Moving our healthcare system into the digital age, better outcomes, controlling and reducing costs, and patient access to their health data. Our monthly HIE rundown includes updates on industry interoperability news, TEFCA, HIE networks, job openings and vendor contracts.

NOW on-demand, Value-Based Care Insights host Daniel J. Marino discusses the stages of CIN maturity, from launching the network to optimizing operations and scaling for growth. He explores how organizations can define a strong value proposition, strengthen care management and utilization management capabilities, improve network integrity, and position the CIN for long-term high performance.

By Frank Forte – A CFO in a large Midwest health system had what looked like an easy call to make. Consolidate the organization’s complex claims into a single generalist revenue cycle management (RCM) platform and save roughly $400,000. The added benefit was fewer vendors to manage.

By Ramkumar Pichandi – Healthcare has automated a growing number of administrative actions, but we have been less disciplined about defining when the underlying work is actually finished. An eligibility response arrives. An authorization request is sent. A claim passes a pre-submission check. Each event can be recorded as successful even when the account still carries an unresolved issue.