The Obama administration is boasting that 8 million Americans, including a good number of young people, have enrolled in public exchange plans. The big question now is how will new members fit into the risk adjustment puzzle?
Leveraging the guidelines within the S&I Framework is one way for healthcare organizations to position themselves not only for future interoperability needs, but for access to the information required to provide effective, well-coordinated patient care today.
The challenge is on for the private sector to take the new Medicare payment data, and everything else that's there, and create decision-making tools seniors can use. Then there's the long-term transparency challenge for government and the healthcare industry.