Healthcare IT Today

JANUARY 23, 2023

Payers Will Start to Feel the Pain of Ad Hoc Implementation of FHIR Servers Many payers, forced to comply with federal requirements of Fast Healthcare Interoperability Resources (FHIR) server implementation, had little time to strategize data feeds and server utilization. Medicare saved $1.6

FHIR 90

FHIR Interoperability Medicare Accountable Care 90

Telebehavioral Health Institute

DECEMBER 21, 2022

Medicare and a supplemental plan) to receive care from multiple providers (e.g., In this article, the recent proposal identified as “CMS-0057-P” by the Centers for Medicare and Medicaid Services (CMS) for the concept of interoperability will be applied to the prior authorization process.

Interoperability 52

Interoperability FHIR Health Information Medicare 52

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. Product and Company News FHIR platform 1upHealth integrated 1up Population Connect with Epic, Oracle Health, and athenahealth.

RCM 101

RCM Medicare EHR FHIR 101

Healthcare IT Today

JUNE 21, 2023

Inflation will push Payers back into the Public Marketplace whether Statewide and Federal Health Exchanges, Medicaid and Medicare Before the pandemic, many payers left statewide health exchanges as they found more ways to become profitable outside of the public market. Overall, consumers are charting the way forward in healthcare.

Medicare 62

Medicare FHIR Healthcare Improvement EHR 62

Redox

FEBRUARY 1, 2024

HL7 ® , HL7 ® Fast Healthcare Interoperability Resources or FHIR ® ). Increasingly, machines are much less discriminating between a finely structured FHIR document and a poorly scanned PDF—and the latter may be richer than the former. And, nowadays, those regulatory requirements are heavy-handed with FHIR interoperability.

Interoperability 64

Interoperability FHIR Primary Care EHR 64

Redox

OCTOBER 12, 2023

AI reimbursement Medicare and Medicaid are beginning to reimburse for AI applications on a per-use basis, though adoption is still in its infancy. To stream clinical data into the cloud, it must first be translated from legacy standards (HL7v2, CD, X12, and DICOM®) to Fast Healthcare Interoperability Resources (FHIR®). www.rbccm.com.

FHIR 69

FHIR Medicare Interoperability Health Data 69

Digital Health Global

APRIL 11, 2023

Health Connect Cloud streamlines data integration between clinical systems and applications, while managing the entire infrastructure and providing enhanced data automation and management capabilities to help providers and application developers rapidly leverage HL7 FHIR® and other healthcare standards to connect systems and solutions.

Nursing 88

Nursing Interoperability Medicare FHIR 88

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Drummond Group unveiled FHIR Client Certification Program , which will enter its pilot phase on Oct.

Medical Billing 114

Medical Billing EHR Medicare BioTech 114

Healthcare IT Today

MARCH 9, 2024

John chatted with Dr. Don Rucker, now at 1upHealth, about why TEFCA isn’t ideal for real-time data access and how FHIR APIs will help do the job – and allow payers and even employers to access data, too. Read more… Ingredients for Real-Time Improvements in Health Care, Prior Auth, and Claims.

Healthcare IT 98

Healthcare IT EHR FHIR Mental health 98

Healthcare IT News - Telehealth

OCTOBER 26, 2021

Leon Medical Centers serves Medicare patients in South Florida. "Look for third-party apps that already are integrated with your EHR through SMART on FHIR, so clinicians don't have to login to multiple platforms and the IT staff doesn't have to be burdened with frequent product updates."

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EHR FHIR Healthcare IT Medicare 148

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. of the Common Agreement and committed to having TEFCA support FHIR-based exchange within 2024.

Telehealth 112

Telehealth RCM Public Health EHR 112

Healthcare IT Today

AUGUST 10, 2023

These datasets, which are critical to patient care, workflow processes, quality reporting, financial claims, and operational tasks, are encoded with granular medical event data and are represented using common data standards such as HL7, FHIR, EDI, and 837s, among others.

Life Science 79

Life Science FHIR Accountable Care Interoperability 79

Health Populi

APRIL 14, 2019

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

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Telehealth Telemedicine FHIR Medicare 227

Health Intersections

FEBRUARY 14, 2023

On Friday last week, an article by Wendy John was published by Wild Health , in which I’m quoted as saying, regarding the My Health Record and the Strengthening Medicare Taskforce report : FHIR guru Grahame Grieve has advocated for interoperability standards in healthcare for over two decades.

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FHIR Medicare Digital Health Health Information 100

Healthcare IT Today

FEBRUARY 14, 2023

Roses are red True love is shocking Every excuse in the book Doesn’t excuse information blocking #HealthPolicyValentines pic.twitter.com/lhJz4ONL1P — Grace Vinton (@HITeaWithGrace) February 14, 2023 I like my men like I like my FHIR APIs Always available when I call.

