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Briefs

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An Issue Brief on Leveraging Data & Analytics to Detect Fraud & Abuse in Healthcare

October 08, 2015

In its July 2013 meeting, the National Council on Data and Analytics discussed how data and analytics can support the detection and prevention of fraud and abuse in healthcare. This issue brief outlines how data and analytical methods can be leveraged to minimize fraud and abuse for payers, providers, and other healthcare stakeholders.

What to Expect From Your HIE

October 08, 2015

Health information exchange (HIE) holds the potential to radically transform care by ensuring that accurate and up-to-date information is available to providers at the point of care. However, for reasons of expense, culture, or competition, some healthcare providers have been reluctant to integrate or adopt health IT systems capable of robust electronic data exchange. This paper describes the characteristics of successful enterprise HIE implementations and presents ten reasons why providers should participate in data exchange. Sponsored by RelayHealth.

Improving Quality and Reducing Costs in a Medicare Shared Savings Program and ACO Environment

Today, many healthcare organizations are in the process of transitioning from a fragmented, volume-based fee-for-service model towards a coordinated, integrated, and value-based paradigm that strongly emphasizes the quality, safety, and efficiency of patient-centered care. This white paper will explore how health information exchange is essential to supporting efforts to improve quality of care and reduce costs.

Data Access and Use: Addressing Privacy and Security Challenges to Move Information Across the Healthcare Ecosystem

October 08, 2015

On June 25th, twenty-one representatives of the payer, provider, and pharmaceutical industries as well as four representatives of federal regulatory agencies came together in Washington, DC for the fourth meeting of the eHealth Initiative (eHI) Executive Advisory Board on Privacy and Security.

FHIR Ignites Healthcare Sharing

October 08, 2015

The delivery of quality healthcare in the modern world is absolutely dependent on the availability of quality information. This is true whether the information comes directly from a clinician, a care coordinator or through an anonymized population analysis. The new HL7® standard, Fast Healthcare Interoperability Resources (FHIR® pronounced “fire”), is attracting enormous interest from the wider healthcare community at a pace unmatched by any previous standard. This paper examines the drivers behind FHIR, gives an overview of what it is, describes how it will benefit healthcare information exchange and provides a prediction on where FHIR is heading.

Cal INDEX – A New Model for Collaboration

October 08, 2015
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Many healthcare organizations are beginning to recognize that high quality, cost effective care cannot occur within the competitive siloes that have long dominated the industry. Instead, these innovative organizations are working to develop unique partnerships that seek to leverage the combined power of data from different sources to improve patient care. One such organization is Cal INDEX, a large, integrated data exchange in California formed by competing payers. This paper describes the Cal INDEX’s technology platform and the collaboration between competitors that made it possible.

Policy Workgroup: Preparing for a New Market: Health IT’s Role in the New Health Insurance Exchange Marketplace

October 07, 2013

This Policy Workgroup focuses on the recent launch of the Health Insurance Exchange (HIX) Marketplace and its impact on Health IT, the success of which will depend on Health IT systems to set up an exchange, accurately gather data from multiple sources, and seamlessly carry out exchange functions, including eligibility, plan selection, and enrollment