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Reinventing Utilization Management to Bring Value to the Point of Care

February 21, 2018  |  Nilo Mehrabian Vice President, Product Management, Decision Support, Change Healthcare
article
How an automated exception-based approach can make UM more efficient and effective.

Veritas Capital, Elliott Management Acquire athenahealth in $5.7B Deal

November 12, 2018  |  Heather Landi, Associate Editor
article
Private equity firm Veritas Capital and hedge fund Elliott Management are acquiring athenahealth, the Watertown, Mass.-based EHR and practice management vendor, for $5.7 billion, according to a Monday announcement.

At the Beverly Hills HIT Summit, APG’s Crane Offers a Vision of the Future of Medical Care

November 11, 2018  |  Mark Hagland, Editor-in-Chief
article
Don Crane, CEO of APG, a nationwide association of physician groups involved in risk-based contracting, offered HIT Summit attendees a vision of a coordinated care-based future

Survey: More Than Half of Healthcare CIOs Lack Strong Trust in Their Data

November 9, 2018  |  Heather Landi, Associate Editor
news
For U.S. healthcare leaders, trusted data is more important than ever, as their organizations migrate from the fee-for-service model to value-based care. However, a recent survey of CIOs found that less than half of healthcare organizations show very strong...

CMS: 93% of Clinicians Get Positive Payment Adjustments for MIPS Year 1

November 8, 2018  |  Rajiv Leventhal, Managing Editor
news
Ninety-three percent of MIPS-eligible clinicians received a positive payment adjustment for their performance in 2017, and 95 percent overall avoided a negative payment adjustment.

HHS Secretary Azar: HHS Is Planning New Mandatory Bundled Payment Models

November 8, 2018  |  Heather Landi, Associate Editor
news
CMS is revisiting mandatory bundled payment models, possibly for radiation oncology and cardiac care, according to Health and Human Services Secretary Alex Azar, which signals a strategic change in the Trump Administration’s policy about bundled payment...

The Key to Clinical and Financial Success? Atrius Health President Gives Out His Recipe

November 8, 2018  |  Rajiv Leventhal, Managing Editor
article
Atrius Health’s president and CEO, Steven Strongwater, M.D., discusses the organization’s population health initiatives that have led to strong clinical and financial performances.

Dr. Sanjay Gupta’s Heartening Speech at CHIME18 Should Inspire U.S. Healthcare Leaders

November 6, 2018  |  Rajiv Leventhal, Managing Editor
commentary
Perhaps we can use the story of the Tsimane tribe to push ourselves to develop a greater understanding of why we spend so much money on healthcare and don’t have the results to show for it.

Healthcare Leaders Praise Telehealth Advancements, Delayed E&M Coding Changes in Recent CMS Rule

November 5, 2018  |  Heather Landi, Associate Editor
article
Starting in 2019, for the first time, CMS will reimburse providers for virtual check-ins with patients, regardless of the patient’s location—a move that drew praise from many healthcare leaders.

CHIME’s Russ Branzell: A Tech Revolution is Coming to Healthcare

November 2, 2018  |  Rajiv Leventhal, Managing Editor
article
At the CHIME 2018 Fall CIO Forum in San Diego this week, Branzell sat down with Healthcare Informatics Managing Editor Rajiv Leventhal to discuss the challenges and opportunities that lie ahead for CIOs

BREAKING: CMS Publishes CY 2019 Physician Fee Schedule/QPP Final Rule

November 1, 2018  |  Heather Landi, Associate Editor
article
Late in the afternoon on Thursday, Nov. 1, CMS published the Physician Fee Schedule and Quality Payment Program final rule for 2019, which encapsulates the MIPS and Advanced Payment Models.

HIT Policy Winds Get Stronger as CMS, ONC Regulations Set to Drop Any Day

November 1, 2018  |  Rajiv Leventhal, Managing Editor
article
The calendar has now turned to November as health IT stakeholders continue to anxiously await regulations from federal health agencies, some of which are sure to come in the next 60 days.
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