March 5th 2025
Few question the benefits of adopting a universal healthcare data exchange standard but achieving that goal will prove to be difficult.
February 5th 2025
The technology to leverage healthcare data exists. The problem, according to Highlander Health, is outdated structures and silos.
October 4th 2024
Artificial intelligence is quickly becoming a valuable tool in the U.S. healthcare industry. Experts say a thoughtful approach can head off ethical problems and optimize efficiency.
September 6th 2024
Telehealth has become a permanent part of U.S. healthcare delivery, and states are taking steps to regulate it
July 29th 2024
Artificial intelligence gains foothold in the emergency room as a note-taking aid.
Role of EMRs shifting from data vessel to decision tool
A global Accenture study shows patients want access to EMRs so they can get more involved in their care
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Use a stepwise approach for preventing waste
Payers must look at waste and abuse
FACT FILE: HIPAA breach definition
How to keep tabs on your data
HIPAA rules expect health organizations to protect and secure a wide variety of personal data
HIPAA rule makes you personally liable
Under the rule, individuals associated with security mishaps will become personally liable for their organization’s transgressions
With big data too much is never enough
Meanwhile, the data collected isn't exactly in the right format for secondary use
Social media can be the ultimate focus group
Create a valuable social media presence.
Payers must lead data integration efforts
As new payment arrangements take shape, be prepared to integrate data from providers
Exchange misconceptions set straight
A number of myths and misunderstandings have surfaced about HIXes.
Broader digitization strategies needed
Safeguard personal health information
While it may be impossible to prevent a data breach, anticipate vulnerabilities and implement fixes
Health information exchanges get down to business
New care models and federal requirements motivate HIE stakeholders
Plans must leverage IT capital
Big data can lead to improved outcomes
Connect the dots with predictive data
Integrating and leveraging data will improve quality of care and decrease costs.
Billing process continues to improve
According to AHIP, more claims are being received by payers in electronic formats, and payers are processing those claims at a faster rate than before.
Provider portals need streamlining
Five key functions must be included in your provider-facing portal
Examine the broader context to identify fraud
Predictive analysis can link suspicious behavior back to fraudsters before claims are paid out
Medicaid plans invest in operations
Looking toward the future, plans focus on information systems and medical management.
Cloud computing and EHRs offer support to virtual teams
Cloud computing leverages virtual team communications and collaborations.
Centralize health and wellness with an employer-branded portal
Pre-empt the pitfalls of self-diagnosis with an employer-branded health portal.
Offer security measures in mobile healthcare
A balance between security and functionality is needed to drive mHealth.
Real-time data drives ACO effectiveness
Real-time data sharing plays big role in effective, high-quality care.
Games for health have become serious opportunities for plans
Healthcare gaming has made progress in the past year by allowing consumers to engage in health via mobile devices.
Adjudication errors drop by 50%, sloppy claims still cost billions
Much to the delight of providers, insurers have reduced claims-processing errors by a substantial amount thanks to streamlined adjudication.
Plans must translate big data into actionable intelligence
IT analytics help plans identify patient populations and anticipate member behavior.
Shore up IT systems in stages to better manage the data flood
Well-constructed data integration strategies can help manage the swelling data flood.
Administrative simplification funnels industry's data flow
Interoperability rules go into effect soon.
Decision support integrates evidence-based medicine
Decision tools lead to better quality patient care.
Telemedicine leaps ahead
Reimbursement and ther factors influence the adoption of telemedicine.
Electronic prior auth offers real time response
Prior authorization doesn't have to rely on paper forms and telephone requests.