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Payers and Providers

Analyzing Blockchain’s Evolution in Healthcare: Two Experts Dive into the Details

August 15, 2018  |  Rajiv Leventhal, Managing Editor
article
Two leaders at KPMG recently spoke with Healthcare Informatics about the greatest use cases for blockchain in healthcare today, and how quickly providers and payers might start moving into full-scale projects.

Fitbit, Blue Cross Blue Shield Launch Mobile Health Partnership

August 13, 2018  |  Heather Landi
news
San Francisco-based fitness wearable maker Fitbit continues its push into the health plan market with a new digital health deal to incorporate its fitness tracker into health and wellness programs.

Assessing CMS’s Risky Move on Risk: Has Seema Verma Pushed MSSP ACOs Into Uncharted Territory?

August 13, 2018  |  Mark Hagland
commentary
Will Seema Verma’s August 9 announcement of CMS’s new “Pathways to Success” proposal light a fire under the MSSP ACOs, or will it cause provider organizations to flee? CMS officials are taking a risky gamble—with no clear outcome

At the Health IT Summit in Boston, One ACO’s Data-Facilitated Journey Into Value

August 7, 2018  |  Mark Hagland
article
What does it mean for an organization to pursue a data-facilitated journey into value-based care? Bill Gillis, CIO of the Beth Israel Deaconess Care Organization, shared his learnings and perspectives on that subject, at the Health IT Summit in Boston

Can Blue Cross of North Carolina Help to Reshape Its State’s Healthcare Landscape?

July 31, 2018  |  Mark Hagland
commentary
Remarks made by Patrick Conway, M.D. this spring point to some of the opportunities—and profound challenges—facing the shift towards a value-based healthcare system in North Carolina—and the challenges facing health insurers attempting to stimulate that change

Anthem Expands $500M Deal with IBM with Focus on IT Automation, AI

July 26, 2018  |  Heather Landi
news
Health insurer Anthem has expanded its services agreement with technology leader IBM with a focus on using artificial intelligence (AI) and automation to improve operational efficiency and modernize technology platforms.

HSX, Food Alliance Partnership Extends Data-Sharing to Food, Nutrition

July 24, 2018  |  Heather Landi
news
The Philadelphia-based Metropolitan Area Neighborhood Nutrition Alliance (MANNA) has become a participating member of HealthShare Exchange (HSX), which enables the food alliance to receive important medical updates from HSX on its clients.

Has the Value-Based Care Train Stalled?

July 19, 2018  |  Rajiv Leventhal
commentary
When pondering the question of if the value-based care train has stalled, the answer will depend on which side of the healthcare stakeholder table you are asking—payers or providers.

In Holston Medical Group’s March to Value, an HIE Proves Mission Critical

July 18, 2018  |  Rajiv Leventhal
article
HIEs have been brought into the healthcare ecosystem to connect providers, improve workflow and coordinate care with others, in real-time. But HIEs are also serving as a critical component in the industry’s value-based care shift.

Value-Based Care Shift Has Halted, Study Finds

July 17, 2018  |  Rajiv Leventhal
news
A new study of 451 physicians and health plan executives suggests that progress toward value-based care has stalled. In fact, it may have even taken a step backward over the past year, the research revealed.

The Rocky Path to Value for Medicaid Programs—and HIT’s Key Role in Making It All Work

July 11, 2018  |  Mark Hagland
commentary
Medical researchers share some insights on the broad range of challenges facing the pioneers attempting to move Medicaid towards value-based payment incentives, including around the key role that HIT and data analytics will play in success

Making Inroads into Telehealth: How One “Sub-Sector” of Healthcare Continues to Evolve (Part 2)

July 9, 2018  |  Rajiv Leventhal
article
A longtime healthcare executive touches on how recent legislations could impact the telehealth sector, how providers and payers are feeling about telehealth today, all while offering predictions for the future.

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