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The Financial Impact of Population Health Analytics in the Shift to Value-Based Models

Did you know that poor compliance with care management guidelines costs our U.S. health care system an estimated $290 billion a year?1 While we all understand that improving outcomes is the primary driver behind the move to value-based reimbursement models, the same systems that drive these initiatives also have a significant impact on financial outcomes.

At their core, data-driven care management systems for high-risk populations include three key factors:

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July 28, 2015

Successful HIEs DO Exist: Best Practices for Care Coordination

Thank you to everyone who joined us yesterday for the HISTalk and CliniSync webinar, Successful HIEs DO Exist: Best Practices for Care Coordination. If you weren’t able to join, we invite you to watch the recording

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June 10, 2015

ICD-10: Are we there yet?

According to a February 2015 ICD-10 readiness survey by the Workgroup for Electronic Data Interchange (WEDI), there is still a lot of work to be done to meet the October 1, 2015 ICD-10 compliance deadline. The organization reported its findings in a letter to the Department of Health and Human Services dated March 31, 2015.1

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May 26, 2015

Medicity to Showcase New Solutions at HIMSS15

What's all the buzz likely to be about at HIMSS15? Why it's population health, of course! Even as it's being yelled from every booth top, it can be hard to cut through the noise to find the information you need for your specific organization. The question is where to begin.

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April 2, 2015

Medicity is now part of the Accredited DirectTrust Bundle

Medicity is pleased to announce that it is now part of the DirectTrust bundle. To be included in the Accredited Trust Anchor Bundle signifies that Medicity and associated Certificate Authorities(CA)/Registration Authorities(RA) have met or exceeded the rigorous and widely recognized industry “gold standard” for controls for privacy, security, and trust in identity established by DirectTrust’s policies and assessed and audited by the Electronic Healthcare Network Accreditation Commission (EHNAC)* Medicity is among the first 12 fully accredited trust bundle at this time.

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February 25, 2015

HL7 Conference Showcases FHIR as the "Next Big Thing" in Healthcare

Medicity is pleased to have participated in the recent HL7 workgroup in San Antonio. The focus of the meeting was FHIR, which some tout as being the “next big thing” in healthcare. In what seems to have been an overnight paradigm shift in Healthcare interoperability, HL7 FHIR has created a name for itself among the clinical and payor markets. It basically takes a fresh look at what healthcare IT interoperability would look like today if we started from scratch, leveraging “lessons learned” from HL7 v2, v3, and REST technologies.

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February 5, 2015

A Pop Quiz for CFOs: How Well Do You Know Your Clinical Leaders?

It’s probably no surprise to any healthcare CFO that building high-quality relationships with clinical leaders improves care coordination and efficiency. All effective management teams are built on solid relationships and a unified culture. In healthcare, finance leaders need to be in step with clinical leaders, just as finance leaders are with key operational leaders in other industries. In manufacturing, for example, business operations are inexorably fused with the financials of the business.

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January 6, 2015

Data, Data Everywhere, and not a Drop of Information

Accessing the right clinical information at the point of care truly changes everything. Here’s a real-world example: An elderly patient came in for glaucoma surgery. During the pre-op exam, the care team detected a cardiac issue. Normally, the surgeon would have cancelled the surgery and written a referral to have the cardiac problem checked. The elderly patient, now worried about a heart problem, would have been shipped off to see the specialist.

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December 8, 2014

Population Health is a Team Effort: Aligning People and Processes with New Technology

When you’re implementing a new data analytics or population health platform it can be tempting to move quickly, get the technology in place and unveil it to your organization once it’s already up and running. This approach is efficient – but is it effective? New technology brings major clinical, operational and financial changes to your organization’s people and processes, and it’s not uncommon for adoption rates to suffer when a rushed implementation overlooks functionality gaps, or a rollout plan doesn’t take into account clinician needs.

