Health Language Blog

The Strategic Role of Health Plans and Providers in the Opioid Battle

Posted on 01/29/20 | Comments

Is your organization equipped with the right code sets?

The opioid crisis remains a critical public health issue. Every day more than 130 die from overdosing on opioids, and current industry estimates suggest that the total economic burden related to misuse alone in the United States is $78.5 billion a year, including the costs of healthcare, lost productivity, addiction treatment, and criminal justice involvement.

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Topics: value sets, MIPS, CMS, quality measure reporting, HEDIS, opioid epidemic, opioid crisis, PQA Quality Measures

Webinar Recap: Investing for the Future:  The ONC and CMS Proposed Rules on Interoperability

Posted on 10/21/19 | Comments

The proposed rules on interoperability released earlier this year by the Office of the National Coordinator (ONC) and Centers for Medicare & Medicaid Services (CMS) have generated a lot of industry chatter. More than 1,000 organizations submitted comments addressing the draft rules, which many believe are very ambitious in scope. While the two regulatory bodies have much to consider, one thing is certain: the final rules will create a new paradigm for health data management and governance in today’s healthcare organizations that is intended to improve interoperability and empower patients.

A recent webinar hosted by Health Data ManagementInvesting for the Future: The ONC & CMS Proposed Rules on Interoperability—explored the critical elements in the proposed rule and how they could impact payers, providers, and health IT vendors. Mark Fuchs, director of market research for Wolters Kluwer Health Language Solutions and Bob Hussey, founder and principal of RGH Health Consulting, LLC, reflected on the industry’s goals in advancing access to data and interoperability and the steps payers and providers can take to prepare and invest in their data today.

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Topics: medical data, semantic interoperability, interoperability, CMS, government, ONC, quality measure reporting, data blocking, proposed rules

Meaningful Analytics: Improving Data Integration and Quality by Leveraging the HIE Webinar Recap

Posted on 11/29/16 | Comments

Healthcare organizations must achieve mastery of high-quality data and analytics to thrive within value-based care models. Today’s IT professionals are challenged to design systems that improve data exchange with industry stakeholders as well as acquire more complete and accurate patient information for quality measures reporting. Without a strategy in place that addresses each of these key areas, hospitals and health systems face significant barriers to achieving their overall population health or financial goals.

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Topics: Analytics, HIE, cohort rules management, mapping, CMS, data integration, data quality, APM, VITL

CMS Audits Raise the Bar on Patient Communication

Posted on 10/25/16 | Comments

Why payers need to engage consumer-friendly strategies now

Two converging trends are moving patient communication strategies front and center for today’s payers: Consumers are demanding greater control of their healthcare decisions; and regulatory movements are requiring better patient experiences.

The equation is simple. When consumers understand both the clinical and financial side of care delivery, they are equipped to make better decisions, ultimately leading to better outcomes and lower costs. Yet recent industry activity suggests that a notable gap still exists between the language that clinicians and payers use and what patients understand.

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Topics: patient engagement, Consumer Friendly Descriptions, CMS