On Oct. 1, at the NAACOS Fall 2021 Conference, executives from three accountable care organizations described the daunting road ahead in transitioning to the submission of electronic clinical quality measures (eCQMs) to the Centers for Medicare & Medicaid Services. After receiving strong feedback from ACOs about how challenging (and expensive) the transition to eCQMS would…
As part of the 21st Century Cures Act, the federal government will require that all healthcare providers grant patients access to their personal health information starting July 1. The CMS Interoperability and Patient Access final rule requires payers and providers to remove the industry siloes that prevent seamless patient data exchange across the care continuum….
Identifying and implementing social determinants of health (SDOH) data into the EHR is critical to finding answers to a state’s most significant issues. Once identified, SDOH data helps healthcare providers make social services referrals, but the process for doing so using technology is challenging. “It’s not that physicians have totally ignored social determinants of health,…
The lack of electronic health record interoperability and sharing of patient data continue to be major barriers to value-based care in Medicare. That’s the consensus of healthcare stakeholders who testified late last week before the House Energy and Commerce Health Subcommittee. Nishant Anand, MD, chief medical officer for Adventist Health System, said that about two…
Value-based care is touted as a way of incentivizing providers to achieve the triple aim: delivering high quality care, improving population health management, and lowering healthcare costs. While shifting from a fee-for-service model to a value-based care system has the potential to improve patient health outcomes and save healthcare organizations money, the transition from the…
The state of value-based reimbursement efforts has been uncertain. Many healthcare organizations are indeed pursuing newer strategies to replace traditional fee-for-service care while reducing costs and improving quality, but progress has often been halting. Still, experts from Cedars-Sinai, CVS Health, Blue Cross NC and Harvard Pilgrim Health Care say they’re quite optimistic for the future…