Industry Perspectives Archives - HIT Leaders and News

Industry Perspectives

Geisinger and Cohere Health Join in Driving High-Value Care and Reducing Provider Burden

Geisinger Health Plan (GHP) announced it’s joining forces with Cohere Health to drive high-value care and reduce provider burden. Cohere’s collaborative UM platform will help GHP support value-based care delivery, reduce administrative costs and lead the nation in aligning quality improvement initiatives across all GHP lines of business, including Commercial, Exchange, Medicare Advantage and the newly expanded Medicaid.

Healthcare IT Teams Must Consider Today’s Technology Limitations When Planning for the Future

If you think about the way healthcare was (successfully) managed for centuries, or even just a decade ago, you might wonder why practitioners are pushing so hard right now for the digitization of data or digitalization of workflows.

HANYS Awards 2021 Pinnacle Award to Garnet Health Medical Center – Catskills

The Healthcare Association of New York State is pleased to present a 2021 Pinnacle Award for Quality and Patient Safety to Garnet Health Medical Center – Catskills for A Surge Like No Other – How a Sole Community Provider Overcame All Odds.

How AI and ML Can Manage Your Third Biggest Payer: Patients

After Medicare, Medicaid, managed care and commercial health plans, the remainder of a hospital or health system’s revenue comes from patients. Those balances already comprise more than 30 percent of a large health system’s revenues and are rising rapidly. An analysis released last year found an 88 percent increase from 2012 to 2017 in total hospital revenue attributed to patient balances after insurance reimbursement.

What the Pharmaceutical Industry Can Learn from Peloton about Patient Retention and Engagement

Today’s mostly paper-dependent clinical trials pose fundamental challenges to the pharmaceutical industry. Such trials can be prohibitively expensive, struggle to enroll and retain a sufficient number of participants, and have difficulty maintaining compliance and data reliability. But with the advent of virtual and partially virtual trials using digital tools and devices, we have the opportunity to substantially improve efficiency by deploying the same design principles that make consumer apps so successful.

To Prepare for a Digital Future, Healthcare Organizations Should Look to Cloud-Based Data Management

A few years ago, a technologist in a healthcare organization’s IT group would view data in the cloud skeptically, if at all. Today, that position is fading fast, with data to support it: IDC estimates that the healthcare industry’s spending on cloud technologies would surge to $13.6 billion in 2019[1].

Solve Revenue Cycle Delays (and Make New Friends in IT) with Real-Time Provider Enrollment in EHRs

The health system revenue cycle is a complex process, starting with registration and scheduling, and ending with claims submitted and processed and payments received. Removing bottlenecks that prevent faster receivables has been a constant challenge facing revenue cycle leaders. Missing providers in EHRs is a major root cause of bottlenecks and rework. The advent of promising new digital provider enrollment workflows may, someday soon, eliminate them.

National Healthcare Leaders Embrace Electronic Prescribing of Controlled Substances

In October of 2018, President Trump signed into law the “SUPPORT for Patients and Communities Act,” a comprehensive bill designed to address the opioid abuse epidemic. This landmark legislation presents a unique opportunity for the healthcare IT community: we now have a real chance to position electronic prescribing of controlled substances (EPCS) as a crucial technology component of the national fight against opioid abuse.

Artificial Intelligence: Smart Enough for Healthcare?

Visionary pundits have already painted pictures of futuristic healthcare scenarios with robots strolling through hospital corridors in place of doctors – examining patients, making diagnoses, and prescribing medications. A lot of hype surrounds artificial intelligence (AI) and its application in healthcare resulting in questions about its usability, safety, and practical value– and for good reason. We’re still a long way off from completely replacing human medical practitioners, and perhaps we never will. The objective for healthcare today is to move past the hype and chart a course for AI that balances its opportunities and liabilities, while understanding its current limitations and finding areas where it can create real value and solutions.

What’s big in 2019? Value-based care, the patient experience and the digital workspace

Value-based care, the practice of compensating healthcare providers based on positive patient outcomes rather than on procedures executed, is rapidly becoming industry standard. To support it, healthcare organizations need to equip their staff with a new set of tools that enables them to streamline workflows and focus on patients. The best solution? A digital workspace, in which clinicians and healthcare providers can quickly and easily access the information and systems they need to do their jobs anywhere, anytime from any device.

Blueprint for Integrating Preventive Healthcare Services: Payers, Patients and Providers

According to the Polsinelli-TrBK Distress Indices Report, 20 hospitals have filed for bankruptcy since 2016. Looking ahead through 2019, medical cost trends remain stable, but extremely high as healthcare costs continue to rise. HRI projects 2019’s medical cost trend to be 6 percent. This is consistent with the last five years, which have seen trends between 5.5 […]