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Healthcare Information Systems Solutions since 1980
December 27, 2011 / Issue 51

In This Issue

arrowA page from the payer playbook: Technologies to fuel collaborative care

arrowFeds face challenges in launching U.S. health exchange

arrowGuide to assist CIOs with effective HIE decision-making released

arrowCMS: 10,000 people with Medicare can get most care at home

arrowNuance acquires bitter rival Vlingo

arrowDigital data on patients raises risk of breaches

arrowHHS adopts CAQH operating rules for eligibility, claims transactions

arrowThe HIPAA 5010 transition: What it means for you and your practice


Featured Article

A page from the payer playbook: Technologies to fuel collaborative care

The rise of various accountable or collaborative care models across the country is already driving new demand for the right technologies to support them.

By Todd Cozzens, CEO of Accountable Care Solutions, Optum

arrow Read the article >>>

arrow Return to the table of contents >>>


HIEs

Feds face challenges in launching U.S. health exchange

With many states unwilling or unable to get insurance exchanges operational by the health law deadline of Jan. 1, 2014, pressure is growing on the federal government to do the job for them.

arrow Read the WSJ/KHN article >>>

arrow Return to the table of contents >>>


HIEs

Guide to assist CIOs with effective HIE decision-making released

To help chief information officers of healthcare organizations make complex decisions involving how to achieve health information exchange with other providers, the College of Healthcare Information Management Executives (CHIME) and the eHealth Initiative (eHI) recently released “The HIE Guide for CIOs.”

arrow Read about the HIE guide >>>

arrow Go directly to the guide >>>

arrow Return to the table of contents >>>


Medicare & Medicaid

CMS: 10,000 people with Medicare can get most care at home

Up to 10,000 Medicare patients with chronic conditions will now be able to get most of the care they need at home under a new demonstration announced Dec. 20 by the Centers for Medicare & Medicaid Services (CMS).

arrow Read the CMS release >>>

arrow Return to the table of contents >>>


Speech Recognition

Nuance acquires bitter rival Vlingo

The two companies have a storied past that involves many court battles.

arrow Read the Speech Technology article >>>

arrow Return to the table of contents >>>


Security

Digital data on patients raises risk of breaches

One afternoon last spring, Micky Tripathi received a panicked call from an employee. Someone had broken into his car and stolen his briefcase and company laptop along with it. So began a nightmare that cost Mr. Tripathi’s small nonprofit health consultancy nearly $300,000 in legal, private investigation, credit monitoring and media consultancy fees.

arrow Read the NYT article >>>

arrow Return to the table of contents >>>


Claims

HHS adopts CAQH operating rules for eligibility, claims transactions

The Council for Affordable Quality Healthcare (CAQH) announced Dec. 21 that the Department of Health and Human Services (HHS) has adopted the use of many of the CAQH CORE operating rules regarding eligibility for a health plan and healthcare claim status transactions. All HIPAA-covered entities will be required to comply with these operating rules by January 1, 2013, as part of the Patient Protection and Affordable Care Act (ACA). The rules aim to make electronic healthcare transactions more predictable and consistent.

arrow Read about the rules adoption >>>

arrow Return to the table of contents >>>


Last Week’s Featured Article

The HIPAA 5010 transition: What it means for you and your practice

The 5010 and D.0 transition will be a key indicator of how the ICD-10 transition will go.

By Susan Arthur, vice president, U.S. Health & Life Sciences Industry, HP Enterprise Services

arrow Read the HMT article >>>

arrow Return to the table of contents >>>


HMT wishes you a safe, happy and prosperous New Year!

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