CMS’s release of a proposed rule that will impact a range of issues, from physician payment to quality measures, has unleashed a range of reactions from industry leaders—could this prove to be an inflection point?
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
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
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.
Embedded in the release of a new proposed rule around what has been known as the meaningful use program, CMS officials have indicated the possibility that they might mandate electronic sharing of discharge data at the point of discharge
According to a new analysis from Avalere, MSSP ACOs have performed considerably below the financial estimates from the Congressional Budget Office made in 2010 when the MSSP was enacted as part of the ACA.
Mike Davis, perhaps best known as one as a co-creator of the EMRAM schematic, which measures EHR implementation advancement, in his work at KLAS Research, is working to advance EHR development globally
McCleese recently spoke with Healthcare Informatics about rural healthcare obstacles, what winning this award means to him, how he’s been able to have success in this role, and how he sees the policy landscape shaking out.
Former CMS (Centers for Medicare & Medicaid Services) Administrator Andy Slavitt has announced that that he will be part of a new healthcare coalition that carries the goal of “putting healthcare over politics.”
As he takes the helm at HHS, Alex Azar is faced with a raft of choices around how to steer federal healthcare policy forward—both on the internal healthcare system reform front, and on the healthcare IT policy front
CliniSync, the nonprofit statewide health information exchange for Ohio, offered a year-end 2017 report, noting that almost all of its 157 hospitals are in production or live, sending results and reports to practices.
December 18, 2017 | Bob Hoover, VP of Consulting Services at Change Healthcare
Successfully delivering value from healthcare IT investments is difficult. That’s a refrain I’ve heard again and again from healthcare leaders, whether in the boardroom, the executive suite, or the data center.
December 8, 2017 | Carol Everhart, RN, MS, IQCI, Senior Clinical Consultant, Decision Support Change Healthcare
Hospitals everywhere are striving to answer this question: How can we better manage denials?
Denials related to medical necessity account for about 5% of denials nationally. But by closing common gaps that lead to medical necessity denials, your...
Two lawyers in South Bend, Indiana are claiming that 62 Indiana hospitals made false claims to receive federal grant dollars and participated in kickback schemes by overbilling for the release of electronic medical records.
November 16, 2017 | Carolyn Wukitch, Senior Vice President & General Manager, Network & Financial Management, Change Healthcare
Alternative payment programs are now firmly rooted in state-level healthcare policy, as discussions regarding health reform continue in Washington. That’s according to a new national study commissioned by Change Healthcare which finds over 40 states pursuing...
What one thinks of the QPP CY 2018 final rule could depend at least partly on a number of factors, including where one “sits” in the healthcare stakeholder constellation—and what one might have to do to respond to it, as a result
November 2, 2017 | Suresh Yarlagadda, Medical Director, Clinical Strategy, Change Healthcare
Unnecessary care is unnecessarily in the news these days. We say “unnecessarily” because such care—as well as the associated costs it incurs and risks it poses for patients—can be mitigated.
Kaiser Health News just published a report, “So Much Care It Hurts...
At the tail end of National Health IT Week, a webinar focused on the industry leaders who are driving change, both by championing health IT initiatives or by advocating at the policy level, offered interesting insights on leadership and policy development.
October 6, 2017 | David V. Gallegos, SVP, Consulting Services, Change Healthcare Consulting
Reducing costs and improving quality are the two prevailing objectives behind most healthcare initiatives. However, one leg of the proverbial stool that doesn’t get much attention are the efforts to improve the patient experience. Healthcare in the United...