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FHIR Health Policy Medicare Healthcare IT 73

Healthcare IT Today

FEBRUARY 22, 2023

We combine a Medicare ACO, virtual and in-home doctors’ office, and a digital health platform to equip our network of physicians with everything they need to be successful in caring for their patients and staying ahead in a rapidly changing healthcare system.

Health IT 94

Health IT HIPAA Medicare EMR 94

Healthcare IT Today

NOVEMBER 26, 2023

This is due in large part to increased expenses (from 25$ for labor to 90% for maintenance) and revenue reductions from denials (more than 20% from commercial plans and nearly 60% from Medicare Advantage plans). More than 85% of health systems are increasing IT and digital budgets for 2024 , a Guidehouse analysis found.

eHealth 83

eHealth RCM EHR FHIR 83

CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.

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Medicare Nursing FHIR Leadership 20

Healthcare IT Today

JULY 19, 2022

Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. . Founded in 2015, Canvas is reimagining the EMR for the future of healthcare.

EMR 52

EMR Digital Health Primary Care RCM 52

Healthcare IT Today

DECEMBER 17, 2023

Partnerships Darena Solutions, Leidos, and SLI Compliance unveiled a verification process for AI applications built using SMART on FHIR standards. Pennsylvania-based WellSpan Health selected Arcadia data analytics to supports its Medicare Shared Savings Program.

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Leadership HIE Nursing Life Science 100

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. The idea […].

Medicare 47

Medicare Interoperability FHIR EMR 47

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. I got involved with the FHIR community early when I wrote the first open-source FHIR server.

Interoperability 43

Interoperability FHIR EHR Health Data 43

Healthcare IT Today

JULY 29, 2023

John Lynn spoke to Mo Weitnauer at MRO about using FHIR-based APIs to automatically fulfill the vast majority of requests in minutes or seconds – not weeks. Access to medical records makes for better decision-making within payer organizations, but requests can create a burden on short-staffed providers. million in seed funding.

Healthcare IT 84

Healthcare IT Leadership eHealth RCM 84

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). Medicare ACO Vytalize Health added two board members : Dave Wichmann at Jory Capital and Dr. Amy Compton-Phillips at Press Ganey.

HIPAA 90

HIPAA Digital Health EHR Healthcare IT 90

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

Many want to target drug costs and the Centers for Medicare and Medicaid Services has mandated hospitals to post a list of their standard charges by diagnostic-related group, in an effort for consumers to have transparent cost options. How FHIR 4 will drive interoperability progress in healthcare. by Mike Miliard April 03, 2019.

Healthcare IT 82

Healthcare IT EHR Meaningful Use Interoperability 82

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability Life Science FHIR 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability Life Science FHIR 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability FHIR Life Science 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability FHIR Life Science 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability FHIR Life Science 60

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 145

Interoperability Health Data FHIR Medicare 145

Digital Health Global

APRIL 24, 2023

Hyphen knows that data sharing is critical for reducing administrative burdens, closing care gaps, and providing the necessary support for traditionally underserved populations such as Medicare and Medicaid beneficiaries. “At At the center of Hyphen is a commitment to make healthcare easier for all who provide that care.

Digital Health 88

Digital Health Connected Care FHIR Accountable Care 88

Healthcare IT Today

OCTOBER 22, 2023

Wolters Kluwer Health announces its Health Language Platform , a FHIR Terminology Server that will work with Microsoft Azure Health Data Services. Medicare Advantage plan eternalHealth chose 9amHealth for at-home, virtual cardiac care. Ambulatory network United Medical extended its contract with Oracle Health.

Digital Health 104

Digital Health EHR FHIR Healthcare IT 104

Healthcare IT Today

SEPTEMBER 19, 2023

Eden Avraham-Katz, VP of Legal & Compliance at 1upHealth While I appreciate the efforts to simplify the prior authorization process with FHIR APIs, the underlying issues with prior authorization are fundamentally systemic.

Healthcare IT 130

Healthcare IT Interoperability HIPAA Nursing 130

Health Intersections

OCTOBER 27, 2021

You can get these covid Vaccination Certificates in various ways, but I got mine from the medicare express app. I’ve just spent a day looking under the hood at the Australian international covid certificates, and I thought I’d post a few observations here.

Medicare 42

Medicare FHIR 42

Lloyd Price

AUGUST 6, 2018

It can also leverage the open, API-compatible Fast Healthcare Interoperability Resources (FHIR) interface, a set of standards that will be available in every major EHR to consolidate lifetime clinical records from different EHR providers. Under current federal guidelines for Medicare and Medicaid reimbursement, U.S.

Interoperability 87

Interoperability EHR HIE FHIR 87

mHealth Insight

SEPTEMBER 6, 2019

43 A recent development may offer hope: the federal government’s “meaningful use” requirements for EHR certification are calling for greater interoperability through an emerging data-exchange standard called Fast Healthcare Interoperability Resources (FHIR). 44 FHIR allows external third-party apps to integrate into the EHR workflow.

Mobile Health 48

Mobile Health mHealth EHR FHIR 48