Health Care Insights Search Results

Although existing HIEs have worked hard to advance the goal of improving the quality and delivery of patient care by sharing data, there is one final challenge: achieving HIE sustainability. This paper explains how to create a business model that builds value, achieves savings, leverages existing network infrastructures and data repositories, and utilizes data analytics to drive answers at the point of care. We believe that with a creative approach, the right technology tools and collaboration among stakeholders, sustainable HIEs can become a reality for you today.

The Department of Health and Human Services (HHS) extended its ICD-10 implementation deadline by two years, from October 1, 2011 to October 1, 2013 to provide organizations with additional time to prepare for the transition and to assess how the use of the new code set will affect them. Ingenix has prepared the following information to highlight issues that health care organizations—payers, hospitals, and physician practices—should consider as they assess their ICD-10 preparedness and develop their implementation plans. Read more.

It has become evident that a National Health Information Network (NHIN) has the political support necessary to become a reality and to help the health care system progress to a 21st century interconnected environment. Learn about the six elements that are necessary for NHIN strategic implementation and how this network could benefit your business.

Predictive models have become well established tools in the disease management world—but do they translate to underwriting applications? To find out, we conducted a study around the ability of a pharmacy claims-based predictive model to project claims experience for new business in the small group market. See the results.

Companies that choose an automated rating system based solely on the basis of licensing costs, IT requirements, or anticipated ROI may be shortchanging users, customers and the business as a whole. A truly productive system is one that provides flexibility, usability, manageability, security and utility over the long term. Learn more about the five essentials of evaluating an automated rating system and how it could benefit your business.

The passing of MIPPA, and CMS’s rules allowing for the continuation of Chronic Disease Special Needs Plans (SNPs), is a significant change from the traditional way CMS had allowed you to serve the Medicare population. SNPs will offer more diversity in benefits and costs, resulting in greater services to a sicker, less healthy population. See how this change will affect you.

Learn more about the proposed public plan and how it might impact you. This testimony, read before the Way and Means Committee, outlines the cost and coverage impacts of a public plan as proposed by President Obama and Senator Baucus. Read more.

President Obama and Congressional leaders have set the ambitious goal of passing comprehensive health reform by the end of the summer. Fortunately, proposals exist in Congress that provide excellent platforms for reform. We explore the technical feasibility of merging the more developed coverage provisions of the HAA into the broader Baucus proposal. We reviewed both proposals to identify similarities and differences and present ideas on how these differences could be resolved. Learn more.

The American Affordable Health Choices Act of 2009, as amended by the Energy and Commerce Committee, will require all Americans to have health insurance if passed. Our study estimates the impact this act would have on coverage and spending for the federal, state and local governments, private employers and consumers. Read the report to learn how it might impact you.

To make health care reform possible many have argued that we must find savings in the existing system to offset the costs of new programs. This report examines recent literature documenting the major drivers of health care costs in the U.S. and identifies where new policies and initiatives could reduce costs without adversely affecting quality or access to medically necessary care. Learn more.