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AHIP, other industry groups call for phased approach to CMS interoperability rule

FierceHealthIT

America's Health Insurance Plans—and many other healthcare industry groups—is urging the Centers for Medicare & Medicaid Services (CMS) to take a phased approach to its proposed interoperability rule, saying the proposed 2020 implementation timeline is "unrealistic."

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Why Electronic Health Record Interoperability is a Key Step Toward Fair Drug Prices

Healthcare IT Today

With recent legislation allowing Medicare to negotiate prices, it’s likely that the movement will grow , given the high and constantly rising costs of pharmaceuticals, especially gene therapies and other innovative or personalized drugs. EHR interoperability will also help empower patients.

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Mastering Remote Patient Monitoring Reimbursement: A Guide to Medicare Billing Success

DrKumo Remote Patient Monitoring

Disclaimer: This blog article, “Mastering Remote Patient Monitoring Reimbursement: A Guide to Medicare Billing Success,” offers general information and is not a substitute for professional advice. Medicare, as a crucial player in healthcare reimbursement, plays a pivotal role in facilitating the adoption of RPM.

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Prior Authorization Takes a Leap Forward in CMS Regulation

Healthcare IT Today

The Centers for Medicare & Medicaid Services (CMS) have taken a bold step by mandating a standard for prior authorization. Another survey by the Medical Group Management Association (MGMA) ranked prior authorization as the largest regulatory burden on doctors. The release of FHIR in the mid-2010 decade changed everything.

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UpStream Raises $140 Million Series B Round to Scale Value-Based Care Model Nationwide

Healthcare IT Today

UpStream supports physicians operating under full-risk, value-based arrangements who are providing care to seniors on Medicare with an integrated platform that emphasizes care quality, health equity and total cost of care. “Primary care physicians are an integral part of the U.S.

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From Evolution to Innovation, from Health Care to Health: How Health Plans With Collaborators Are Re-Defining the Industry

Health Populi

The response: A health plan is a comprehensive package of healthcare services and coverage that helps individuals or groups manage and finance their healthcare needs. Retail health-meets-Medicare. Turning to ChatGPT some 123 years later, I queried, “What is a health plan?”

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Crystal Ball Chronicles: Reflecting on Out of Pocket Health’s 2024 Predictions

Redox

Original prediction: We won’t see accelerated adoption of interoperability standards (e.g., HL7 ® , HL7 ® Fast Healthcare Interoperability Resources or FHIR ® ). And, nowadays, those regulatory requirements are heavy-handed with FHIR interoperability. Data standards rendered obsolete?