Medicare’s unprecedented and unpredictable spending growth in recent years is penalizing clinicians who have been most effective at slowing cost growth and improving care. The Accountable Care Prospective Trend (ACPT) in the Medicare Shared Savings Program (MSSP) could cost accountable care clinicians more than $700 million in lost shared savings for care delivered in 2025….
Following July 1, 2022, most group health plans and issuers of group or individual health insurance across the country are required to disclose pricing information of negotiated rates for healthcare services between insurer and provider under the new Federal Price Transparency Rule (The Rule). The stated purpose of The Rule is “empowering consumers with the…
Following July 1, 2022, most group health plans and issuers of group or individual health insurance across the country are required to disclose pricing information of negotiated rates for healthcare services between insurer and provider under the new Federal Price Transparency Rule (The Rule). The stated purpose of The Rule is to “empowering consumers with the necessary…
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…
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…
Value-based healthcare, the holy grail of American medicine, has three parts: excellent clinical quality, convenient access and affordability for all. And as with the holy grail of medieval legend, the quest for value-based care has been filled with failure. In the 20th century, U.S. medical groups and hospital systems could—at best—achieve two elements of value-based…
Just as smart industries are putting aside their paper-laden processes and embracing exciting technologies, healthcare is ditching many cumbersome manual practices—albeit at a much slower pace. As a healthcare tech CEO, I cannot wait to see our industry catch up to our peers in using artificial intelligence (AI), large language models (LLM), machine learning (ML),…
While ONC has made significant progress toward achieving national health interoperability, continued interagency collaboration and public-private partnerships are needed to fully enable digital health, according to an article published by the National Academy of Medicine. “Through the work of ONC, data and interoperability standards have grown increasingly sophisticated over the past ten years,” the authors…
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…
Download Slides Accelerated by the ongoing COVID-19 pandemic, the digital transformation in health care is upon us. As we all look to rapidly adopt new technologies, deep integrations and interoperability become key components to help ensure seamless data exchange between patient applications and EHR systems. Mozzaz, a prominent virtual care solution provider, and CVS Health’s…