Healthcare IT Today

JANUARY 23, 2023

Payers Will Start to Feel the Pain of Ad Hoc Implementation of FHIR Servers Many payers, forced to comply with federal requirements of Fast Healthcare Interoperability Resources (FHIR) server implementation, had little time to strategize data feeds and server utilization. Medicare saved $1.6

FHIR 108

FHIR Interoperability Medicare Accountable Care 108

Healthcare IT Today

DECEMBER 30, 2024

Allison Combs, Head of Product, Payer, Clinical Effectiveness at Wolters Kluwer Health In 2024, Medicare Advantage faced decreasing reimbursement rates alongside surging enrollment, and both trends are likely to continue into and beyond 2025. Today we have the technology (RESTful) and data (FHIR) standards needed to make this work.

Health IT 89

Health IT Primary Care Nursing Medicare 89

Healthcare IT Today

JULY 21, 2022

Code, test and maintain electronic clinical quality measures using Clinical Quality Language (CQL) and Fast Healthcare Interoperable Resources (FHIR). Applies health data standards and interoperability such as HL7 FHIR Accelerator activities and the Office of National Coordinator certification regulations and policies.

Health IT 87

Health IT FHIR Interoperability Healthcare IT 87

Healthcare IT Today

NOVEMBER 5, 2023

Research from Inovalon and Harvard Medical School found that Medicare Advantage has 70% fewer readmissions and 24% fewer preventable hospitalizations than fee-for-service Medicare. Product and Company News FHIR platform 1upHealth integrated 1up Population Connect with Epic, Oracle Health, and athenahealth.

RCM 91

RCM Medicare EHR FHIR 91

Healthcare IT Today

FEBRUARY 14, 2024

HealthPolicyValentines pic.twitter.com/nZx2DcTCGI — MA Health Policy Commission (@Mass_HPC) February 13, 2024 Medicare could never negotiate your cost because you are priceless. Be sure to check out our coverage of previous #HealthPolicyValentines as well as some that we found interesting this year below.

Health Policy 86

Health Policy Meaningful Use HIE EMR 86

Healthcare IT Today

SEPTEMBER 24, 2023

Medicare Advantage costs are 12% lower than similar beneficiaries covered under fee-for-service Medicare, according to research from Inovalon and Harvard Medical School. Drummond Group unveiled FHIR Client Certification Program , which will enter its pilot phase on Oct.

Medical Billing 98

Medical Billing EHR Medicare BioTech 98

Digital Health Global

JUNE 3, 2024

Statistical non-inferiority to traditional methods when staging glaucoma using Medicare definitions. EHR Integration : Seamlessly integrates with existing Electronic Health Records systems, adhering to DICOM conformance standards and supporting FHIR connect HL7 and DICOM Modality Worklist (DMDL).

FHIR 88

FHIR Digital Health EHR Medicare 88

Healthcare IT Today

FEBRUARY 22, 2023

We combine a Medicare ACO, virtual and in-home doctors’ office, and a digital health platform to equip our network of physicians with everything they need to be successful in caring for their patients and staying ahead in a rapidly changing healthcare system.

Health IT 104

Health IT Medicare HIPAA EMR 104

Healthcare IT Today

AUGUST 10, 2023

These datasets, which are critical to patient care, workflow processes, quality reporting, financial claims, and operational tasks, are encoded with granular medical event data and are represented using common data standards such as HL7, FHIR, EDI, and 837s, among others.

Life Science 97

Life Science FHIR Accountable Care Interoperability 97

Health Intersections

FEBRUARY 14, 2023

On Friday last week, an article by Wendy John was published by Wild Health , in which I’m quoted as saying, regarding the My Health Record and the Strengthening Medicare Taskforce report : FHIR guru Grahame Grieve has advocated for interoperability standards in healthcare for over two decades.

FHIR 102

FHIR Medicare Digital Health Health Information 102

Healthcare IT Today

MAY 16, 2024

The platform provides HL7 FHIR standard API connectivity, the interoperability standard preferred by the U.S. Centers for Medicare & Medicaid Services and the National Coordinator for Health IT. Myndshft works with leading providers, payers, and health information exchanges.

