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?
The state's Office of eHealth Initiatives wanted to reach the whole spectrum of providers but quickly realized that a shotgun approach wouldn't work. Here's how they did it and lessons learned along the way.
Data accuracy is a major area of focus for most organizations. Despite the overall advances in analytics and business intelligence, most agencies struggle with data accuracy. According to a 2013 Experian QAS survey, 94 percent of organizations believe there is some level of inaccuracy within their systems. To prevent inaccuracies in improve database performance and reporting, it's more important than ever for agencies to monitor data quality.
As healthcare providers implement health IT to comply with federal mandates and participate in quality of care programs, VNA solutions can play a critical role in helping them meet their needs today and in their future IT initiatives. Forward-thinking healthcare providers around the world are already successfully meeting this challenge with VNA. Download this Healthcare IT News eBook to learn how VNA enables exchange, supports data consolidation and IT simplification.
The current agenda is clear: wherever possible, reduce costs and
improve quality-of-care services. These directives are in perfect
alignment with the role of virtual and cloud computing infrastructure
technologies, which help to lower costs and increase clinician
productivity while future-proofing IT investments. As healthcare
reform deadlines rapidly approach, choosing the right information
technology (IT) platform will be critical to the success or failure
of new services and exchanges. It will determine the ease or
di!culty of updating existing applications and managing new
ones. It will also serve as a foundation to help ensure that all
healthcare services are secure, accessible and easy enough for
citizens to access and use.
This report provides information on some of the challenges PACS (Picture Archiving and Communication System) and RIS (Radiology Information System) end-users face in the healthcare space, and how virtualization and point of care solutions can help address those challenges. In this paper, we discuss what the challenges are and present a strategy of utilizing architecture for PACS/RIS client access, which supports the needs of end users and makes it easier for IT staff to manage applications and desktop environments.
The healthcare sector is adopting enterprise hybrid cloud across the provider, payer, and life sciences segments with the goal of improving the quality of care, reducing costs, and increasing responsiveness to risk. This industry brief goes over some results of the CIO Global Cloud Computing Adoption Study, a recent survey by IDG Research, and outlines the common hybrid cloud use cases for healthcare organizations. It also details a real-world example of how cloud computing is being used to achieve greater business agility.
Healthcare is dominated by the need for the sharing of detailed patient information as a result of today's information age. But it's also the focal point of the debate of how information is shared versus protecting the need for privacy, security and confidentiality. Data protection is paramount in today’s virtual environment and implementing a Secure Information Exchange (SIE) now will help organizations save both themselves and their patients down the road.
If Hospitals and Providers are the body of the healthcare industry, Healthcare Electronic Data Interchange is the heartbeat. This whitepaper compares the different solutions and costs for achieving HIPAA-compliant EDI, explains the specific technical challenges in the way of successful implementations, and explores new avenues for bridging the gap to an in-house implementation.
Medicare Advantage (MA) plans are private health plans that have contracted with Medicare to receive a fixed monthly fee in exchange for providing comprehensive healthcare to plan members. In order to provide appropriate care to beneficiaries with varying medical conditions, plans are paid according to the Risk Adjustment Factor (RAF) score of each patient. Insufficient documentation of chronic conditions can be an obstacle to MA reimbursement. However, even when a condition has been properly documented by the provider, it is often not coded and submitted to Medicare. Read this white paper to learn how to take the complexity out of MA reimbursement.
A recent survey of IT executives found nearly 90% see business value in transitioning to Cloud computing, but only 20% have a plan to get there. Healthcare Cloud solutions require Compliance, Security, Privacy, Redundancy, and Scalability, so choosing the right path from on-premises servers to the Cloud can be daunting. Learn how to chart a quick and affordable course to healthcare Cloud Computing and how to choose the right Cloud services partner.
In January 2010, QualSight - the nation’s largest LASIK manager serving over 75 million health plan members - was informed that a hack attempt had been made against their infrastructure. They were concerned that a repeat occurrence could take place and wanted to take a pro-active role in eliminating any future occurrence. QualSight began searching for a better solution for its secure Web hosting and online data storage. The company had stringent requirements for both HIPAA and PCI compliance, and could not find a hosting provider with a fully managed solution that took into account both of those high industry standards, while also providing top performance. Download this case study to find out how QualSight finally found a solution that offered complete HIPAA compliancy.
Healthcare providers must assure patients the utmost security, confidentiality, and integrity of sensitive information. This means maintaining total HIPAA compliance within their organization, including healthcare IT infrastructure. This white paper elucidates HIPAA compliant IT infrastructure, from physical and environmental controls, to appropriate guidelines between a Covered Entity and data center provider when outsourcing. It also helps clarify key points including service provider qualifications, and why Business Associate Agreements are integral for establishing accountability with partners.
Data Loss Prevention (DLP) is powerful technology that can be use to plug the wholes in the data leakage dam affecting organizations worldwide. In the healthcare industry the consequences of leakage are particularly dire. This white paper offers an indtroduction to the topic of DLP, which is one of the most important and powerful tools in the information security industry.
First, applications are due Oct 9. Second, qualified vendors will receive an invitation to partake. Third, not doing so does not exclude a vendor from future solicitations concerning this product selection. Yes, there plenty more to it than that.