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November 4, 2014

3 Keys to Launching a Successful Population Health System

While many health care organizations may be anxious to rush a new system roll out, clinicians can quickly lose faith in a system that has not been properly tested or integrated with existing workflows. Quality assurance testing, realistic benchmarks and a thorough training plan can make a huge difference in the adoption and functionality of any new health care technology. Below are three keys I identified to help ensure a smooth roll out. For my entire article, visit the hfm blog.

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October 2, 2014

The Health IT Hurdle - How ACOs Can Solve Problems with the Technology They Aren’t Using

Accountable Care Organizations (ACOs) have come a long way in recent years, and their growth is exploding – earlier this year, Oliver Wyman reported that a majority of Americans now have access to accountable care. ACOs are everywhere - but are they working?

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September 4, 2014

Medicity Deployment Engineer Recognized by HISTalk

Riton Khan, a HISP/iNexx deployment engineer for Medicity, A Healthagen Business, was the recent recipient of the HISTalk Beacon of Selfless Service (BOSS) Award. Riton embodies the Medicity culture – combining innovation and pragmatism to solve problems.

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August 15, 2014

11 Tips to Billing Transitional Care Management CPT Codes

Questions still swirl around billing appropriately for transitional care management (TCM) codes 99495 and 99496. The first code covers communication with a patient or caregiver within 2 business days after discharge and involves medical decision-making of at least moderate complexity. Communication can be via phone, email, text or in person and a face-to-face visit must be completed within 14 days of discharge. The latter code involves a face-to-face visit within 7 days of discharge and requires highly complex medical decision-making.

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July 31, 2014

eHealth Exchange: A Network Experience

Value-based care models and population health cannot be reached without the foundational component of creating a secure network with trusted parties and organizations throughout the health care ecosystem. Healtheway’s eHealth Exchange is a step forward in standardizing query-based exchange and creating a network for trusted secure interchange.

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July 9, 2014

HHS Releases FDAISA Report

HHS released a draft report in April on oversight of health IT, with a proposed strategy and recommendations. The report’s “triple aim” is to promote innovation, safeguard patients and decrease regulatory overlap with a limited approach.

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June 18, 2014

VITL Study: Patients See Benefits of HIT

We know health data exchange is important to transforming care delivery but what does it mean to your patients? Medicity partner Vermont Information Technology Leaders (VITL) sought to find out. They did, and the results were overwhelmingly in favor of health care IT.

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June 4, 2014

5 Trends from eHI’s National Forum

Here are five key trends from the eHealth Initiative’s 2014 National Forum — from critical considerations for the future of our industry to tips on turning data into actionable insight.

Much-needed paradigm shift.

The health care industry needs to view technology as complementary rather than a driver. The goal: laser focus on patient care and how technology supports and advances it rather than technology on its own.

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May 27, 2014

DirectTrust Expands 2000%

Medicity HISP part of momentum in secure data exchange

Health information services providers (HISPs) now serve more than 5,000 health care organizations with nearly 200,000 individual Direct accounts and addresses across the United States. DirectTrust has expanded to 26 HISPs, including Medicity’s HISP solution.

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May 7, 2014

News from DirectTrust, ONC

The cooperative agreement between DirectTrust and the ONC has been renewed for a second year. The renewal signals that DirectTrust exceeded the goals of the ONC’s Exemplar HIE Governance Program and will help facilitate coordination and alignment with ONC on the scalability of HISP to HISP connectivity.

DirectTrust sets policies and standards for secure health information exchange and operates a voluntary accreditation program for Health Information Services Providers (HISPs) in partnership with the Electronic Healthcare Network Accreditation Commission (EHNAC).

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April 14, 2014

Recent Research Shows Event Notifications Deliver

There’s not much literature yet on the effects of today’s healthcare models or technology. One area that’s getting some banter, and has recently shown real merit, is event notifications. We know admissions, discharges and transfers are critical periods to manage. We know readmissions cost facilities and patients alike, both monetarily and non-monetarily. Now evidence is showing that event-based notifications help cut costs, improve care and allow for proactive management when patients are at their most vulnerable.

