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Three Key Benefits of HEDIS Score Optimization for Payers

The Healthcare Effectiveness Data and Information Set (HEDIS) was created by the National Committee for Quality Assurance (NCQA) to measure the quality and performance of health plans. The implications of HEDIS scores reverberate throughout quality evaluation, reimbursement, and incentives, as well as plan enrollment and patient satisfaction. When HEDIS scores are optimized payers can expect […]

Integrating Health Information Exchange & Claims/Billing Data to

RAJ LAKHANPAL, MD, FACEP CEO, SPECTRAMEDIX   Our personal information accumulates in nanoseconds. Data is gathered by banks, credit cards, smart devices, healthcare systems. Taken together it’s big data. From where we stop for our morning coffee, to whether we follow our PCP’s directives. Big data can be individualized to determine discrete behavior or analyzed […]

2019 MIPS Final Rule: Changes the Player & The Playing Field

In November, 2018, CMS released the final rule in its Quality Payment Program for the Merit-based Incentive Payment System (MIPS) program.  With each passing year, CMS pulls providers uphill toward ever-greater risk, with less guarantee of reward. For calendar year 2019, eligible clinicians have been added, points and percentages changed.  It’s part of the Affordable Care Act that is unlikely to go away soon.

Wide Variety of Data Helps Provider Boost Care for Needy

SIPPS is relying on a data aggregation platform from SpectraMedix, which enables near real-time collection of data from electronic health records and a variety of other sources, such as health centers and emergency medical service systems.