Record attendance at HIMSS 2015 in Chicago - over 43,000 people. Now that HIMSS15 is over, take a look at some of the trends that dominated the headlines, the social buzz and the chatter at after show cocktail parties. Of course, there were the overarching themes of interoperability, and population health, but there were some key themes that received the most attention.
When thinking about ICD-10 program governance, one of the key areas for both traditional Fee for Service (FFS) medicine and the transition to episodic (short-term) and longitudinal data for comparative effectiveness medicine in the Affordable Care Act is the Case Management process and supporting software and reports.
On October 1, 2013 Health Insurance Exchanges (aka Insurance Marketplaces or HIX) will start operating. Here is an overview of some of the things consumer can expect. Click the "play" icon to view a presentation from Kaiser Family Foundation. "Obamacare" is short for the Patient Protection and Affordable Care Act. Our firm specializes in Obamacare HIX and Accountable Care Organization (ACO) Strategies, and healthcare economics related to disruptive standards such as ICD-10, Meaningful Use of Electronic Health Records, and CORE Operating Rules.
The 9/11 Anniversary this year appears to be dominated by hope for the future. In this remarkable time lapse photography you can see what America can do when it puts…
Update August 2, 2013 - CMS published a list of 2,225 hospitals in 49 states that will lose up to 2% of their Medicare reimbursement that had too many patient readmission within 30 days of discharge because of three medical conditions: heart attack, heart failure and pneumonia. Under the PPACA, the maximum penalty will increase to 3% by 2015 and expand to include re-admissions for other medical conditions. ICD-10, a standard the describes the condition of the patient, will modify these quality measures when it goes into effect. We have published an interactive, searchable version of the penalties, by city, state, county and hospital for the healthcare industry and consumers to use to easily find the data relevant to their geography or organization.
These are important foundations that enable ubiquitous digital health data in a standard interchange, enabling in-depth analysis and increasingly, Cloud and Software as a Service methods to deploy, store and use the information to improve healthcare. These in turn are important foundations to enable Accountable Care. ICD-10 is the new data standard that will express the condition of the patient and how providers get reimbursed.
Experts to Review Electronic Health Care Innovation, Regulations and Mobile Health at Scripps, April 17th A group of companies will participate in a comprehensive discussion on the current and future…
When we consider what the U.S. Administration may hope to gain by curtailing the mortgage interest tax deduction, we should consider it in light of inefficiencies and fraud in healthcare that cost more. Bloated charges to Medicare cost HUNDREDS of BILLIONS to the U.S. government. In other words, the government is reimbursing some for services that were never provided to any taxpayer. This isn't a Red or Blue issue it is an American issue.
PPACA - "the more conservative approach would be salvage rather than throwing out everything."
Edwin Kneedler argued on behalf of the Obama Administration. He argued that if the minimum coverage provision should fall, the guaranteed-issue and community rating rules should fall as well as “that is one package that Congress deemed essential.”
We remain hopeful that the electronic efficiencies of PPACA remain, such as Meaningful Use of Electronic Health Records, whatever the final outcome.
The Patient Protection and Affordable Care Act (PPACA) may not stand in whole or in part, depending on the severability determination of the Supreme Court.