By Mark Coetzer – For decades, HEDIS has been the foundation of health plan quality measurement, shaping how organizations benchmark performance, report outcomes, and guide quality improvement across Medicaid, Medicare Advantage, and commercial populations.
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By Paula Span – He was a surgical oncologist at a hospital in a Southern city, a 78-year-old whose colleagues had begun noticing troubling behavior in the operating room. During procedures, he seemed “hesitant, not sure of how to go on to the next step without being prompted” by assistants…
By Gil Bashe – India is fast evolving from an investment market into a strategic partner where policy, digital infrastructure and scientific scale reshape the global geography of health innovation.
By Steven Lane – The U.S. Centers for Medicare & Medicaid Services unveiled plans for a new health data ecosystem, the CMS Interoperability Framework. This voluntary playbook sets expectations for health data networks, EHR developers, payers, providers, and digital health apps to exchange information using common, secure, and transparent standards…
By Stacy Pur MBA BSN RN – Despite widespread technology advances, the majority of healthcare providers still rely on manual processes and outdated platforms to exchange medical information, and imaging centers are no exception. At least 75% of patient records and referrals are still sent via fax between health systems or shared in non-digital forms, requiring…
By Andy Flanagan – Behavioral health providers are treating more patients than ever while operating in three overlapping zones of regulatory uncertainty. DEA prescribing flexibilities expire and get extended at the last minute, again. Telehealth reimbursement parity loses enforcement teeth even as virtual care becomes standard practice.
By David Ostrowsky – For some Americans, there is a natural tendency to conflate healthcare with health insurance. Perhaps on the surface, they seem one and the same, but in reality, of course, they are entirely different entities: the former involves providing services and treatment while the latter involves paying for services and treatment.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of January that we think deserve sharing again.
By Thomas Keane MD MBA & Christopher Carroll – Patients with behavioral health conditions are often dually-burdened with chronic physical health conditions. Consequently, providers caring for these patients must coordinate their care to get the best possible health outcomes.