Paul Neutz

Last week, the U.S. Department of Health and Human Services (HHS) released a proposed rule aimed at improving health information sharing and interoperability, including criteria to support the Centers for Medicare & Medicaid Services' January 2024 Interoperability and Prior Authorization final rule. The HTI-2 rule sets new certification criteria for health IT, boosting public health response and advancing value-based care. This is a step forward in making prior auths more efficient and patient centered. Learn more here: https://hubs.la/Q02GCYD10

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Use patient segmentation to identify highest predicted utilization and risk for Medicaid. Discover how Humana Health Informatics applies the #HopkinsACG® System for recommended actions: https://lnkd.in/eM-TGiSq #ssnchealth #HopkinsACG #Medicaid #patientcare #valuebasedcare

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Jonathan Shannon just authored an article in Medical Economics about how disparities in provider density can impact care accessibility. Read the article, https://splr.io/6041lRlBZ, to learn more about the importance of reliable and regularly-updated provider contact and license data. #healthcaredata #providerdensity

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The Office of the National Coordinator for #HealthIT is offering new money for innovations around AI data quality and technology adoption for behavioral health. The agency says it's most interested in new approaches that can "further a new generation of health IT tools and inform the development, implementation, and refinement of health IT standards, methods, and techniques towards enabling widespread adoption of health IT tools to improve health outcomes." Learn more: https://ow.ly/t2sP50RHr88

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Discover how leveraging data can lead to the ultimate success of #CalAIM and drive a positive impact on health equity in the latest ITUP Issue Brief! https://lnkd.in/g6Nh6Pg5.

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The Centers for Medicare and Medicaid Innovation (CMMI) Director Liz Fowler testified before the House Committee on Energy and Commerce Health Subcommittee on CMMI’s work to advance value-based care. CMMI has seen success over the last decade, improving patient health and generating millions in savings. Members of the Alliance for Value-Based Patient Care shared recommendations to further strengthen CMMI and support long-term healthcare transformation, including: ➡️Creating new models to engage more medical specialties ➡️Making it easier for safety net, rural, and small practices to transition to value ➡️Broadening and clearly defining the criteria to expand value-based models ➡️Engaging diverse healthcare stakeholders in model development Read the full letter: https://bit.ly/45n0PZX #ValueBasedCare #CMMI #HealthcareInnovation

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#Policy #Value-based Care California sets health care spending targets joining other States in setting cost targets and States such as Maryland & Vermont who recently applied to the AHEAD model for managing quality and cost across all payers.

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From modernizing codesets and #USCDI v4, to ePrior Auth and bulk #FHIR data, the #HTI-2 rule builds on #ONC’s prior efforts to improve processes across #payer, #provider, #publichealth, and more. While the use cases are wide ranging, the entire industry benefits from improved #quality and access to #healthdata. Great news for Tenasol, as we process #clinicaldata of all shapes and sizes, so we are excited to see ONC’s continued efforts to raise the bar for #healthIT and #interoperability.

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Navigating value-based care (VBC) requires #healthcare organizations to address reimbursement models, clinical workflows, and #data analytics. From bundling payments to adapting to managed #Medicaid, the journey towards VBC is complex but promising. Key practices include: -Developing programmatic #ClinicalModels -Highlighting unique service offerings -Adapting #workflows and measuring outcomes -Prioritizing robust analytic strategies Innovative reimbursement initiatives are emerging, catering to specialized providers like healthcare at home and #BehavioralHealth services. Simplifying management and reporting efforts can encourage widespread adoption of VBC, driving improved patient care and financial sustainability. "The Road to the Value-Based Care Promised Land" By Paul Barnes Janie Tremlett Kim Williams CWH Advisors 📰 Read the article: https://lnkd.in/eyJ3xex8

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Check out our recently published article in Behavioral Health News. Authors Paul Barnes, Janie Tremlett, and Kim Williams highlight critical practices needed for implementing a #valuebasedcare program. #VBC #DataAnalytics #Technology #Reimbursement #ClinicalModel #Medicaid

