Health IT & Interoperability
Expert articles and analysis related to health it & interoperability.
AI Summary — Last 7 Days
Digital quality measurement is accelerating as NCQA moves the HEDIS Transitions of Care measure from hybrid reporting to ECDS and partners with Komodo to use real-world data and AI in future HEDIS measure development—raising the bar for ACOs, Medicaid managed care plans, and MA organizations to capture interoperable clinical data beyond claims (NCQA TRC ECDS update; NCQA-Komodo partnership). At the same time, CMS’s push toward electronic prior authorization and fraud controls—alongside Trump administration action blocking over $1.6B in potentially fraudulent Medicare lab payments—signals a tightening operational environment where VBC participants will need stronger data exchange, documentation integrity, and automated utilization-management workflows to protect revenue and performance.
Related Articles
Datavant’s New Platform Could Cut Record Retrieval Time from Days to Hours
Datavant’s New Platform Could Cut Record Retrieval Time from Days to Hours MedCity News
Remote Monitoring Coalition Warns of Disruption From CMS Rule
Remote Monitoring Coalition Warns of Disruption From CMS Rule HCI Innovation Group
Number of Methods Used by Hospitals to Obtain External Information - Office of the National Coordinator for Health IT (.gov)
Number of Methods Used by Hospitals to Obtain External Information Office of the National Coordinator for Health IT (.gov)
CMS delivers $93.3M to Georgia for rural telehealth, surgical robotics
CMS delivers $93.3M to Georgia for rural telehealth, surgical robotics Becker's Hospital Review
Designing Prescription Infrastructure for the Transparency Era
The following is a guest article by Raj Ramaswamy, Chief Technology Officer at Buzz Health and Board Member Pharmacy claim processing has become significantly faster and far more demanding. The timefr...
Implications of FTC’s Investigation into Epic for Healthcare Providers & Vendors
Implications of FTC’s Investigation into Epic for Healthcare Providers & Vendors HCI Innovation Group
Which States Are Making Progress on Digital Quality Measurement?
Which States Are Making Progress on Digital Quality Measurement? HCI Innovation Group
DEA sends final telehealth prescribing rule to White House for review
Metriport raises $26M to help doctors retrieve patient data
Metriport, a startup that makes it easier for doctors to retrieve patient data, just raised $26 million. Matrix led the Series A round, with additional backing from ARTIS and Y Combinator, Endpoints...
One of the Largest Remote Patient Monitoring Implementations and Evaluations in the U.S.: Clinical, Claims and Staffing Analyses - amga.org
One of the Largest Remote Patient Monitoring Implementations and Evaluations in the U.S.: Clinical, Claims and Staffing Analyses amga.org