HealthAxis Blog

Key Challenges and Solutions of Healthcare Payment Reform
27Apr, 2018

Better choices needed to manage US healthcare cost growth, says Paul Krugman at HIMSS18

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Economist Paul Krugman says more scrutiny on elective procedures could contribute to a long-term solution. “Though the U.S. still has the highest healthcare costs in the world, there are a few options that could be used to dig out of that — any of which would be better than the current state, said Krugman, which he described with a quote from Homer Simpson: “The U.S. government is an insurance company with an army.” To Krugman, “Medicaid looks more like the systems in other countries and is a well-established system. But if […]
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5Apr, 2018

CMS offering $30 million in grant funding to improve quality measures

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The funding is to develop partnerships with health systems, clinicians and others to improve measures in the quality payment program of MACRA. “The Centers for Medicare and Medicaid Services is providing up to $30 million in grant funding to develop partnerships with health systems, clinicians and others to improve measures in the quality payment program of MACRA. CMS will provide funding and technical assistance in these cooperative agreements to address measure gaps. Focusing on patient perspectives will ensure measures focus on what is important to patients and drive the improvement […]
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21Mar, 2018

A Healthy Start to the Plan Year Begins With Quality Medicare Advantage Enrollment Processes

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For individuals who have Medicare, they have recently had the opportunity to enroll in a 2018 Medicare Advantage or other Medicare plan, review their current coverage, or change plans.  Health plans across the country are evaluating their successes and opportunities for improvement from the recently closed Open Enrollment Period. Every year, health plans wrestle with timely, accurate enrollment and compliant submission to CMS.  Setbacks and headaches here are felt keenly, as it is the first opportunity for plans to succeed or fail relative to the Medicare Star rating system for […]
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The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs
20Mar, 2018

Reducing healthcare costs not one-size-fits-all, report finds

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A new Network for Regional Healthcare Improvement (NRHI) report that reviewed healthcare costs for five states found huge differences concerning costs and drivers. “The NRHI said bringing the higher than average cost states (Colorado and Minnesota) down to the average could potentially save more than $1 billion. The researchers added that the healthcare industry needs to address both price and utilization to make healthcare more affordable. There’s not a one-size-fits-all approach to reducing costs either. For instance, one region may have higher utilization. In that case, engaging physicians to consider […]
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Three reasons telemedicine will grow in 2017
8Mar, 2018

Biggest Health IT wins for new spending bill

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HIMSS Senior Director of Congressional Affairs broke down how the massive spending bill will boost telehealth, Medicaid and other crucial health IT needs. “Congressional leaders passed the spending bill last night, after a 5-hour government shutdown. Senate passed the spending bill around 1:45 a.m. with a 71-28 vote, while the House pushed through the legislation at about 5:30 this morning with a 240-186 vote. One of the biggest gains from the budget was the inclusion of the CHRONIC Care Act, which unanimously passed the Senate in September. HIMSS provided technical […]
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5Mar, 2018

5 trends in Healthcare Analytics for 2018

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In a recent white paper, Tableau outlines significant trends in healthcare analytics for 2018. “Leaders of The demand for higher quality care at lower cost, among other trends, will drive the use of healthcare information technology in general and analytics applications in particular this year. Growth efforts to engage patients and better manage patient populations also are expected to drive the need to capture data and gain insight from it. According to Tableau, as a result 2018 reveals the pent up demand for better healthcare IT and analytics that drive […]
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26Feb, 2018

Payers, Providers Pledge to Improve Prior Authorizations

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AHIP, BCBSA, AHA, and other organizations have agreed to improve the efficiency of prior authorizations. “Leaders of organizations participating in the pledge claim that aligning goals to improve prior authorizations can reduce the challenges of payers, providers, and other healthcare organizations face when managing high-cost prescriptions and medical devices. “Prior authorization approvals can be burdensome for health care professionals, hospitals, health insurance providers, and patients because the processes vary and can be repetitive, AHIP said in a press release. Prior authorization requirements can be better targeted if they take into […]
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The rise and risk of IoT in healthcare
19Feb, 2018

AI funding exceeds $1B in 2017

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Report confirms what industry watchers have already been noticing: Artificial intelligence in healthcare is hot. “The quality and reliability of the data feeding AI solutions is particularly crucial to AI’s ultimate value in healthcare, and that could be a problem given lack of clear data standards. Progress on interoperability has been slow, but CMS Administrator Seema Verma said in town hall webcast this week with American Hospital Association CEO and President Rick Pollack that the agency is interested in seeing movement on the issue.” Read the full article. Check out this […]
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How Payers, Providers Could Streamline Medical Claims Management
15Feb, 2018

All-Payer Claims Databases Offer Insights into Healthcare Spending

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The data from an all-payer claims database can reduce wasteful healthcare spending by supporting population health and analytics-driven healthcare decision making. “All-payer claims databases (APCDs) allow payers, providers, and regulators to analyze claims from millions of beneficiaries to learn where spending is directed and whether or not spending on certain healthcare services is avoidable. State-level all-payer claims databases can help stakeholders to manage population health and identify opportunities to reduce wasteful or preventable healthcare spending within the commercial and public insurance sectors. Sixteen states currently have APCDs in operation, while […]
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26Jan, 2018

Healthcare Data – How to Use it to Your Benefit

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In today’s world, information travels at gigabit speeds. For business, this means near limitless opportunities to accumulate data and use it to make operations more efficient and therefore more profitable. One of the issues many businesses encounter when compiling all this data is finding an effective use for so much information. Understanding the data and incorporating it into useful business practices is especially problematic in the medical profession. Healthcare has evolved with the rest of the business world, and has used technology to make leaps and bounds in providing patients, […]
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