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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
How an automated exception-based approach can make UM more efficient and effective.

Could the MedPAC Proposal Around MIPS End Up Being the Wrong Answer to the Right Question?

March 20, 2018  |  Mark Hagland
The Medicare Payment Advisory Commission, or MedPAC, has proposed that Congress eliminate the MIPS program and replace it with a new value-based purchasing program—but does that proposal make sense in the current policy and payment moment?

PODCAST: Micky Tripathi on the Current Health IT Moment—and Exploring the World Ahead

March 20, 2018  |  Rajiv Leventhal
On this latest Healthcare Informatics podcast, notable health IT expert Micky Tripathi, Ph.D., talked about what he learned at HIMSS18, KLAS’ report on CommonWell and Carequality, Apple’s health records solution, and much more.

UK Health Physician Helps SAMHSA to Develop New Guidelines on Opioid Maintenance Therapies

March 19, 2018  |  Mark Hagland
A leader in the medical school at the University of Kentucky College of Medicine (Lexington) has been involved in assisting a major federal healthcare research agency in developing new guidelines regarding the use of opioid maintenance therapies

CMS’ Goodrich: More MACRA Relief On the Way

March 19, 2018  |  Rajiv Leventhal
CMS said last week that more changes will be coming this year to MACRA—including the alignment of quality measures between hospitals and hospital-employed physicians

Should MIPS be Repealed and Replaced? Several Industry Leaders Weigh in on MedPAC’s Published Proposal

March 19, 2018  |  Heather Landi
In its March report to Congress, MedPAC, a policy advisory group, recommends repealing MIPS and replacing it with an alternative model of reimbursement. Several industry thought leaders weigh in on the implications of this recommendation and the future of MIPS.

Healthcare Innovation Leader David B. Nash, M.D. Shares His Perspectives on the Current Moment in Population Health

March 16, 2018  |  Mark Hagland
David Nash, M.D., one of the best-known pioneers in the world of population health management and related areas, shares his perspectives on the current moment in—and future prospects of—the population health management phenomenon

How the HIT Industry’s Dominant Annual Conference Became (At Least Partly) a Policy Conference

March 14, 2018  |  Mark Hagland
If there was a single unifying factor at HIMSS18 in Las Vegas, it was this one: as the U.S. healthcare IT landscape becomes more and more strongly policy- and payment-driven, so, too will the conversations and vendor pitches at the HIMSS Conference

Michael McCoy, M.D. Shares His Perspectives on the Current Moment in Healthcare IT

March 13, 2018  |  Mark Hagland
Following the conclusion of the annual HIMSS Conference, Michael McCoy, M.D. shared with Healthcare Informatics his perspectives on the policy, industry, and technological cross-currents influencing the shift from volume to value in healthcare right now

Health Plan Leaders Discuss HIE Data and the Value Proposition for Payers

March 12, 2018  |  Heather Landi
During the HIMSS18 Conference in Las Vegas last week, health plan leaders shared how their organizations are leveraging HIE data to improve quality measures, care management and to address gaps in care.

Study: UnitedHealthcare Report Details Value-Based Care Successes

March 12, 2018  |  Rajiv Leventhal
ACOs serving employer-sponsored plan participants perform better than non-ACOs on 87 percent of quality metrics that were tracked in UnitedHealthcare’s second annual value-based care report.

International Healthcare Leaders Share Perspectives on Common Challenges, Opportunities

March 9, 2018  |  Mark Hagland
At HIMSS18, international healthcare leaders shared the reality of vast commonalities in terms of the challenges facing healthcare systems around the world—and the potential for common strategies to address those challenges
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