How HIEs and AI can work in tandem to boost interoperability ROI

Interoperability is the ability of computer systems or software to exchange and make use of information.  Interoperability is a growing topic in the health care IT world since it can be used now to upgrade systems so that they are more free flowing allowing  the information to be more accessible to the patients.  InterSystems HealthShare VP Don Woodlock explains some recent examples of how customers are putting the technology to work improving pop health outcomes and increasing revenue.  One of the examples he mentions is NY Care Information Gateway.  NY Care Information Gateway is a New York City and Long Island-based regional health information organization who is using HealthShare technology to run its master patient index, with its matching algorithms to closing gaps in care.  The tool has helped sync and duplicate patients records enabling the sharing of real-time updates to the state’s master patient index which boosts care coordination efforts for the network’s provider customers. It’s helped them upgrade quality improvement efforts, lower readmission rates and increase reimbursement rates under value-based care.

Trump administration finalizes MA telehealth benefit policy 

Medicare Advantage (MA) plans will be able to add additional telehealth benefits starting in plan year 2020 under a final rule announced by the Trump administration.  Under the new policy, patients on MA plans will be able to receive healthcare services from places like their homes, rather than requiring them to go to a healthcare facility.  Previously, patients on traditional Medicare plans could only receive telehealth services if they live in rural areas, and starting this year they began paying for virtual check-ins elsewhere around the country. MA plans have been able to offer more telehealth services as part of their supplemental benefits, but this rule makes it more likely MA plans will offer the additional telehealth benefits outside of supplemental benefits, making it more accessible from more providers and whether patients live in rural or urban areas.

The Next Step To Value-Based Care: Activating Healthcare Data For Physicians

Making value-based care a reality can be quite a challenge. The executives, leaders, regulators, and researchers make their efforts to transition to a value-based care but it’s really the physicians who will make it happen.  They make it happen in their practices, in the exam rooms, in the emergency room, and at the patients’ bedside.  Physicians are often not apart of the process and need to be treated as equal partners in achieving value-based care.  It’s time healthcare institutions ended the differential space and understood the need for integrating physicians into the process of achieving value-based care.

Read more