EHR 121

EHR Patient Experience FHIR Health Information 121

Digital Health Global

APRIL 11, 2023

Health Connect Cloud streamlines data integration between clinical systems and applications, while managing the entire infrastructure and providing enhanced data automation and management capabilities to help providers and application developers rapidly leverage HL7 FHIR® and other healthcare standards to connect systems and solutions.

Nursing 88

Nursing Interoperability Medicare FHIR 88

Healthcare IT Today

NOVEMBER 12, 2023

News The 2024 Medicare Physician Fee Schedule continues many telehealth flexibilities first adopted during the public health emergency, such as an expanded scope of originating sites an expanded definition of qualified practitioners. of the Common Agreement and committed to having TEFCA support FHIR-based exchange within 2024.

Telehealth 95

Telehealth RCM Public Health EHR 95

Redox

DECEMBER 13, 2023

Learn more Remote patient monitoring RPM boosts outcomes but drives up costs In a new study, RPM reduced hospital stays among Medicare patients with hypertension but also raised costs per patient. Build an HL7 ® FHIR ® data store for your health system, minus the missteps.

FHIR 52

FHIR Digital Health EHR Telehealth 52

Telebehavioral Health Institute

DECEMBER 21, 2022

Medicare and a supplemental plan) to receive care from multiple providers (e.g., In this article, the recent proposal identified as “CMS-0057-P” by the Centers for Medicare and Medicaid Services (CMS) for the concept of interoperability will be applied to the prior authorization process.

Interoperability 52

Interoperability FHIR Medicare Health Information 52

Healthcare IT Today

MARCH 9, 2024

John chatted with Dr. Don Rucker, now at 1upHealth, about why TEFCA isn’t ideal for real-time data access and how FHIR APIs will help do the job – and allow payers and even employers to access data, too. Read more… Ingredients for Real-Time Improvements in Health Care, Prior Auth, and Claims.

Healthcare IT 94

Healthcare IT EHR FHIR Mental health 94

Digital Health Global

APRIL 24, 2023

Hyphen knows that data sharing is critical for reducing administrative burdens, closing care gaps, and providing the necessary support for traditionally underserved populations such as Medicare and Medicaid beneficiaries. “At At the center of Hyphen is a commitment to make healthcare easier for all who provide that care.

Digital Health 88

Digital Health Connected Care FHIR Accountable Care 88

Healthcare IT Today

AUGUST 6, 2019

In another step in fleshing out its interoperability efforts, CMS has announced plans to launch a pilot program giving clinicians access to claims data. During the pilot, which is called “Data at the Point of Care” or DPC, clinicians will be able to access the claims data from CMS’s Blue Button 2.0 functionality. The idea […].

Medicare 60

Medicare Interoperability FHIR EMR 60

Digital Health Global

MARCH 20, 2025

To address this, he led a team to implement the first API on an Epic-based electronic health record (EHR) that used the emerging FHIR standard, with the goal of helping patients, clinicians, and researchers easily access health-record data. There, he discovered a problem worth solving: health data interoperability.

Interoperability 88

Interoperability Health Data FHIR Primary Care 88

Healthcare IT Today

OCTOBER 22, 2023

Wolters Kluwer Health announces its Health Language Platform , a FHIR Terminology Server that will work with Microsoft Azure Health Data Services. Medicare Advantage plan eternalHealth chose 9amHealth for at-home, virtual cardiac care. Ambulatory network United Medical extended its contract with Oracle Health.

Digital Health 96

Digital Health EHR FHIR Healthcare IT 96

Redox

OCTOBER 12, 2023

AI reimbursement Medicare and Medicaid are beginning to reimburse for AI applications on a per-use basis, though adoption is still in its infancy. To stream clinical data into the cloud, it must first be translated from legacy standards (HL7v2, CD, X12, and DICOM®) to Fast Healthcare Interoperability Resources (FHIR®). www.rbccm.com.

