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Aiming to overcome challenges in moving to value-based care

January 16, 2024Garrett Schmitt

Michael Palantoni says he is seeing growing support for shifting to value-based care, including discussions and cooperation that would have been unthinkable a few years ago. Palantoni is the vice president for platform and data services at athenahealth, the electronic health record company, which is working with payers and providers on addressing gaps in care…

Unlocking 4 Areas of Provider Network Value in the Wake of Surprise Billing Mandates

January 15, 2024Garrett Schmitt

Today’s payers are still adjusting to the significant operational and transparency changes as a result of the No Surprises Act and Consolidated Appropriations Act. These mandates put the provider network operation on the front line and at the eye of the storm of some pressing market conditions—from the regulations to escalating, costly labor challenges and…

Thinking About Dr. Martin Luther King and Health Equity in 2024

January 15, 2024Garrett Schmitt

Today as we appreciate the legacy of Martin Luther King, Jr., I post a photo of him in my hometown of Detroit in 1963, giving a preliminary version of the “I Have a Dream” speech he would deliver two months later in Washington, DC. Wisdom from the speech: “But now more than ever before, America is…

AI can help identify social determinants of health

January 15, 2024Garrett Schmitt

A study from researchers at Mass General Brigham examined the potential of large language models to extract social determinants of health from EHRs and improve real-world evidence. The study appeared in npj Digital Medicine. Despite their significance, social determinants often face underdocumentation in structured EHR data, hindering comprehensive research and clinical care. Commonly found in…

Generative AI can identify social determinants of health data in notes, study finds

January 12, 2024Garrett Schmitt

Dive Brief: Generative artificial intelligence can be used to pull social determinants of health data, like housing or employment status, from clinician notes to identify patients who need additional support, according to a new study. Large language models trained by researchers could identify 93.8% of patients with adverse social determinants of health, while official diagnostic…

VBC May Poorly Affect Health Equity, Amazon Adds Health Offering

January 11, 2024Garrett Schmitt

Value-based care efforts have aimed for health equity, but one Health Affairs study found evidence that some value-based purchasing efforts may maintain care disparities for Black Medicare beneficiaries. Additionally, Amazon announced it will add a new capability to its repertoire of healthcare capabilities. On top of its existing virtual care, pharmaceutical, telehealth, in-home, and preventive…

Generative AI models can identify social determinants in highly complex visit notes, study finds

January 11, 2024Garrett Schmitt

Generative AI models can identify social determinants of health (SDOH) in doctors’ notes, a new study finds. SDOH like housing and income are major drivers of health outcomes. But these factors are notoriously underdocumented in existing EHR structured data, study authors wrote in npj Digital Medicine. And while a subset of billing codes exists to…

Generative AI IDs social determinants in EHR notes: Mass General Brigham

January 10, 2024Garrett SchmittAI, Artificial Intelligence, EHR, SDOH, social determinants of health

Generative artificial intelligence can identify social determinants of health within EHR notes, accurately and without bias, determining which patients might need extra support, according to Somerville, Mass.-based Mass General Brigham. The health system’s researchers fine-tuned large language models to automatically extract information about social determinants — factors such as housing, employment and family status that…

Health Equity Depends on Pragmatic Tech for Healthcare’s Digital Have-Nots

January 9, 2024Garrett SchmittACP, EHR

No matter how large or well-resourced a health system may be, making the right care decisions ultimately depends on its ability to exchange information with healthcare’s “digital have-nots”—organizations that weren’t eligible for EHR implementation incentives, like post-acute facilities, home health, substance use disorder clinics and assisted living facilities. When these technology connections don’t exist, this…

CMS Approves New York’s Medicaid Waiver to Address SDOH

January 9, 2024Garrett SchmittMedicaid, SDOH

The Centers for Medicare & Medicaid Services (CMS) has approved New York state’s amendment of its ongoing Medicaid transformation efforts to allow the state to advance health equity, support the delivery of health-related social needs (HRSN) services, and promote workforce development. The state said the waiver would enable New York to invest nearly $6 billion…

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