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Patient-Centered Medical Home (PCMH)

Reinventing Claims Management for the Value-Based Era

August 8, 2017  |  Carmen Deguzman Sessoms, FHFMA, AVP, Product Management, Change Healthcare
article
Provider claims management can no longer exist as a silo. With the rapid transformation from fee-for-service to value-based models, denial rates remain high despite advances in technology and automation. For providers to be effective, the revenue cycle...

Getting Ready for MACRA: At World Health Care Congress, an Insightful Look into What Physicians Need to do Next

May 2, 2017  |  Rajiv Leventhal
article
On the first day of the World Health Care Congress, two physician leaders reflected on their organizations' push into APMs while expert panelists gave advice to those who are not yet ready for MACRA.

HIMSS Preview: How R.I. HIE Expanded Real-Time Notifications

February 17, 2017  |  David Raths
article
The Rhode Island Quality Institute (RIQI) is expanding the statewide HIE's capacity to deliver real-time notifications for care transitions from and to emergency departments and hospitals for providers' attributed patients.

ACOs Looking to Expand Population Health Management Capabilities, Report Finds

October 27, 2016  |  Rajiv Leventhal
article
As ACOs continue to progress, they are seeking to expand population health management capabilities, including their relationships with community organizations and patients, according to new research from Charlotte, N.C.-based Premier, Inc.

At New York HIT Summit, an MD Leader Outlines How HIT Can Enhance Patient Centered Medical Homes

September 27, 2016  |  Heather Landi
article
At the Health IT Summit on Tuesday, Salvatore Volpe, M.D, chief medical officer at Staten Island Performing Provider Systems, urged physician leaders to adopt health IT to increase efficiency and improve patient care within Patient-Centered Medical Homes.

HHS Awards $350,000 to American Academy of Pediatrics to Improve Care for Children Impacted by Zika

September 8, 2016  |  Heather Landi
news
HHS has awarded $350,000 to the American Academy of Pediatrics (AAP) to provide education, including tele-consultations, to clinicians providing care to children who are or may be impacted by the Zika virus.

HHS Awards $100 Million to Improve Health Center Quality

August 19, 2016  |  Heather Landi
news
The U.S. Department of Health and Human Services (HHS) has awarded more than $100 million in grants to 1,304 health centers to invest in healthcare quality improvement efforts that engages patients and improves care coordination.

HHS Announces $100M in Funding to Help Small Practices with MACRA

June 21, 2016  |  Rajiv Leventhal
news
The Department of Health and Human Services (HHS) has announced $20 million each year over the next five years to fund on-the-ground Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) training and education for Medicare clinicians in individual or small...

Study: HIT Use and Participation in ACO, PCMH Initiatives Facilitates Advanced Care Delivery

April 19, 2016  |  Heather Landi
news
Physicians who adopted electronic health records (EHRs) in 2012 and participated in new models of payment and care delivery were more likely to perform care processes associated with improved care delivery, according to a recently published study.

Washington Debrief: Administration Meets Deadlines, Delivers First Set of Cyber Threat Information Sharing Guidance

February 22, 2016  |  Leslie Kriegstein, Vice President of Congressional Affairs, CHIME
article
Last week the Department of Homeland Security (DHS) released guidance to assist private sector and federal entities to share cyber threat indicators with the Federal Government.

For Physician Quality Measures, CMS Has Received the Message: Simpler is Better

February 18, 2016  |  Rajiv Leventhal
commentary
Is CMS’ recently-released seven sets of standardized clinical quality measures for physician quality programs a sign that greater simplification is on the way?

CMS, Health Plan Partners Release First Set of Aligned Quality Measures for Physicians

February 16, 2016  |  Rajiv Leventhal
news
The Centers for Medicare and Medicaid Services (CMS) and Americas Health Insurance Plans (AHIP), in collaboration, have released seven sets of standardized clinical quality measures for physician quality programs.

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