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March 26, 2014

Ready to Select a HISP Service?

Here are five questions you can, and should, pose in selecting a HISP.

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March 20, 2014 | 2 comment(s)

The New Healthcare Model: Shifting to the Individual

Sometimes to create something new, you must destroy the old. This was the theme of Aetna CEO Mark Bertolini’s keynote speech at HIMSS14 – revamping the healthcare industry. The charge for the new system of healthcare, according to Bertolini: “a more productive individual, who is economically viable, and is satisfied or happy.”

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March 11, 2014

eHI 2013 Summit Wrap-up

The eHealth Initiative’s (eHI) 2013 Health Data Exchange & Interoperability Summit recently came to a close on October 31st in Washington, D.C. There were over 300 participants in attendance including key attendees from state HIEs, enterprise HIEs, federal policy makers, federal health entities, HIE and EHR vendors, healthcare bloggers and healthcare IT consultants.

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November 15, 2013

A New Value-Based Experiment

Not long ago a “new” initiative swept into the HIT industry called “Health Information Exchange.” To many of us, it was simply a new label to an old (and failed) concept called CHIN’s.

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June 5, 2013

Aetna Appoints Nancy Ham Chief Executive Officer of Medicity

SALT LAKE CITY, Feb. 14, 2013 – Aetna (NYSE: AET) today announced the appointment of Nancy Ham to chief executive officer of Medicity. Medicity, an Aetna subsidiary, is the nation’s leading provider of health information exchange technology solutions for hospitals, physicians and health information exchanges (HIEs).

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February 14, 2013

Value-based Care and the Evolution of HIE 2.0

“The pursuit of population health and value-based care is reviving the business case for organizations to join health information exchanges. Now more than ever providers need accurate and complete patient data to effectively manage chronic care populations and attain incentive payments; this means healthcare organizations must have the ability to capture their own data as well as that of their affiliates and competitors. Health information exchanges just became an essential for providers looking to succeed in the fee-for-value era.”

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January 10, 2013

New HealthLeaders Media survey identifies the state of cost control in hospitals, health systems and physician organizations

Nearly 30% of the nation’s healthcare expenditures go toward “unnecessary healthcare services, inefficiencies, and excessive administrative costs.” 1 When you consider that those expenditures reach into the billions of dollars, it’s easy to see why controlling cost is so important, not just to our industry but for our nation’s economy as well. Of course, the ultimate beneficiary is the patient. Less money spent on waste means more resources that can be focused on improving patient care, which results in better outcomes and a healthier population overall.

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June 22, 2015

Lincoln Land Health Information Exchange Helps Providers Improve Collaboration and Efficiency with Timely Access to Patient Information

While many providers now use electronic health records (EHRs) as a part of health care reform, communication is still largely paper-based. Many still rely on paper-based orders, test results, referrals and care transitions. As a result, staff members spend much of their day on time-consuming faxes, paperwork and calls. These tasks reduce productivity. They also often lead to delays, miscommunication and low patient and doctor satisfaction.

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June 4, 2015

Medicity Receives Second Healtheway Vendor Validation

Medicity is pleased to announce that it has now successfully passed all testing for the Healtheway Vendor Validation for Medicity Network 5.6x. In June, 2014, Medicity Network v7 became the first product ever to be deemed eHealth Exchange validated. 

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April 21, 2015

The Challenges and Benefits of Interoperability

It’s a fact that only 40 percent of hospitals1 and 14 percent of doctors2 share data outside their organizations. With collaboration being at the heart of population health, one must question why these numbers are so low.

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March 13, 2015

A Year In Review

Medicity is proud of its many accomplishments in 2014. We are even more proud of the positive impact we were able to have on our clients’ growth and success, and we appreciate their ongoing trust in Medicity and our solutions. The info-graphic below highlights just a few of the great examples of growth.

