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Greater Medical Device Data Standards Needed for Interoperability

January 20, 2022Garrett SchmittFHIR, Interoperability, Interoperability and Patient Access Rule

Researchers called for the creation of a medical device data standards development organization to support healthcare interoperability. The healthcare industry needs better data standards to support medical device interoperability, according to an article published in JAMA Health Forum. The authors noted that much of the existing infrastructure for healthcare interoperability has focused on EHRs. ONC mandated the adoption…

Which digital health sectors led VC investment in 2021

January 19, 2022Garrett Schmittdigital health, digital healthcare

Digital health continues to break funding records as companies across the globe raked in $30.7 billion in venture capital in 2021, according to data from Digital Health Business & Technology. Investments during the fourth quarter were $7.6 billion across 206 deals, a 6% drop from the recording-setting $8.1 billion raised by digital health companies during…

The Perils and Payoffs of Alternative Payment Models for Community Health Centers

January 18, 2022Garrett Schmittalternative payment models, APMs

In October 2021, the Center for Medicare and Medicaid Innovation (CMMI) announced a goal of having every Medicare beneficiary and the majority of Medicaid beneficiaries covered by some type of alternative payment model (APM) by 2030. CMMI considers APMs to be any arrangements whereby providers are held accountable for the quality and costs of care,…

How Pharmacists Can Help Address Social Determinants of Health

January 18, 2022Garrett SchmittPharmacy

The Pharmacy Quality Alliance (PQA) has issued a new resource guide to help pharmacists navigate certain social determinants of health that might crop up when a patient visits the pharmacy. Particularly, the resource guide details 20 real-world programs that help address social determinants of health that affect patients’ abilities to access or manage their medications….

Use of Electronic Health Record Systems in Accountable Care Organizations

January 18, 2022Garrett SchmitteCQM, eCQM reporting, eCQMs, EHR

The usage of multiple electronic health record (EHR) systems is a common occurrence among accountable care organizations (ACOs). This paper summarizes the results of a survey on EHR usage within ACOs and discusses some of the issues this may present in reporting quality measures, including that: Just 9% of surveyed ACOs use a single EHR…

Growth in Health Information Exchange With ACO Market Penetration

January 17, 2022Garrett SchmittACO, ACOs, care coordination, health information exchange, HIE, Hospitals, Interoperability

Accountable care organization (ACO) success depends in part on a broad network of health information exchange (HIE) partners to effectively coordinate care. Our study illustrates that although ACO participation broadens HIE networks, the effects accrue differently across markets with varying levels of ACO penetration. ACO hospitals in high–ACO penetration markets increase their HIE network breadth…

Bringing Payers, Patients into the Health Data Exchange Conversation

January 17, 2022Garrett Schmitt

The adoption of electronic health records and creation of health information networks have spurred greater health data exchange between providers. While plenty of work must be done to ensure providers can share patient data to better inform clinical decision-making, even more effort is required to bring payers and patients into the national conversation about access…

Over 50 Lawmakers Urge Administration to End Direct Contracting

January 17, 2022Garrett SchmittAMA, APMs, CMMI, congress, DCEs, direct contracting, FFS, HHS, NAACOS

The lawmakers claim direct contracting is a Trump-era privatization tactic that has removed millions of seniors from Traditional Medicare without their knowledge or consent. More than 50 lawmakers led by US Representative Pramila Jayapa urged the Biden administration to discontinue the Medicare Direct Contracting (DC) program and transition Medicare beneficiaries into the Traditional Medicare model. In a letter written to HHS…

CMS Officials’ Bold Statement of Intent Around Health Equity and Value-Based Care

January 14, 2022Garrett SchmittACO, ACOs, CMS, health equity, SDOH, social determinants, social determinants of health, value-based care, vbc

As we reported on Wednesday, Jan. 12, “The top officials at the federal Centers for Medicare and Medicaid Services (CMS) on Tuesday, Jan. 11, made a major public statement regarding the goal of moving the healthcare system towards health equity, and a major component of that statement focused on leveraging Medicare’s value-based programs, particularly those…

Hierarchical Payment Models—A Path for Coordinating Population- and Episode-Based Payment Models

January 14, 2022Garrett Schmittalternative payment models, APMs, Bundled Payments, CMS, value-based payment

In November 2021, the Centers for Medicare & Medicaid Services (CMS) announced a strategy to achieve near-universal participation in value-based payment models by 2030. Core to this strategy is the goal that every beneficiary should be in a clinical care relationship that has accountability for quality and total cost of care. Achieving this goal will…

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