Healthcare

Information Blocking
ONC’s proposed rule to improve the Interoperability of Electronic Health Information

The Office of the National Coordinator (ONC) for Health Information Technology has proposed a rule to put into practice the key provisions in the 21st Century Cures Act. The proposed rule breaks down the existing barriers to important data exchange needed to empower patients by giving them access to their own health care. This whitepaper talks about the scope and impact that the proposed rule aims for.

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Infusion Therapy- Revolutionize
Infusion Therapy- Revolutionize

The new rule laid down by Medicare has included Health and Safety Standards for Home Infusion Therapy and new rules and regulations to administer Infusion Therapy. A considerable amount of change has also been made in the payment system of Infusion Therapy to overcome the issues previously faced by it.

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RPM- Remote Patient Monitoring
Medicare welcomes RPM

Medicare has recently adopted a major technological change; Remote Patient Monitoring device, which is a method of healthcare delivery that uses the latest advances in information technology to gather patient data outside traditional healthcare settings.

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TEFCA- Trusted Exchange Framework and Common Agreement
TEFCA- An initiative by the US Government to streamline data exchange

The Trusted Exchange Framework and Common Agreement has been initiated by the US Government to streamline data exchange by building a network of Health Information Networks under the management of ONCHIT. The common agreement may include a common method for authenticating trusted health information network participants and a common set of rules for trusted exchange. There are a basic set of principles and terms and conditions proposed in TEFCA to mitigate the challenges faced in data exchange.

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ACA-Proposal-freshblue
Proposals in 2020 Payment Notice to reshape ACA Market

CMS is fixated on reshaping the ACA market that in its 2020 Payment Notice, they proposed a reduction to exchange user fees and potentially eliminates auto re-enrollment and “silver loading,” for which CMS is currently open for feedback.

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2019 Final Rule for Therapists
Outcome of 2019 Final Rule for Therapists

The Centers for Medicare and Medicaid Services released the Final Rule of the 2019 Medicare physician fee schedule (MPFS). It mainly includes adding physical and occupational therapists as eligible clinicians for 2019 MIPS performance year.

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Pharmacy benefit managers
Pharmacy Benefit Managers and Prescription Drugs

Pharmacy Benefit Managers (PBMs) are professionals that administer prescription drug plans for payers, employers, and CMS programs with the goal of lowering prescription drug costs, improving convenience, and ensuring patient…

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UM technology
Optimizing Utilization Management with Technology

The technological capabilities have changed the shift from volume to value-based care. The combination of value-based delivery with actionable intelligence and new care delivery models, and value-based payment with new…

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Benefits of Utilization Management
Benefits of Utilization Management

Utilization Management is an integral part of the US healthcare ecosystem used by health insurers or Pharmacy Benefit Managers (PBMs) to evaluate the appropriateness, medical necessity, and efficiency of healthcare services…

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Opioid Crisis and Technology
A sketch on Opioid Crisis and Ways to Tackle

Headlines on opioid epidemic are engrossing the United States. There are tremendous impacts of opioid overdosage across the care continuum with no single solution. Impacts of Opioid Crisis The opioid…

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