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Big Business, Little Data

A growing number of Californians are being sent to ambulatory surgery centers for a wide variety of procedures, yet little is known about the care they deliver because reporting is not required.

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CHCF has made a second investment in Asthmapolis, a device that tracks asthma inhaler use and reports data through mobile phones to patients and doctors to better manage the disease.

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06/12/2013

CIOs Have Various Roles Under Affordable Care Act, New Study Finds

A survey by National Association of State Chief Information Officers and Healthcare Information and Management Systems Society finds state CIOs are taking on various health IT-related roles, such as overseeing health information and insurance exchanges. InformationWeek.

06/10/2013

Experts Predict Initial 'Glitches' in Health Exchange Websites

There likely will be some initial "glitches" when the health insurance exchange websites open for enrollment on Oct. 1, according to experts. Building the online marketplaces under the Affordable Care Act has proven to be a complex task as they need to communicate and interface with government databases, state Medicaid systems and insurers, officials say. Wall Street Journal.

06/04/2013

States Cite Federal Data Hub as Main Concern for Exchanges, GAO Finds

A report finds that states seeking to launch their own health insurance exchanges believe that a data hub meant to pass information to federal agencies is hindering implementation. Federal officials say they have given states enough guidance to connect with the hub. Governing.

05/31/2013

OIG: Two Medicare Provider Databases Inaccurate, Incomplete

An HHS Office of the Inspector General report finds that two Medicare databases store health care provider information that is inaccurate or incomplete. The report also finds that the information shared between the databases was inconsistent for 97% of records. OIG provided CMS with several recommendations to address the issues raised in the report. FierceHealthIT et al.

05/23/2013

WEDI Announces New ICD-10 Collaborative To Share Best Practices

The Workgroup for Electronic Data Interchange has launched a new initiative that aims to help health information organizations share best practices and conduct end-to-end testing related to ICD-10 codes. Groups in four states are participating. Modern Healthcare, WEDI release.

05/17/2013

Report: Data Analytics Crucial for Population Health, ACOs

An Institute of Health Technology Transformation report finds that data analytics is critical to the success of population health management and accountable care organizations. The report lists several steps that are key to the effective use of health data analytics, such as building partnerships with health plans to obtain claims data. HIT Consultant, Clinical Innovation & Technology.

05/10/2013

Federal Officials Say Insurance Exchange Websites on Schedule

White House and HHS officials say they have taken several steps to ensure that health insurance exchanges will be operational by Oct. 1. However, to hit that deadline, officials will need to ensure that a host of technological systems are functioning effectively. USA Today.

05/01/2013

Report: More Employers Adopting Health Care Engagement Technology

A report from Buck Consultants and WorldatWork finds that 52% of surveyed employers are weighing the use of mobile or online games to boost their employees' health care engagement over the next three years. Crain's Business Insurance/Modern Healthcare, Becker's Hospital Review.

04/03/2013

Report Cites CMS for Poor Oversight of Health Plan Comparison Portal

A report from HHS' Office of Inspector General finds that CMS does not adequately oversee the "Plan Finder" website that it established to help consumers find coverage prior to the launch of the Affordable Care Act's health insurance exchanges. Modern Healthcare, CQ HealthBeat.

03/21/2013

Lawmakers Question VA Over Large Backlog of Veteran Medical Claims

During a House Committee hearing yesterday, a Department of Veterans Affairs official maintained that the agency will be able to eliminate its backlog of nearly 900,000 claims by 2015. However, lawmakers said they are skeptical. Military Times/USA Today, NextGov.

03/04/2013

Audit: Computer Flaws Led NY To Issue $26M in Medicaid Overpayments

An audit by the New York State Comptroller finds that flaws in a state computer system caused about $26 million in Medicaid overpayments and other questionable payments. The audit analyzed claims for individuals dually eligible for Medicaid and Medicare. WNYT, WKBW.

02/28/2013

Opinion Piece Calls for Decentralized Approach on Claims Database

In an opinion piece, Deven McGraw of the Center for Democracy & Technology writes that the Obama administration's proposal to create a centralized database of individuals' health insurance claims would create "needless privacy and security risks." The Hill's "Congress Blog."

02/21/2013

Private Firms Secure IT Contracts for Federal, State Health Exchanges

Several large private firms have been awarded multimillion-dollar contracts to develop IT infrastructure for federal and state health insurance exchanges. Some of the contracts also require the companies to update states' Medicaid IT systems. Kaiser Health News' "Capsules."

02/13/2013

New Tool Lets Providers Seek Electronic Payment From Multiple Insurers

CAQH, formerly known as the Council for Affordable Quality Healthcare, has launched a new online tool that allows health care providers to use a single electronic funds transfer system to obtain claims reimbursements from multiple health insurers. Modern Healthcare et al.

02/11/2013

IBM Offering Two New Decision Support Tools Based on Watson

IBM has released two new applications that use its Watson supercomputer to help health care providers and insurers make decisions about patient care and insurance coverage. One of the new decision support tools offers recommendations for treating patients with lung cancer and the other tool recommends treatments that should be covered by insurers. AP/Atlanta Journal-Constitution et al.

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