4 health insurers join AHIP | Primary care providers need more tech tools for VBC, survey finds | AHRQ shutters National Guideline Clearinghouse
July 18, 2018
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Accountable Care Spotlight
4 health insurers join AHIP
AHIP has welcomed CalOptima, Health Plan of San Joaquin, CareOregon and Priority Health, which have footprints in the Medicare Advantage and Medicaid managed care markets, to its membership. AHIP President and CEO Matt Eyles said the organizations are "committed to fighting for lower prices for patients and consumers, and to helping people get healthier faster and stay healthier longer."
Modern Healthcare (tiered subscription model) (7/16) 
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Primary care providers need more tech tools for VBC, survey finds
Eighty-three percent of primary care providers and health insurance executives responding to an online survey said that the nation's health care system will continue transitioning away from fee-for-service toward value-based care, but 66% said progress will stall under the current federal government. A majority of respondents said providers lack the tools and information they need, such as clinical decision support tools, data analytics, and EHR plug-ins or modules.
The American Journal of Managed Care online (7/17),  Healthcare Informatics online (7/17) 
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Insight into Health Care Quality
AHRQ shutters National Guideline Clearinghouse
A lack of funding has led to the shutdown, at least temporarily, of the National Guideline Clearinghouse, an evidence-based resource for health care providers developed by HHS and the Agency for Healthcare Research and Quality, which is looking for alternative funding options. "We believe it is important for providers to have access to evidence-based guidelines when they need them, which is why ... health insurance providers were an early supporter and sponsor of this project," said AHIP spokeswoman Cathryn Donaldson.
CNN (7/16) 
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Security investments focus on device safety, patient privacy
A Frost & Sullivan study found that patient data privacy and medical device security are among the top areas for health care investments intended to reduce adverse patient safety events. The cost of adverse safety events is expected to surpass $380 billion for US and Western European health systems by 2022.
Health IT Security (7/17) 
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The Technology Component
Communication between physicians, pharmacists may improve with eCare Plan
The Pharmacy HIT Collaborative launched the Pharmacist eCare Plan to help improve communication between pharmacists and physicians. The plan uses the pharmacist's current clinical documentation system to communicate clinical data, with the document written in HL7 language and format, and can be read by EHRs.
Physician's Briefing/HealthDay News (7/16) 
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Health groups release contracting tool for payers, providers
A contracting tool developed by the Pacific Business Group on Health and the Health Care Transformation Task Force is designed to help practitioners and payers with care management of patients with high-cost conditions. A white paper released with the tool offers guidelines and insights into care contracting, including targeted contracting and whole population contracting.
Healthcare Dive (7/16) 
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New Uses of Clinical and Claims Data
Sponsored content from InterSystems
Insurers Bringing Together Claims and Clinical Data
Premera Blue Cross is using InterSystems HealthShare® to bring together clinical data from health information exchanges, provider group EMRs, and claims to build a complete picture of each of its members--improving care quality and managing commercial risk. Read Press release.
 
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Use of Clinical Data by Medicaid Managed Care Organizations
eHealth Initiative conducted interviews with executives from leading Medicaid MCOs to gauge their progress in developing and implementing clinical data strategies. Watch as industry experts review results and share examples of how MCOs are using clinical data to support their physician networks, manage risk, and improve their members' care. View webinar.
 
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Population Health and Patients
Study: Many urgent care patients who get antibiotics don't need them
Study: Many urgent care patients who get antibiotics don't need them
(Joe Raedle/Getty Images)
Antibiotics are often prescribed at urgent care centers for people with the common cold or other conditions for which antibiotics don't work, researchers reported in JAMA Internal Medicine. An analysis of outpatient visits for patients younger than 65 in 2014 showed 46% of those who went to urgent care centers because of conditions for which antibiotics are ineffective still received prescriptions for the drugs.
Reuters (7/16) 
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Health Insurance and Accountable Care Provider Company News
Solutions Provider News
Medicare, Medicaid, Duals speakers announced
At AHIP's national conferences, hear from Matt Salo, National Association of Medicaid Directors; Lanhee J. Chen, PhD Hoover Institution; Stanford University, and Tim Engelhardt, Centers for Medicare and Medicaid Services. More speakers announced soon. Register today for Oct.14 to Oct.18 in Washington, D.C.
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AHIP News
Rod J. Rosenstein: A powerful voice you won't want to miss
At AHIP's National Conference on Medicaid (Oct. 17 through Oct.18), Deputy Attorney General Rod J. Rosenstein (DOJ) will provide a timely update on the nation's opioid crisis. The Medicaid conference is part of AHIP's Medicare, Medicaid & Duals conferences (Oct. 14 through Oct. 18). Register now for one, two, or all three conferences. Don't delay. Super Saver rates end July 25.
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Complimentary Health IT Directory focused on solutions
Consumer experience, core payer systems, cyber security and risk, health IT services and analytics, and regulatory are just some of the solutions you'll find in AHIP's Health IT Directory. Consider it your desktop IT consultant. This complimentary resource will showcase companies with answers. Access the directory here.
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