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Payers and Providers

PCORI Awards $3.8 Million in Research Funding to UPMC Center

September 15, 2017  |  Heather Landi
news
The UPMC Center for High-Value Health has been approved for a $3.8 million funding award by the Patient-Centered Outcomes Research Institute (PCORI) to research integrated care models for patients with complex care needs.

Summit Health: A Pioneering New Jersey Medical Group Expands its Reach Out West

September 14, 2017  |  Mark Hagland
article
A pioneering multispecialty medical group based in New Jersey is expanding its reach across the country, through its management company, bringing its innovations to healthcare markets in Arizona and Oregon

At Conference, Experts Address Implications of Intelligent Automation in Healthcare

September 13, 2017  |  Heather Landi
article
In order to address transformative issues in the healthcare industry, healthcare provider organizations and payers need to be agile, need to drive disruption utilizing technology, and need to be more analytically-driven organizations.

Second Round of BUILD Health Challenge Funds 19 Community Projects

September 13, 2017  |  David Raths
news
Nineteen community collaborations focused on the root causes of serious health challenges will receive funding support over the next two years in the second round of the BUILD Health Challenge

MGMA: Some Physicians “Getting Fleeced” When Receiving Electronic Paychecks

September 11, 2017  |  Rajiv Leventhal
news
Nearly one in five doctors surveyed in a recent MGMA (Medical Group Management Association) Stat poll reported that their electronic funds transfer (EFT) payments from health plans come with a fee.

Artificial Intelligence: The Next Frontier in Health IT? (Part 1)

August 24, 2017  |  Rajiv Leventhal
article
As artificial intelligence gains more momentum in the healthcare sector, CIOs' use of these technologies has expanded. And as a result, the industry is now moving quickly, crafting solutions to meet this growing demand.

In Pennsylvania, Regional HIEs are Working Competitively—and Collaboratively, Too

August 15, 2017  |  Rajiv Leventhal
article
Leaders of two health information exchanges in Pennsylvania discuss strategies for HIE success, and also how they are collaborating in an increasingly competitive landscape.

Doing the Right Thing in the Era of MACRA: The Role of Care Coordination

August 15, 2017  |  Thomas James, III, M.D.
article
In the era of MACRA, providers need to balance reporting requirements, which can be time-consuming, while continuing to put patients first. One of the best ways to do this is to ensure patient care is well coordinated.

Mount Sinai Health System ACO Works on Scalable Approach to Risk Adjustment

August 9, 2017  |  David Raths
article
As the Mount Sinai Health System, a hospital network in New York City, moves rapidly into at-risk arrangements with multiple payers, technology and practices to support risk adjustment have become increasingly important.

The Key to the Value-Based Transition: Marrying Clinical and Claims Data, Says One Expert

August 8, 2017  |  Rajiv Leventhal
article
Dr. Emad Rizk recently was interviewed by Healthcare Informatics about how healthcare organizations are progressing in their shift to value-based care, what the biggest challenges are, and how IT is playing a role.

80% of Healthcare Execs Confident in Future of Population Health Despite Political Uncertainty

August 1, 2017  |  Rajiv Leventhal
article
More than 80 percent of healthcare executives feel that the effort to repeal and replace the Affordable Care Act (ACA) has not caused them to pause or otherwise change their approach to population health management.

Predicting Patients’ Next Healthcare Moves: How HIT Stakeholders are Keying in on Advanced Population Health Management

July 28, 2017  |  Rajiv Leventhal
article
Providers, payers and vendors are well-aware of the changing healthcare paradigm in front of them, and how value-based care has become a driver for more enhanced population health management.

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