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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.

Circulation, Buoy Health Collaborate on Integrated Platform for Patient Transportation

May 23, 2018  |  Heather Landi
news
Boston-based startup Circulation Health, a ride-ordering exchange that coordinates medical transportation logistics using Lyft and other transportation partners, is partnering with Buoy Health, also based in Boston, to integrate their platforms to provide...

Advantage: Interoperability

May 22, 2018  |  Joe Marion
commentary
Recent discussions emphasize the advantages of interoperability within and between healthcare providers.

$30M VC Fund Launched to Spur Innovation in Cardiovascular Care

May 22, 2018  |  Rajiv Leventhal
news
The American Heart Association, together with Philips and UPMC, has announced the launch of Cardeation Capital, a $30 million collaborative venture capital fund designed to spur healthcare innovation in heart disease and stroke care.

Epic Wins Labor Dispute in Closely Divided Supreme Court Decision

May 21, 2018  |  Mark Hagland
news
Epic Systems Corporation won a major labor-law ruling in the Supreme Court on Monday, centering around the extent of corporations’ right to force employees to sign arbitration agreements, and with a 5-4 ruling in its favor

National Coordinator Donald Rucker, M.D. Assesses Progress Towards Interoperability and the Development of Open APIs

May 21, 2018  |  Mark Hagland
article
Donald Rucker, M.D. spoke recently with Healthcare Informatics about the progress towards interoperability, a key objective of the current administration—and some of the challenges and opportunities for open-API development

Survey: Two-Thirds of Physician Practices Seeking Out Value-Based Care Consulting Firms

May 21, 2018  |  Heather Landi
news
Most physician organizations are not prepared for the move to value-based care, and 95 percent CIOs of group practices and large clinics state they do not have the information technology or staff in-house needed to transform value-based care end-to-end, according...

In Michigan, Prime ACO is in the Risk Game, with Eyes on the Big Picture

May 17, 2018  |  Rajiv Leventhal
article
Still in a one-sided risk model, the Michigan-based ACO is working its way toward taking on downside risk

Are Federal Health Officials Fed Up With Providers’ Unwillingness to Take on Downside Risk?

May 14, 2018  |  Mark Hagland
commentary
A series of tough public statements by senior federal healthcare officials point to an underlying problem: the federal experiment with accountable care isn’t moving the needle fast enough to really bend the overall healthcare cost curve

At HLTH, a Candid Discussion of What the Federal Government Can and Should Do to Promote Healthcare Innovation

May 11, 2018  |  Mark Hagland
article
At the HLTH Conference this week, Rasu Shrestha, M.D. of UPMC sat down with HHS CTO Bruce Greenstein and former United States CTO Aneesh Chopra, to discuss the federal government’s role in facilitating technology innovation

Digital Health Innovators are Setting their Sights on Medicaid—Can the Private Sector Improve Healthcare?

May 11, 2018  |  Heather Landi
commentary
Digital health innovators and entrepreneurs are setting their sights on the Medicaid market. Can private sector-led innovation significantly improve care for vulnerable and complex patients?

GAO: Just 4 of 37 CMMI Payment Models Have Met Goals around Cost, Quality

May 11, 2018  |  Rajiv Leventhal
news
CMMI, created to test new and cost-effective approaches for delivering and paying for healthcare, has partially met its goals, while just four out of the innovation center’s 37 alternative payment models have actually achieved lower spending and higher quality.
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