healthaxis

Clampdown on network directories fueling online solutions

HealthcareDive Feature
“Providers are struggling to keep up with requests to verify network directory data as health plans comply with increasing mandates. Concerned about widespread inaccuracies in network directories for health plans, lawmakers across the country are seeking stricter data collection requirements. A mix of new state and federal regulations require payers to provide consumers with up-to-date network directories of available healthcare professionals.” Read the full article.
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Healthcare executives on overcoming the barriers to payer-provider data exchange

FierceHealthcare Exclusive
“The holy grail of data-sharing is integrated clinical and claims data. But there are plenty of barriers, from cost to interoperability challenges to lingering distrust between payers and providers. But when we gathered a group of more than 20 executives to discuss payer-provider collaboration, they all agreed that health information technology and data play an integral role.” Read the full article.
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OIG plans to investigate $15 billion in meaningful use payments

Healthcare IT News on Meaningful Use Payments
“The Department of Health and Human Services Office of Inspector General will review the accuracy of $14.6 billion in meaningful use payments made to hospitals by Medicare between 2011 and 2016. Earlier this year, the OIG estimated physicians were wrongfully paid $729 million under meaningful use.” Read the full article.
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Guides Help Employers Decide on Accountable Care Organization Use

Value-Based Care News
“ACOs have the potential to deliver lower-cost, higher-quality and more consumer-focused health care. However, with over 900 ACOs in the marketplace, and most varying in size, provider-mix, leadership structure, quality measures, performance and other characteristics, employers have many questions about how ACOs deliver value better than the network models they offer today. That’s one of the main reasons we developed these resources.” Read the full article.
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