (SGR). I know that we have already paid $150 billion on “doc fixes” since 1997, and I know that everyone in healthcare is trying to make sure that their ox will not be gored.
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A Sustainable National Healthcare System: Prevention Only
The current sickcare system will bankrupt the nation. One model of a sustainable national system would focus solely on providing preventative care. Read More »
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Accountable Care: IT Gets Us Only Halfway There
It's hard to imagine a successful accountable care organization (ACO) that doesn't rely heavily on IT...But the very foundation upon which ACOs are built could be shaky, making software tools only so effective. Let me explain. Read More »
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