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."
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.