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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 improvement across healthcare organizations, HEDIS quality measures hold a critical place in helping providers achieve these goals. Health insurance companies...


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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 the...

State Data Breach Notification Laws Critical to Healthcare Orgs

HealthITSecurity The HIPAA Privacy, Security, and Data Breach Notification Rules require covered entities and business associates to take great care with how PHI is handled, stored, and transferred. Should patient data become compromised, healthcare organizations...

The Benefits and Challenges of Telehealth for Specialists

mHealthIntelligence Telehealth’s potential has always revolved around bringing the doctor to the patient, no matter where each are located. While the concept most often applies to acute or primary care providers, its success is often more visibly demonstrated...

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 her...

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 accountable...

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 management...

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 healthcare...

Solutions for Addressing Health Information Exchange Challenges

EHRIntelligence “Hospitals and physicians are now exchanging more electronic health information than ever before,” the Office of the National Coordinator for Health Information Technology told Congress in an annual report from early November....

Solutions for Addressing Health Information Exchange Challenges

HealthITInteroperability “Hospitals and physicians are now exchanging more electronic health information than ever before,” the Office of the National Coordinator for Health Information Technology told Congress in an annual report from early November....

Factors Behind the Adoption of School-based Telehealth

mHealthIntelligence Telehealth is changing how schools deliver healthcare services for both students and staff. Gone are the days when the school nurse would sit in a tiny room near the principal’s office, administering Band-Aids and aspirin and babysitting...

Enabling Providers to Use Truly HIPAA Compliant Email

HealthITSecurity As technology continues to evolve, healthcare organizations of all sizes are working to remain current in what they can offer to providers and patients while also keeping PHI secure. Covered entities now have various options of communication,...

What a Trump Presidency Means for Value-Based Care and the ACA

RevCycleIntelligence Love it or loathe it, the United States is headed for four years of drastic policy changes under a Donald Trump administration, giving lawmakers another good chance to repeal, replace, or revise the Affordable Care Act. The landmark healthcare...

Breakdown of Health IT Interoperability Standards, Organizations

EHRIntelligence The federal government has put in motion a ten-year plan for establishing a nationwide learning health system made possible through incremental improvements to healthcare interoperability. Who could stand opposed to a healthcare system that ensures...

Breakdown of Health IT Interoperability Standards, Organizations

HealthITInteroperability The federal government has put in motion a ten-year plan for establishing a nationwide learning health system made possible through incremental improvements to healthcare interoperability. Who could stand opposed to a healthcare system that ensures...

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 and...

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 healthcare...

Addressing Opioid Abuse with Analytics, Population Health Strategies

HealthITAnalytics Opioid abuse is among the deadliest population health crises in America, with opioid-related overdoses taking an average of 44 lives each day.  Fueled largely by a precipitous rise in legal prescriptions for highly addictive painkillers,...

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 android...

Telehealth Reimbursement and Its Interstate Licensure Problem

mHealthIntelligence Telehealth’s great promise lies in allowing a doctor to treat a patient no matter where each are located. One of the biggest challenges to that platform is licensing. A clinician must apply for a license in each state in which he or she...

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