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Healthcare at the Crossroads: Value-Based Care and Interoperability

October 7, 2021Michael PattwellNo CommentsHIT ConsultantInteroperability

Amid the difficulties of the last year, a bright spot has emerged that may provide a strong indication of renewed movement toward the transformation of the healthcare industry that we know today. Value-based care, a model that rewards better patient health outcomes, has experienced a surge in interest amid heightened consumer awareness and among payers seeking to lower costs and stabilize reimbursement. This interest, along with the recent mandate from the Centers for Medicare and Medicaid Services (CMS) to drive interoperability, combined with a spate of current and upcoming rules, will soon create an important intersection – a crossroads, if you will.  

The renewed momentum toward value-based care, combined with the mandated implementation of the CMS Interoperability and Patient Access Rule, could create a new proving ground to finally break through decades of information-sharing obstacles that have impeded the transition from fee-for-service to fee-for-value models. When I think about the most critical role technology can play in healthcare, I consider its potential to exchange and effectively use electronic health information in a timely and meaningful manner.

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: CAQH, CARIN Alliance, CMS, Council for Affordable Quality Healthcare, Da Vinci Project, EDI, Electronic Data Interchange, interoperabiity, Interoperability and Patient Access Rule, LTSS, patient access, patient health outcomes, value-based care, value-based healthcare, vbc, WEDI, Workgroup for Electronic Data Interchange

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