Articles by Industry Expert

Why DSM is a Failure for Referral Management

By Jeremy Guttman – Contrary to what some EHR proponents believe, DSM by itself is an unpopular and ineffective solution when it comes to true interoperability, care coordination and referral management. It has almost no practical benefit for referral management beyond what primary care practices use it for right now: getting credit for Meaningful Use stage 2.

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Reminder of Brave New Business Associate World

By Matt Fisher – Potentially lost in the week leading up to the July 4th holiday weekend, the OCR announced its latest HIPAA related breach settlement. The settlement is one of the first directed at a business associate and serves as a pointed reminder that business associates may be directly liable for the breaches that they may cause.




At This Medical School, Students Mix Science And Health Policy

By Julie Rovner – Medical students cram a lot of basic science and medicine into their first two years of training. But most learn next to nothing about the intricacies of the health care system they are soon to enter. That’s something the medical school at George Washington University in Washington, D.C., is trying to remedy.



The Pain, Confusion, and Costs of Prior Authorization

By Deanne Kasim – With the increase in specialty drugs, innovative diagnostic testing, and precision medicine, it is expected that the use of the Prior Authorization will only increase with health insurance companies. Of course I have heard from many re: the (theoretical) fact that as the use of value-based provider reimbursement matures, there will be less and less need for a PA process.


How Do We Level the HIT Playing Field?

By Roger Davis – “We are deadly serious about interoperability.” – Andy Slavitt, Acting Administrator of the CMS at the J. P. Morgan Healthcare Conference in San Francisco in January 2016. For those of us in the healthcare vendor community, that defining statement sets the tone for the future interaction between organizations.