Category: Health Insurance

Healthcare has so much data but we’re ‘probing in the dark,’ expert says at HIMSS19

AI will spur innovation in technology that comes from sources other than healthcare that will help the industry to adapt, expert says.

HHS unwraps long-awaited new information blocking rule

Healthcare providers and plans need to implement open data sharing technologies to support transitions of care as patients move between plan types.

Utah’s Novel Plan For Medicaid Expansion Opens Door To Spending Caps Sought By GOP

Utah’s proposal to limit federal and state funding on Medicaid is a radical change. Anti-poverty advocates are concerned that caps could limit how many people are enrolled and restrict services. They also worry other states would adopt a similar plan.

Seniors Aging In Place Turn To Devices And Helpers, But Unmet Needs Are Common

A new study examines how seniors with deteriorating strength and other physical functions deal with such challenges as taking a shower or getting dressed in the morning.

Can California Beat The Federal Government In Lowering Drug Prices?

Unwilling to wait for federal action, California Gov. Gavin Newsom says he has a plan that could extract discounts from drugmakers and save the state money — one he hopes other states can join.

What Utah’s Medicaid decision means for other states

Read the full post on Becker's Hospital Review

How telemedicine can be improved to better capitalize on efficiencies

While the technology is maturing, there are still quality gaps that can be achieved by tweaking the process, improving the experience for patients and providers.

Breaking down revenue cycle silos needs buy-in, useful KPIs that truly measure patient financial experience

Leah Dixon from CHRISTUS Trinity Mother Frances told her HIMSS19 audience technology, physician champions and a meaningful dashboard are all part of the equation.

CMS risks ACO success by forcing move to another track

Like many accountable care organizations, Austin Regional Clinic (ARC) in Texas is building a record of success on the Medicare Shared Savings Program’s (MSSP) so-called “Track One.” Now looming, however, is an automatic transfer of ARC to the MSSP’s r…

CMS Administrator Seema Verma lays out plan for ‘digital data revolution’

Health plans doing business in Medicare, Medicaid, and the ACA are being asked to share claims data, and all information should be transferable, Verma says.