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Regulation as a Catalyst for Innovation: Leveraging the Interoperability and Prior Authorization Mandate

FierceHealthIT

Interoperability mandates from the Centers for Medicare and Medicaid Services (CMS) have required major investments by health plans in recent years and will continue to be critical in informing ove | Facing new CMS mandates, MVP Health Care Chief Strategy Officer offers considerations to align your compliance strategy with innovation goals.

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

Healthcare IT Today

Don Rucker, MD, chief strategy officer at 1upHealth , shows us in this video how current regulations and FHIR standards will actually make that happen. In a fast-paced exchanged with John Lynn of Healthcare IT Today, Rucker covers regulations and evolving data exchange standards that foster interoperability and data analytics.

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Just Associates To CMS/ONC: A “Technology Alone” Solution Can’t Resolve the Patient Matching Issues Impacting Interoperability

Electronic Health Reporter

Any patient matching improvement strategy must look beyond technology and emphasize the people and processes that play a critical, yet often overlooked, role in ensuring data integrity. shared with the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health IT (ONC) […].

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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

At the same time, health system leaders in the study cite three key strategies topping their list, including the need to grow revenue, recruit and retain staff ( think: burnout ), and reduce costs. Retail health-meets-Medicare. These trends began to take hold in the U.S.

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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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Data Quality Scrutiny, SDoH, Value-Based Care…What are the New Healthcare Truths of 2023?

Healthcare IT Today

The following is a guest article by Mike Noshay , MSE, Founder and Chief Strategy & Marketing Officer at Verinovum. But much of the data required to make SDoH meaningful for a patient population is either not standardized or tracked, or it’s tracked by tools without standard export/interoperability frameworks. Medicare saved $1.6

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Healthcare 2030: Are We Consumers, CEOs, Health Citizens, or Castaways? 4 Scenarios On the Future of Health Care and Who We Are – Part 2

Health Populi

Presidential elections to that point, and that the last retiring Baby Boomer enrolls in Medicare that year. The public sector has invested in a unified EHR (Epic for All) with full data interoperability and citizen access/control of data. In 2030, every Boomer will have been eligible for Medicare. Then Medicare goes bust.

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