FHIR, Health Data and Medicare - Connected Health Pulse

Policy Ingredients for Real-Time Improvements in Health Care, Prior Auth, and Claims

Healthcare IT Today

MARCH 5, 2024

Many of us look forward to digital interactions in health care that work as simply as a retail sale or airline reservation. Don Rucker, MD, chief strategy officer at 1upHealth , shows us in this video how current regulations and FHIR standards will actually make that happen.

FHIR

FHIR Interoperability Healthcare IT Medicare

A Few #HealthPolicyValentines

Healthcare IT Today

FEBRUARY 14, 2024

HealthPolicyValentines pic.twitter.com/nZx2DcTCGI — MA Health Policy Commission (@Mass_HPC) February 13, 2024 Medicare could never negotiate your cost because you are priceless. Less fragmented health data. We hope you’ll enjoy a nice break this Valentine’s day. What does that mean for patients?

Health Policy

Health Policy Meaningful Use HIE EMR

CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers

Healthcare IT Today

DECEMBER 22, 2020

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

Interoperability

Interoperability Health Data FHIR Medicare

Featured Health IT Job: eCQM/dCQM Measure Developer – CORE

Healthcare IT Today

JULY 21, 2022

They will also contribute to the design and development of novel software tools to support measure calculation and data validation. They will additionally source solutions from, and contribute to, relevant open-source projects and participate in community events such as Health Level Seven (HL7) Connectathons.

Health IT

Health IT FHIR Interoperability Healthcare IT

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

Healthcare IT Today

NOVEMBER 5, 2023

Research from Inovalon and Harvard Medical School found that Medicare Advantage has 70% fewer readmissions and 24% fewer preventable hospitalizations than fee-for-service Medicare. Partnerships EHR workflow automation tool Clinical Data Connector from Odesso Health is now available on the athenahealth and Appian marketplaces.

RCM

RCM Medicare EHR FHIR

The healthcare executive’s guide to AI

Redox

OCTOBER 12, 2023

These enhancements have the potential to not only reduce provider costs, but also prevent errors, advance treatments, and improve health outcomes. AI’s superpower lies in its ability to intelligently mine insights from the exponential amount of health data that is generated every second. Two states have enacted such measures.

FHIR

FHIR Medicare Interoperability Health Data

Health/Care Everywhere – Re-Imagining Healthcare at ATA 2019

Health Populi

APRIL 14, 2019

The barriers to adopting virtual, digital, telehealth modes have been regulatory, financial, and cultural — not so much technical.

Telehealth

Telehealth Telemedicine FHIR Medicare

Microsoft, Amazon, Google, IBM, Oracle, and Salesforce issue joint statement for healthcare interoperability

Lloyd Price

AUGUST 23, 2018

This requires a variety of technical strategies and ongoing collaboration for the industry to converge and embrace emerging standards for healthcare data interoperability, such as HL7 FHIR and the Argonaut Project. The 21st Century Cures Act will make digital health data even more accessible with the call for open APIs.

Interoperability

Interoperability FHIR EHR Health Data

Bonus Features – July 16, 2023 – 95% of patients are concerned about data breaches affecting their medical records, 81% incorrectly assume PHI collected by digital health apps is protected under HIPAA

Healthcare IT Today

JULY 16, 2023

The most notable approval is USCDI v3, and others include two implementation guides from CMS for Quality Reporting Document Architecture and three HL7 standards (for C-CDA, FHIR, and QRDA). Health information network Availity was awarded Compliance Leader Verification by the Ethisphere Institute.

HIPAA

HIPAA Digital Health EHR Healthcare IT

CMS To Run Pilot Giving Providers Access To Medicare Claims Data

Healthcare IT Today

AUGUST 6, 2019

In another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data. During the pilot, which is called “Data at the Point of Care” or DPC, clinicians will be able to access the claims data from CMS’s Blue Button 2.0 functionality.

Medicare

Medicare Interoperability FHIR EMR

Bonus Features – October 22, 2023 – 57% of patients accessed portals or medical records in 2022, 21 orgs make Level 10 in the 2023 CHIME Digital Health Most Wired Survey, and more

Healthcare IT Today

OCTOBER 22, 2023

Partnerships Inovalon and Amazon Web Services are collaborating to improve risk score accuracy for health plans. Wolters Kluwer Health announces its Health Language Platform , a FHIR Terminology Server that will work with Microsoft Azure Health Data Services.

Digital Health

Digital Health EHR FHIR Healthcare IT

By 2020, 1-in-5 Healthcare organisations will adopt Blockchain says new IDC report

Lloyd Price

AUGUST 6, 2018

In essence, blockchain could help reshape healthcare interoperability by serving as a next-generation middleware that couples health data with decentralized, distributed, and immutable qualities, according to a new report by IDC Health Insights. Under current federal guidelines for Medicare and Medicaid reimbursement, U.S.

Interoperability

Interoperability EHR HIE FHIR

Review of Mobile Devices and Health by Ida Sim in the NEJM

mHealth Insight

SEPTEMBER 6, 2019

Simultaneously, these biomarkers must be of sufficient direct value to patients to justify their participation in the data-collection effort. Greater investment in the science of digital biomarkers is needed to evaluate the value of mobile health data for clinical use. None of this is easy. billion in investments in 2018.

Mobile Health

Mobile Health mHealth EHR FHIR

Connected Health Pulse

Policy Ingredients for Real-Time Improvements in Health Care, Prior Auth, and Claims

A Few #HealthPolicyValentines

Trending Sources

CMS Releases Proposed Rule Expanding Health Data Interoperability Requirements For Payers

Featured Health IT Job: eCQM/dCQM Measure Developer – CORE

Bonus Features – November 5, 2023 – Only 24% of healthcare organizations have successfully disrupted ransomware attacks, 83% of healthcare leaders say AI is or will be an essential skill, plus 20 more

The healthcare executive’s guide to AI

Health/Care Everywhere – Re-Imagining Healthcare at ATA 2019

Microsoft, Amazon, Google, IBM, Oracle, and Salesforce issue joint statement for healthcare interoperability

Bonus Features – July 16, 2023 – 95% of patients are concerned about data breaches affecting their medical records, 81% incorrectly assume PHI collected by digital health apps is protected under HIPAA

CMS To Run Pilot Giving Providers Access To Medicare Claims Data

Bonus Features – October 22, 2023 – 57% of patients accessed portals or medical records in 2022, 21 orgs make Level 10 in the 2023 CHIME Digital Health Most Wired Survey, and more

By 2020, 1-in-5 Healthcare organisations will adopt Blockchain says new IDC report

Review of Mobile Devices and Health by Ida Sim in the NEJM

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