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Attending the 2024 Tri-State Health Information Summit? Don’t miss AGS Health's VP of Coding, Leigh Poland, presenting on "Coding and Documentation Accuracy in Mortality Cases." The session will analyze common coding errors and documentation gaps from mortality audits, explore case studies, and discuss how coding and CDI impact APR-DRG and SOI/ROM. Gain valuable insights into coding and query issues and understand top procedure coding errors. Don’t miss this essential session! https://hubs.la/Q02P7vgV0

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💡Part 3 of Steve Gravely and Gravely Group's ongoing #HTI2ProposedRule series delving into the Proposed Rule for Health Data, Technology, and Interoperability: Patient Engagement, Information Sharing, and Public Health Interoperability. Follow along for the full breakdown! 📢 _______________________________________________________________ Office of the National Coordinator for Health Information Technology (ONC) said on July 10 that HTI-2 builds on the work of HTI-1 and #TEFCA to continue the march towards full interoperability. 🎙️Micky Tripathi, National Coordinator at ONC, said that HTI-2 will “expand the horizons and the capability of interoperability”. Here are some highlights of key parts of HTI-2 that do NOT deal with #InformationBlocking. 1.      Certification of Public Health IT systems- ONC will begin to certify public health-specific IT systems and products to improve the interoperability between healthcare providers that are using certified EHR products and “native” systems developed by, and for, public health agencies. ONC says a primary goal of this certification is to establish a baseline for functionality of public health IT systems.    2.      FHIR APIs- ONC states that 97% of hospitals and 80% of ambulatory providers have access to FHIR APIs but usage is frustrated by the inability to discover the APIs and to automatically connect to them. ONC intends to require certified EHRs to support dynamic client registration as used in TEFCA. 🎙️Steve Gravely says, "eHealth Exchange expressed significant concerns with the TEFCA requirement of the UDAP dynamic registration standard, so we should take a close look at the proposals in HTI-2 and consider submitting comments on them." 3.      USCDI v.4 will be required for certification effective 1-1-2028 and v.3 will be retired.

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We try to leverage technology in ways that superpower our people and help with the scalability of care. This is great advice from Froedtert Health’s Bradley Crotty MD MPH during Reuters #Digitalhealth24 conference. Here’s to superpowering teams and scaling care.

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As Medicaid redetermination poses challenges for millions of beneficiaries, plans must adapt and innovate to maintain coverage and support healthcare access. By embracing best practices and member-centered approaches, organizations can: 🔹 Mitigate disenrollment risks 🔹 Foster trust 🔹 Address social determinants of health. These strategies can help promote health equity and improve outcomes for members. Read more from Cotiviti's Leah Dewey on Oliver Wyman. https://owy.mn/3weOPMV #HealthPlans #HealthEquity

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In the #fourth topic of our series on #socialdeterminants of #care, we discuss the importance of having #access to #healthcare. We also discussed how many insured adults still feel like they have to #delay receiving care because they're worried about the #financial #burdens associated with care. This is concerning because delaying healthcare can lead to worsening health outcomes later on that are not only more complicated to manage, but are also more #expensive. How can healthcare professionals promote #preventativecare in #patients and #collaborate with #community organizations to assist patients in need of additional support? Check out the fourth part of our blog post series to learn more: Blog Post: https://bit.ly/4bjXe0r #publichealth #socialdeterminants #healthit #humancentereddesign #healthcareawareness #healthequity #communityhealth #socialservices #patientempowerment #healthpolicy #hits #healthcareaccess #healthcareinclusion #patientengagement #telemedicine #telehealth

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ICYMI, we recently shared an overview of our significant Directory Policy Update, which is set to transform how health information is managed and shared, promoting better interoperability within the healthcare community. Read more, now on the blog. https://lnkd.in/gqsF-DXd

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Choosing the best clinical communication solution is foundational in efficient and effective healthcare delivery. But how do you decide? Our “Cheat Sheet” outlines the eight must-ask questions to guide your evaluation process when looking for a CC&C solution.​ 🔎Asking the right questions will help you select a solution that meets your organization’s needs and improves patient care delivery.​ Don't miss out on these insights. Download the eBook now and elevate your clinical communication.​ 🕮 Download the eBook​: https://buff.ly/4e9dYd9​ #ClinicalCommunication #Healthtech

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