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Category: Healthcare Technology

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November 5, 2019

Using FHIR as a Competitive Advantage to Expand Referral Networks

by Beau Benson | Healthcare Technology

Healthcare has a physician burnout problem. Healthcare has a patient satisfaction problem. Healthcare has a cost problem.  These are common refrains in healthcare today, but what single factor is at the center of each of these problems? Access to data. Lack of access to data leads to delays in care, redundant data entry, repetitive procedures, and causes financial hardship for patients and providers alike. As a result, costs to healthcare organizations and their patients have skyrocketed.  Data sharing in healthcare has been limited by several factors: competition-fueled inertia, resilient paper-based workflows, systems cost, and (most acutely) a lack of standards… Read entire article here

October 4, 2019

How A Payer Rules Library Can Bring Order to Chaos

by Patrick | Healthcare Technology

Imagine that you’ve been recruited to be part of a dance routine. You arrive at the first rehearsal and meet the other dancers. The instructor strides in and introduces herself, then describes in intricate detail how the dance will be choreographed. After several hours of practice, you are starting to hit your marks. When you arrive for rehearsal the next day, however, there is a new instructor. He incorporates some of the previous instructor’s choreography but it is by no means the same dance. He adds new material and changes some important sequences. You stumble through the new routine but… Read entire article here

September 16, 2019

Why Automation is the Key to Fixing Prior Authorization

by Patrick | Healthcare Administration, Healthcare Technology, Revenue Cycle Management

Prior Authorization: Concept vs Execution  To contain costs, health insurers and laboratory benefit managers (LBMs) rely on utilization management to introduce checks and balances that assess the appropriateness of a prescribed care regimen before authorizing it. The thinking behind this being that a less expensive option may be sufficient and that a stepped approach to patient care makes more financial sense than simply defaulting to the most expensive option.  To make utilization management work, payers and LBMs increasingly require providers to obtain prior authorization, a preemptive check to gauge the medical necessity and cost ramifications of a prescribed treatment and… Read entire article here

September 9, 2019

How Blockchain Will Fatten the Top Line of Labs and Pharmacies

by Beau Benson | Healthcare Technology, Revenue Cycle Management

Introduction Lots of industry pundits and armchair experts have weighed in with their analysis of how blockchain technology — and its impact on data integration and exchange, information security, and real-time accessibility of data — will transform care delivery. But while much has been opined about the transformative effects that blockchain will usher in for hospitals and healthcare systems, little has been written about its potential applications for alternative site healthcare organizations like diagnostics labs, infusion providers and specialty pharmacies. This post will address some specific blockchain use cases for these markets. But First Some Context If you are already… Read entire article here