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 popular federal health IT leader prepares to leave his post, accountable care is making progress, but the ONC is also facing a challenging balancing act between supporting clinicians and regulating them.
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.
In our ongoing series leading up to the October 1, 2014 health insurance exchange deadline, Pulse8 CEO John Criswell shares 9 things payers can do right now as they prepare provider networks, systems and infrastructure for commercial risk adjustment relative to the HIXs.
The backlash has begun. And despite a new poll suggesting the ACA has garnered a small rise in popularity, many pundits are suggesting the ruling could ultimately harm Obama, and the ACA, more than help.
This Week in Government Health IT: What the ICD-10 delay really means, CMS touts MSSP ACOs many of which are physician-led, a pair of HIEs adopt Direct, and the PHI questions to ask all your business associates.
There is a line from a Rush song that goes, "If you choose not to decide, you still have made a choice." And that "choice" seems to be guiding many healthcare providers when it comes to ICD-10 implementation.
Although none of the four GOP candidates are backing down, Romney is claiming that the math, as in number of delegates won, is on his side. That would make for a health reform showdown later this year.