Here is just a snapshot of Medicity’s 2014 accomplishments:

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February 12, 2015

The 10-Year Interoperability Roadmap: How Do We Get There From Here?

As the sponsor of the recent webinar, “The 10-Year Interoperability Roadmap in a Post Meaningful Use Era,” Medicity was pleased to bring together five of the industry’s brightest minds to talk about the future of health information exchange. In the kickoff of the panel we learned, “There are significant challenges to interoperability that are hamstringing our efforts at health reform,” said Brian Ahier, director of standards and government affairs at Medicity.

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January 21, 2015

Navigating the ONC’s 10-Year Vision Report

The Office of the National Coordinator (ONC) has released a 10-year vision report for leveraging health IT to enable quality improvement in healthcare. The 10-year quality improvement report is meant to complement the 10-year roadmap for achieving an interoperable health IT infrastructure. We are currently working on the HIT Policy Committee's Interoperability and HIE Workgroup.

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December 17, 2014

Interoperability, MU and What Lies Beyond: Is the Future of Health Data Exchange on “FHIR”?

We were very pleased to sponsor an exciting webinar titled “Is the Future of Health Data Exchange on ‘FHIR’?” (pronounced “Fire”) on Friday, November 14, 2014. Moderated by Brian Ahier, Director of Standards and Government Affairs for Medicity, the webinar was extremely well attended with more than 1,100 people registering. The webinar featured an all-star lineup of health care industry experts including Dr.

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November 19, 2014

Four Key Findings for Health Data Exchange

This month we were proud to sponsor a webinar with the eHealth Initiative, where five experts from the health IT world sat down to discuss the outcomes of the 2014 Survey on Health Data Exchange. Three of the panelists from Intermountain Healthcare, Delaware Health Information Network and BayCare Health System are Medicity clients and they reacted to data from 125 health care organizations, including 74 community-based HIOs and 25 statewide efforts.

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October 15, 2014

How Corporate Culture Can Help Health Care from the Inside Out

In this pivotal time of industry changes, health care organizations need to keep their culture front and center while focusing on patient satisfaction, teamwork, quality, and efficiency. Crafting and maintaining the right corporate culture makes a healthcare organization more attractive to the people it needs to grow business.

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September 9, 2014

CMS Issues Final Rule on Timelines and "Flexibility" in Certified EHR Technology for 2014

CMS and ONC issued a final rule under which providers in the Medicare and Medicaid EHR Incentive Program can meet Meaningful Use (MU) in 2014 using 2011 or 2014 Edition certified EHR technology (CEHRT), or a combination, with flexibility to attest to either Stage 1 or 2 objectives and measures if they faced delays in 2014 Edition CEHRs’ availability.

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September 2, 2014

Will LTPAC Facilities Catch Up to the Technology Curve?

While other systems in the health care ecosystem are coming together to exchange data, long-term and post-acute care (LTPAC) organizations have generally been absent in HIE adoption/participation. Many LTPAC facilities rely on rudimentary systems and little EHR use – partly due to no financial incentives (for example, Medicaid and Medicare EHR incentive programs). There are growing demands that may switch the stage for LTPACs and technology, including the Meaningful Use Stage 2 requirement to transmit care summaries during transitions.

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August 14, 2014

The Need for Notifications

Do you need notifications?

A recent study by the Agency for Healthcare Research and Quality show real-time event-based notifications deliver. And the need for timely follow-up, improved care transitions and coordination, and reduced readmissions is just as real – it’s mandated. Your reimbursement and care delivery depend on it. The need for notifications is huge.

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July 22, 2014

Do You Know When Your Patient Gets Admitted?

Why you need notifications

Providers are still often in the dark when patients get admitted or discharged. MU Stage 3 proposes requiring providers receive alerts upon significant care events. But it’s not happening in any meaningful way.

