Over a decade of programs championed by the Center for Medicare and Medicaid Innovation, focusing on accountable care and bundled payments, have had some notable successes. Private value-based care arrangements, structured by health plans and state Medicaid departments have had some significant achievements.
Many facets of healthcare remain in a state of flux at the close of 2022. Verinovum’s SWAT (Strategic Workforce and Tactics) team has been closely following these trends and has made predictions about how nine of them might play out in 2023.
Competitive pressures and complex regulatory plan performance reporting requirements create an additional challenge – acquiring correct and accurate data to demonstrate the best possible value to potential members, governmental agencies, and employer purchasers.
The U.S. healthcare system’s information technology infrastructure is a house of cards when it comes to interoperability and clinical data usability. Efficiently sharing patient and member information among clinicians, practices, payers, and patients is an ongoing challenge and this house of cards often collapses due to complex interoperability and data quality issues.
In this whitepaper, we look at the value of clinical data curation and enrichment in terms of ensuring compliance with regulatory and certification requirements, negotiating value-based care contracts, and supporting healthcare’s new Quadruple Aim.
Published article in MedTech Intelligence By Mike Noshay Data is one of the most essential resources in health care. [...]
As the nation emerges from the COVID-19 pandemic, now is the time to reflect on and address the deficiencies in our healthcare system. In particular, the pandemic revealed stark truths about our healthcare information technology (HIT) systems with respect to racial and ethnic health inequities and our inability to collect and share patient data electronically between providers, payers, public health organizations, and other stakeholders.
The 21st Century Cures Act was designed to give consumers greater access to their own clinical data and further advance interoperability. Yet, while these two goals are laudable, the Act does not make it any easier to get meaningful insights from payer data. This is because so much of the growing mountain of ingested data is unusable that it must be curated and enriched before it can yield anything of value.
The US healthcare system produces some of the best health outcomes in the world, but the quality of care [...]
Sean Alexander, Principal Director, Industry Clouds at Microsoft, has been appointed to the Verinovum Board of Directors. Verinovum is a [...]