health care reform

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Mobile, Analytics, Cloud, Value-Based Care, Social Dominate News at HIMSS15

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.

ICD-10 Impacts Case Management and Case Management Reporting

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.

Get Ready for Obamacare

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.

By | 2017-05-04T04:06:39+00:00 September 23rd, 2013|Accountable Care, health care reform, Obamacare|0 Comments

September 11th Anniversary – Triumph of American Spirit Sets Tone for Future and Upcoming National Health IT Week

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 focus into the effort.  Let's mark the Anniversary of September 11th this year with inpiration and hope for what we can accomplish in healthcare.  On [...]

By | 2016-08-11T08:42:51+00:00 September 11th, 2013|health care, health care reform, Innovation|0 Comments

Hospital Readmissions Penalties Interactive Table

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.

Increasing Health Data Interoperability, BigData, Cloud, Exchange, ICD-10 Lay Foundation for Accountable Care

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.

5 Experts at San Diego Healthcare Innovation Summit April 17th at Scripps La Jolla

Experts to Review Electronic Health Care Innovation, Regulations and Mobile Health at Scripps, April 17th To register and for more information: http://bit.ly/SDHIS417 A group of companies will participate in a comprehensive discussion on the current and future state of health care reform and innovation on Wednesday, April. 17.  The companies include Qualcomm, the San Diego Health [...]

Fiscal Cliff Debate, Mortgage Interest Deduction Compared to Cost of Medicare Fraud

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.