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A Vision for Changing the Status Quo

Amitech Solutions

Welcome to the latest #DataRX Report, a weekly digest of interesting news and trending topics in the healthcare industry. Every Friday we're pulling together the best articles and insights to keep payors and providers informed, engaged and up to date on the headlines that are impacting the industry.  

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A Vision for Upending the Siloed Status Quo
To fix the health problems our nation is currently facing we must work together and build cross-sector partnerships. A comprehensive community wellness vision will help jump-start partnerships, but health policymakers, purchasers, and payers should also recognize the need to help finance cross-sector collaborative models and remove barriers in current payment models that prevent collaboration. Find out more here.

Prescription for Payors

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How have healthcare prices grown in the U.S. over time?
Since 2007, healthcare prices have increased over 20%, while prices in the general economy have grown 17%. Learn more about the price breakdown by procedure and city.

 

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Ways to Make Smarter Decisions with Healthcare Business Intelligence
In the midst of an ever-changing healthcare ecosystem, business intelligence provides an adaptive edge. Find out a few ways to make smarter decisions with healthcare business intelligence that will keep you from being left behind.

 

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Every state needs a database with all health insurance claims, not just some
California is looking into developing an all-payer claims database. This database would collect health care claims from public and private payor sources which will help build price transparency tools, and better understand trends in health and the use of health care. Check out some examples about how some states are using all-payor claims databases to improve health and spend less.

Prescription for Providers

Doctor holding clipboard with file in hospital roomReduction in hospital-acquired conditions saved $2.9B over 2 years
Quality and value are becoming more important in healthcare reimbursements so hospitals and physicians are starting to see the financial connection to patient safety. The HHS is allowed to reduce payments by 1% for hospitals that rank in the worst-performing quartile for risk-adjusted HAC quality measures. Centers for Medicare and Medicaid reduced payments for 751 hospital in 2018 because of high rates, down from 769 the year before. See if those changes are expected to continue in the next few years.

 

Virtual image of human heart with cardiogram-1How Mercy is using NLP with its Epic EHR to improve analytics for cardiac care
Linguamatics’ NLP technology has helped Mercy to extract key cardiology measures and analyze them as easily as if they were discrete data sets. Being able to make better use of the information collected from provider narratives is helping Mercy gain big insights into how CRT devices can help its cardiac patients. Read the whole story here.
Businessman hand working with a Cloud Computing diagram on the new computer interface as concept-1The 3 things you need most for a successful telehealth program
Physician buy-in is one of the three things you need most for a successful telehealth initiatives. Find out the other two here.