Stakeholders announce plans to streamline prior authorization processes | IoT is forcing changes to how devices are secured | Hospitals need a culture change to move to cloud model, expert says
January 19, 2018
AHIP Health IT SmartBrief
Top Story
Stakeholders announce plans to streamline prior authorization processes
AHIP, the Blue Cross Blue Shield Association and four other health care provider organizations are working to streamline prior authorizations to improve access to timely and affordable care while reducing administrative burdens. The groups agreed to reduce the number of providers subject to prior authorization rules, improve communication, and regularly review services and medications that require prior authorization.
Becker's Hospital Review (1/17),  ThinkAdvisor (free registration) (1/17),  Cardiovascular Business online (1/17) 
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IoT is forcing changes to how devices are secured
The internet of things has great potential, but companies cannot forget in their security preparations that IoT is also part of the physical world, writes Larry Karisny of The limited security options available for smaller devices have led the industry to look at new ways to achieve "deep security," he writes.
Government Technology (1/16) 
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Technology Trends
Hospitals need a culture change to move to cloud model, expert says
Hospitals that want to move to a cloud model can begin by creating that culture, because "most IT departments are not thinking cloud-first," said David Chou, CIO at Children's Mercy Hospital in Kansas City, Mo. Children's Mercy has more than 600 apps, most of which are in the cloud, and it moved its EHR to a hosted model.
Healthcare IT News (1/17) 
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Vascular ultrasound registry to include patient images
The Society for Vascular Ultrasound and other organizations are collaborating on a vascular ultrasound registry to help standardize vascular information related to treatment. The registry, which will supplement existing registries, will include actual patients' ultrasound images to facilitate future machine learning and analysis.
Health Data Management (free registration) (1/16) 
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Advancing Care with IT
Study: Template, best practice guidelines improve clinical notes
Medical residents who received education and an electronic progress note template that included best practice guidelines wrote shorter, higher-quality clinical notes and completed them more quickly, a study in the Journal of Hospital Medicine found. The template had an inpatient checklist for patient concerns, quality measures and discharge planning, and it encouraged residents to enter only relevant information and limit the use of efficiency tools such as copying-forward and autofill.
Becker's Hospital Review (1/18) 
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EHR data can help track unnecessary testing, study says
Analyzing EHR data can show the prevalence of low-value medical testing and identify the causes of unnecessary tests, according to a study in the American Journal of Managed Care based on 13 measures identified by the Choosing Wisely campaign. Researchers said EHR data combined with manual chart review and administrative claims can help find low-value testing overuse and identify risk factors.
EHR Intelligence (1/19) 
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Report: Caregivers rate usability of new technology, devices
An AARP report on new technology and devices to help caregivers tracked results of three studies involving a smartphone-based care coordination platform, a personal emergency response system and home care aide hiring tools. The hiring services and PERS got good reviews from caregivers, but most said the care coordination platform did not meet their needs.
MedCity News (1/16) 
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Smartphone-based mHealth may increase minority engagement
Two studies in the American Journal of Managed Care suggest that health care providers use mobile health linked to smartphones to increase engagement of minority populations. Researchers said that while minorities have lower access to health care resources, those who use patient portals or personal health records are gaining access through a mobile phone instead of a tablet or personal computer.
mHealth Intelligence (1/18) 
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Government and Regulatory
CMS to use health IT innovation to reduce administrative burdens
CMS Administrator Seema Verma said the agency will make health IT innovation and regulatory relief related to documentation a priority this year. As part of the Patients Over Paperwork initiative, Verma said the agency will seek to modernize Medicare and Medicaid through innovative health IT.
EHR Intelligence (1/18) 
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Courses & designations — Discover the AHIP Advantage
AHIP offers 40+ online courses and 15 professional designations. Show your company you're committed to excellence and serious about success by pursuing professional education with top-notch courses. Enroll today.
Health Insurance Exchanges
MNsure hits record exchange enrollment
MNsure, Minnesota's health insurance exchange, enrolled over 116,000 people in private plans this year, a record attained with a two-week shorter sign-up period. MNsure CEO Allison O'Toole credited the achievement to the flexibility Minnesota and other states have in operating exchanges.
The Associated Press (1/18) 
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Health Insurance Plan Company News
Solution Provider News
Master the methods of detecting fraud
AHIP offers an Anti-Fraud designation program that focuses on the investigative methods of detecting fraud and the many areas in which fraud occurs. Understand anti-fraud strategies and discover ways to detect fraud in a range of insurance products. Start earning your Health Care Anti-Fraud Associate (HCAFA) designation. Enroll at no cost in this targeted program today
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Featured Resources: AO Recent White Papers
Learn about a myriad health care topics through recent AO white papers from AO members, including NovuHealth!
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