Medicare/Medicaid | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Medicare/Medicaid

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.

Health Share of Oregon Facing Challenges with Ride to Care Service

June 15, 2018  |  Healthcare Informatics
news
Health Share of Oregon’s non-emergency transportation vendor is in danger of losing money if it doesn’t meet its performance targets by the end of June, the coordinated care organization recently stated.

Making Inroads into Telehealth: How One “Sub-Sector” of Healthcare Continues to Evolve (Part 1)

June 13, 2018  |  Rajiv Leventhal
article
In Part 1 of a two-part feature on the telehealth landscape, a partner at Alston & Bird discusses how providers are—and will continue to—fight through the many barriers that exist in the telehealth landscape.

At Franciscan Health, an Analytics-Driven Initiative is Improving Patient Care and Reducing Costs

June 11, 2018  |  Heather Landi
article
Franciscan Health is leveraging data and analytics t o help its lower-performing physicians bring their practice in-line with their best-performing colleagues, with the goal of not only improving patient care but also reducing overall costs.

Editor's Notes: When Will We Be Able to Nail the “Golden Spike” in the Foundation of the New Healthcare?

June 8, 2018  |  Mark Hagland
commentary
Some of the challenges of the present moment in U.S. healthcare, as our healthcare system struggles forward in its journey into value-based care delivery and payment, brought to my mind the construction of the First Transcontinental Railroad in the 19th Century.

Up-and-Comers 2018: Aledade and Arcadia

June 5, 2018  |  David Raths
article
Each year, to accompany our Healthcare Informatics 100 list, we profile fast-growing companies that could very well make the list in the future. Inside are write-ups of the first two companies that made this year’s Up-and-Comers rendition.

CMS Hits MIPS Participation Goal for Year One

June 4, 2018  |  Rajiv Leventhal
news
According to CMS Administrator Seema Verma, 91 percent of all Merit-based Incentive Payment System (MIPS)-eligible clinicians participated in the first year of the Quality Payment Program (QPP), exceeding the agency’s internal goal.

Value-Based Care’s Landscape Tilt

May 31, 2018  |  Mark Hagland
article
As the healthcare landscape shifts, U.S. healthcare leaders are learning valuable lessons in how to prepare broadly to take on financial risk in contracts with the public and private purchasers and payers of healthcare, and how to engage and align physicians.

In the New Healthcare, Payers and Providers Look to Redefine Quality

May 30, 2018  |  Rajiv Leventhal
article
The pressure is mounting on providers to deliver better outcomes. But moving forward, federal leaders must strike a balance between being able to measure outcomes while not overburdening patient caregivers even more.

Karen DeSalvo Joins MedPAC as New Member

May 30, 2018  |  Rajiv Leventhal
news
Five new members have been added to the Medicare Payment Advisory Commission (MedPAC), including former National Coordinator for Health IT, Karen DeSalvo, M.D., the Government Accountability Office (GAO) announced.

A Cloudy HIT Policy Picture is Beginning to Clear Up

May 29, 2018  |  Rajiv Leventhal
article
At this time last year, healthcare stakeholders were filled with uncertainty, as the future of healthcare policy remained very much in limbo. But in the past several months, an air of stability has presented itself.

At the Philadelphia HIT Summit, One Healthcare Leader Parses the Current State of Payer-Provider Convergence

May 24, 2018  |  Heather Landi
article
As the healthcare industry makes steady progress to value-based care models, one healthcare thought leader sees the commercial payer market playing a larger role, going forward, in pushing provider organizations into value-based care arrangements.

Pages

Subscribe to Medicare/Medicaid