electronic health records

CMS Chief, Surgeon General Announce Possible Changes to Prior Authorizations

CMS Chief, Surgeon General Announce Possible Changes to Prior Authorizations

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Leaders are seeking physician feedback on proposed rules for electronic records, Medicare Advantage plans. Federal health care officials say they are committed to helping doctors, patients and health insurance companies by improving the prior authorization process for medical care. On January 17, Chiquita Brooks-LaSure, Administrator of the Center for Medicare & Medicaid Services, and U.S. …

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Congress receives detailed advice on cybersecurity from AAFP

Congress receives detailed advice on cybersecurity from AAFP

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“The AAFP has long supported policies that ensure the appropriate security of protected health information while working to improve patient access to their data, as well as the ability to share patient health information within of the care team,” the previous letter read. “We strongly support reliable data interoperability while preserving patient confidentiality and the …

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What Healthcare Can Learn From Retail About Improving Patient Experiences - MedCity News

What Healthcare Can Learn From Retail About Improving Patient Experiences – MedCity News

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In July 2020, a survey by Experian revealed that 60% of people expected more from their digital experience than before the pandemic. This means that it took less than four months for online behavior and expectations to change – irrevocably. As the pandemic accelerated the rate of digital adoption in all aspects of life, consumers …

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dna, genomics

Overcome Genomics Benefits Management Vulnerabilities with Verified Expertise – MedCity News

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It’s easy for health insurance plans to see genomics as “just another specialty” to manage, just like radiology or cardiology. However, given the dynamic nature of the field and the ever-changing testing landscape with little regulation, genomics needs to be approached differently when developing clinical policies and implementing utilization management strategies. . Here’s why: Today …

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present

Why Values-Based Care Must Be the Standard in Behavioral Health – MedCity News

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Traditionally, health care in the United States has been based on a fee-for-service model, where providers are paid for each service provided to patients. The problem with this model is that compensation is tied to volume, not results. In fact, providers are incentivized to perform additional tests and procedures, emphasizing treatment at the expense of …

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How Behavioral Health Care Practices Can Reduce Missed Appointments - MedCity News

How Behavioral Health Care Practices Can Reduce Missed Appointments – MedCity News

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Behavioral health providers face many challenges. One of the biggest hurdles is getting patients to show up for their appointments. In fact, according to industry research, approximately one in five patients do not show up for their appointments. Late cancellations and no-shows can derail a practice’s day, cost time and money, and hinder patient outcomes. …

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What will the next generation of medical coding look like? - MedCity News

What will the next generation of medical coding look like? – MedCity News

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A transformation is underway in medical coding as automation permeates medical billing. This raises many questions, such as what kind of skills are needed for this new generation of coding? Will this lead to mass layoffs? What type of training will be available to prepare this new generation of coders? What are the implications for …

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Money pile and medicine pills representing medical expenses

States Should Be Allowed to Regulate PBMs, Says 35 State AGs Arguing in Oklahoma Case – MedCity News

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Thirty-five state attorneys general signed a amicus brief arguing that Oklahoma state law should prevail over federal law in a case involving the question of who can regulate Pharmacy Benefit Managers (PBMs), intermediaries in the prescription drug industry . After a national trade association for PBMs known as the The Pharmaceutical Care Management Association (PCMA) …

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