As things appear today, come January, 2014 when HIXs and Medicaid programs must be operational, very few states will be rolling out a truly "no wrong door" offering that includes SNAP and TANF -- making now the time to take action.
When shopping for health insurance in the imminent exchanges, the experience should be as easy as the one at an online retailer like Amazon, but also respectful of the implications of the decisions being made on the health and financial stability of consumers.
Because an unprecedented amount of sensitive personal data will flow through health insurance exchanges, consumers and healthcare organizations must demand that robust security be driven into the operational fabric of the HIX, alongside proactive risk management that is pervasive at all levels of the ecosystem.
Often seen as a black box, RAT-STATS is more akin to a simple calculator. And when the government comes to investigate healthcare providers for abuse or fraud, it pays to understand the software's intricacies and weaknesses to build a sound defense.
Health insurance exchanges require smarter analytics to reduce costs and ensure appropriate interventions. That starts with pulling together non-traditional data sources, tapping mobile technologies, measuring performance and insisting upon transparent BI tools.
As the Commission on Long-Term Care prepares a report for Congress, state Medicaid leaders are recommending greater state flexibility in long-term care programs, especially in prioritizing community-based care.
Should ACO patients receive better care than those under the fee-for-service model? Even if that expense falls on the provider? CMIO John Frownfelter, MD, discusses the big data approach UnityPoint is taking to answer those questions.
While the President and Congress look for deficit reduction paths and healthcare organizations brace for Medicare changes, the duo from the Fiscal Commission is renewing its plans for spending cuts ($600 billion in healthcare) and new tax revenue.
A large percentage of the Americans that the Affordable Care Act aims to bring into the insurance pool access the Web primarily through their smartphones. For the ACA to achieve its potential, federal and state governments must reach those citizens where it's most convenient for the consumer.