The fact is – it needs to. In the age of data overload, more data is not a priority in and of itself. Rather, targeted data, actionable data is what your staff want. Notifications upon care events are the type of data that should flow for effective change to be made.

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June 26, 2014

New Exchange Model Needed to Drive Value-Based Care

The old-school HIE model is changing face, and it must do it quickly.

To make waves in the ACO/population health realm, the traditional HIE structure of bricks and mortar must transform to realize the value-based world. In a recent report, Chilmark Research details the HIE model for today.

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June 12, 2014

Medicity Client CHRISTUS Wins with Data Exchange

Amidst the obstacles health care organizations face, there are vital success stories. Long-time client CHRISTUS Health has hit the mark with Medicity technology, connecting to both enterprise and regional organizations for data health exchange to bridge information gaps that compromise care.

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May 29, 2014

Impact of HIE on Emergency Department Utilization and Services

Industry research demonstrates the impact of HIE technologies on emergency department utilization and optimization of care.

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May 19, 2014

Future of Network-Enabled Population Health

Although some are lamenting the death of HIE, there are more indications now than ever before that it is alive and well. Flourishing it seems. Recent movements dedicated to integrated networks including Carequality – a collaborative aimed at creating a standardized framework for interoperability – and the surge in recognition of the importance of Direct secure messaging emphasize the future of interoperable networks is intact and will grow despite receding federal funding.

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April 24, 2014

Are You Ready to Implement ADT Notifications?

Last week we discussed the benefits of using ADT alerts, particularly around cost savings, network retention and improved care. But is your organization ready to implement notifications? In its learning guide, the Beacon Community Program offered some valuable checklists to gauge readiness.

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April 2, 2014

More Innovation, More Patents for Medicity

If you’re in health IT, your work is never done. Continuous innovation is critical. Medicity was issued two patents on Feb. 25, furthering not only our intellectual property holdings but our standing as a leader in enabling population health management with state-of-the-art technology.

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March 24, 2014

Brian Ahier Joins Medicity as Director of Standards and Government Affairs

Medicity is pleased to announce the addition of Brian Ahier as Director of Standards and Government Affairs. Ahier will articulate strategy and direction for the company’s data exchange and workflow solutions, advise Medicity clients on compliance with upcoming regulations and provide leadership in the standards and health policy communities.

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March 12, 2014 | 1 comment(s)

Medicity's Client Organizations Representing at HIMSS14

Medicity is pleased to have many of our respected client organization representatives presenting educational sessions at this year’s HIMSS14 Annual Conference & Exhibition. With over two-dozen Medicity personnel scheduled to attend the event in Orlando, we look forward to attending many of these fantastic educational opportunities.

Sunday, February 23, 2014

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February 10, 2014

Study Shows: Health Information Exchange Saves Money & Improves Quality of Patient Care in Emergency Care

Emergency physicians face a daunting task of having to improve the quality of patient care and reduce their health care costs in parallel. Key to the success of accomplishing both these tasks is to have health data readily available to these physicians so they can make the appropriate referrals and health care decisions.

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October 17, 2013

Medicity 2012 Accomplishments

Thank you, again, for your continued support and enthusiasm for our business.

At Medicity, we’ve accomplished exciting things over the past 12 months – things that will help our clients thrive in today’s healthcare environment.

Here are some highlights of what we’ve achieved over the last 12 months:

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February 27, 2013

HIMSS – a Conference & Experience to Remember

 

Over the past four years I’ve (Scott Holbrook) had the opportunity to serve on the HIMSS National Board with many marvelously committed and talented people. It has been an amazing experience to see all the volunteers’ commitment to making the healthcare industry better. HIMSS today has more than 52,000 individual members and over 3,000 volunteers. Each volunteer sacrifices personal and professional time to make our industry better.

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January 24, 2013