FHIR 69

FHIR Medicare Interoperability Health Data 69

Healthcare IT Today

NOVEMBER 26, 2023

This is due in large part to increased expenses (from 25$ for labor to 90% for maintenance) and revenue reductions from denials (more than 20% from commercial plans and nearly 60% from Medicare Advantage plans). More than 85% of health systems are increasing IT and digital budgets for 2024 , a Guidehouse analysis found.

eHealth 84

eHealth RCM EHR FHIR 84

Lloyd Price

AUGUST 23, 2018

This requires a variety of technical strategies and ongoing collaboration for the industry to converge and embrace emerging standards for healthcare data interoperability, such as HL7 FHIR and the Argonaut Project. I got involved with the FHIR community early when I wrote the first open-source FHIR server.

Interoperability 44

Interoperability FHIR EHR Health Data 44

Healthcare IT Today

JULY 19, 2022

Additionally, with this certification, Canvas customers are now eligible for value-based payment models in Medicare and Medicaid programs, as well as many commercial value-based programs. . Founded in 2015, Canvas is reimagining the EMR for the future of healthcare.

EMR 52

EMR Digital Health Primary Care RCM 52

CMS.gov

NOVEMBER 16, 2018

2018 Medicare Fee-For-Service improper payment rate is lowest since 2010. Administrator, Centers for Medicare & Medicaid Services. 2018 Medicare Fee-For-Service improper payment rate is lowest since 2010 Significant progress in saving $4.59B in estimated improper payments for the Medicare Fee-For-Service program.

Medicare 20

Medicare Nursing FHIR Leadership 20

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability Life Science FHIR 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability Life Science FHIR 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability FHIR Life Science 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability FHIR Life Science 60

Health Blawg

APRIL 30, 2018

Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability. Aprima belongs to CommonWell, has done some FHIR development, and Michael would like to see Congress condition Medicare reimbursement on real interoperability.

EHR 60

EHR Interoperability FHIR Life Science 60

Healthcare IT Today

DECEMBER 22, 2020

CMS has released a proposed rule that will require Medicaid managed care plans and other insurers offering products on the ACA Exchanges to support the sharing of patient data amongst themselves.

Interoperability 145

Interoperability Health Data FHIR Medicare 145

Healthcare IT Today

SEPTEMBER 19, 2023

Eden Avraham-Katz, VP of Legal & Compliance at 1upHealth While I appreciate the efforts to simplify the prior authorization process with FHIR APIs, the underlying issues with prior authorization are fundamentally systemic.

Healthcare IT 139

Healthcare IT Interoperability HIPAA Nursing 139

Healthcare IT Today

SEPTEMBER 17, 2024

It takes time to write a programming library that can extract each field from an EHR and present it to an outside program, even given the modern FHIR standard (itself complex and evolving). These observers point out that patient data is extraordinarily large and complex. The API gap is, Bari says, “when regulation meets reality.”

EHR 74

EHR Interoperability Nursing Healthcare IT 74

Lloyd Price

AUGUST 6, 2018

It can also leverage the open, API-compatible Fast Healthcare Interoperability Resources (FHIR) interface, a set of standards that will be available in every major EHR to consolidate lifetime clinical records from different EHR providers. Under current federal guidelines for Medicare and Medicaid reimbursement, U.S.

Interoperability 89

Interoperability EHR HIE FHIR 89

Healthcare IT News - Telehealth

NOVEMBER 2, 2021

the federal government enabled Medicare to reimburse telemedicine services more comprehensively, while individual states have implemented legislation to improve access to virtual care. FHIR addresses this issue, helping remove barriers to fast, easy and secure electronic data exchange across the healthcare industry. In the U.S.,

Telehealth 218

Telehealth FHIR Interoperability Telemedicine 218

Healthcare IT Today

NOVEMBER 22, 2023

HL7 , which has been setting standards for health care since 1987, leapt into the modern age of computer standards by adopting the FHIR standard. One of the FHIR standards, conveniently enough, is a digital insurance card. A payer such as Medicare could just put a card on its web site for each patient to download. Version 2.0

FHIR 133

FHIR Medicare Interoperability EHR 133

Healthcare IT News - Telehealth

NOVEMBER 27, 2019

Many want to target drug costs and the Centers for Medicare and Medicaid Services has mandated hospitals to post a list of their standard charges by diagnostic-related group, in an effort for consumers to have transparent cost options. How FHIR 4 will drive interoperability progress in healthcare. by Mike Miliard April 03, 2019.

Healthcare IT 92

Healthcare IT Meaningful Use EHR Interoperability 92