Financial/Revenue Cycle Management

By Mike Miliard 05:56 pm February 22, 2017
The technology's implications for interoperability, privacy, claims processing and more are intriguing. But many challenges must be addressed before wider applications become possible.

The problems around prior authorization approval for physicians, patients, providers and payers and ways to resolve the delay issues were discussed at the conference in Orlando on Tuesday.

By Susan Morse 12:08 pm February 21, 2017
BCBS Louisiana rolling out a portal to provide immediate responses to authorization requests.

Pierre Yong, director of Quality Measurement and Value-Based Incentives Group and Monica Kay, director, Division of Program Management spoke at HIMSS17 in Orlando on Monday.

By Susan Morse 03:42 pm February 20, 2017
Pierre Yong and Monica Kay explain how to handle payment reform under the Medicare Access and CHIP Reauthorization Act and the law’s mandate to rid Medicare cards of Social Security numbers.
McKesson InterQual HIMSS17

McKesson vice president Nilo Mehrabian said the software will make medical necessity reviews more efficient and enable nurses to spend more time looking at exceptions. 

By Tom Sullivan 08:30 am February 20, 2017
The vendor partnered with the National Decision Support Company to create what it claims is the first software that extracts clinical data from EHRs to streamline medical reviews and prior authorizations. 
Harold Miller at HIMSS17

Harold Miller, president and CEO of the Center for Healthcare Quality and Payment Reform, speaking in the Business of Healthcare Symposium in Orlando.

By Susan Morse 04:48 pm February 19, 2017
Providers will need to identify ways to cut cost and payers need to be part of the solution.
Chuck Spurr at HIMSS17

Chuck Spurr, chief information officer at Shields Health Care Group

By Henry Powderly 02:56 pm February 19, 2017
The provider of MRI services went all-in on the approach, and it’s changed their business.
Louisiana Healthcare Quality Forum UnitedHealthcare

Louisiana Healthcare Quality Forum CEO Cindy Munn said LHQF serves as the conduit betwenn emergency rooms and managed care organizations. 

By Diana Manos 06:56 am February 17, 2017
LHQF and UnitedHealthcare Community Plan of Louisiana created an HIE registry to keep patients out of the emergency room. 
Lahey Health CMMI
By John Andrews 10:16 am February 16, 2017
Cathy Ball, who spearheads Lahey’s participation in the CMMI program, said bundled payments are a step in the right direction toward value-based care. 

Jonathan Bush, athenahealth's CEO, said electronic data exchange for health plans will reduce "friction between health plans and providers in clinical data and quality reporting."

By Jessica Davis 10:27 am February 15, 2017
A new health plan data exchange service from athenahealth offers support its providers who exchange clinical data with payers for quality management, risk adjustment and performance management programs, the company announced Wednesday.
Health Catalyst MACRA MIPS
By Ephraim Schwartz 09:01 am February 15, 2017
The vendor will demonstrate its new software at HIMSS17 next week in Orlando. 

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