The number of people spending their time in and out of hospitals or moving to longer-term living and care facilities has continued to increase over time. Digital and home-based care innovations have remained in the “pilot” phase and have been limited to one event or singular disease point solutions. This stark difference between consumer need and industry performance is overdue for disruption. Enter COVID-19. The pandemic’s d...

Now, more than ever, transitioning care home is mission-critical as COVID-19 further spotlights the instability of institution-based care. Reimagining the home as a destination of care across the entire continuum requires the adoption of 3 pillars of care management. This includes embracing technology, evaluating and addressing non-clinical needs, and finding ways to provide critical support that has been stripped away as an unintended result...

Health insurance providers are being mandated to provide members with health information using prescribed data standards and APIs. Health insurance providers need support in navigating these regulations and understanding how they can fit into their organization’s overall business transformation strategy. This webinar will discuss how health insurance providers can think beyond regulatory compliance and take a more holistic approach to de...

The CMS Interoperability and Patient Access Final Rule requires health plans to make patient data available through industry standard APIs. CMS and the Office of the National Coordinator for Health IT (ONC) have acted to foster easy patient access to consumer health information through interoperability and to unleash digital health innovation. In addition to meeting a January 1, 2021 compliance deadline under the Final Rule, health plans must...

The demand for medication price transparency has reached a tipping point. Patients are expecting it, health insurance providers are adopting it, and the federal government is requiring it. In fact, a recent survey of U.S. patients revealed that patients believe prescription price transparency at the point of care helps them afford their medications (55%), and increases both their satisfaction with their doctor (50%) and the likelihood that the...

Barriers to information exchange due to lack of interoperability is an ongoing challenge for healthcare. The CMS’s release of FHIR Rules coinciding with the pandemic has forced health care payers to prioritize this problem. Interoperability facilitated by the FHIR implementation fosters deep integration of clinical, financial, administrative and other data across the ecosystem driving Longitudinal Patient Record. The practical challenge...

Profound Change is Happening. Are you Ready? As you focus on your plan's operations, you understand that change seems to be the only constant as you implement reform. Does getting your arms around the changes seem daunting? Is your organization looking to you for solid recommendations? If so, you’ll want to attend AHIP’s Fall Forum, December 3-5 in Chicago, IL. In just over two days, you’ll learn what you should be considerin...