Ryan A. Terry

Interoperability standards continue to shape the #healthcare industry from #CMS regulations to #HEDIS reporting. To set themselves up for continued success, payers must anticipate the coming shifts, and stay ahead of the ever-evolving landscape. 💭 A recent byline in DOTmed.com, Inc from our client Cotiviti dives into the necessary steps payers must take to ensure these standards are met for seamless #dataexchange: https://lnkd.in/ghGB_txj #interoperability #datasharing #FHIR 

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"Healthcare leaders are now interested in enterprise-wide platforms that can allow care providers to better coordinate and manage care for their patients. They’ll put a premium on interoperability, and tools and services that can integrate with the health system and its technical infrastructure (the EHR). The ongoing workforce shortage will put a premium on services that can be delivered on virtual channels, allowing providers to reach the patient without straining the already-stressed enterprise.” Caregility is helping health systems achieve #virtualengagement at every bedside with its adaptable, integrated platform. The #CaregilityCloud enhances #patientcare and team communication, supporting seamless, scalable #virtualcare across various clinical workflows. https://lnkd.in/d35_YG9C #HLTH2024 #hybridcare

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The Future of AI in Primary Care Sai Balasubramanian, M.D., J.D.'s recent article illuminates a crucial shift in healthcare: the integration of AI bots to streamline primary care, enhancing accessibility and operational efficiency. At Bowhead Health, we are inspired by examples such as Hackensack Meridian Health's partnership with K Health, which employs AI to offer 24/7 virtual primary care and optimize patient intake processes. This transition towards hybrid care models is vital for reducing the average 20.6-day wait for primary care appointments in the United States. By implementing AI, Bowhead Health aims to significantly improve the continuum of care, ensuring every interaction is efficient, secure, and patient-centered. #AIHealthcare #PrimaryCareInnovation #HealthTech #BowheadHealth Discover more about AI's impact on primary care from Dr. Sai Balasubramanian's insights: https://lnkd.in/ebNm2HE8

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New blog post by David Hewitt, "Top 6 Reasons Hospitals Must Focus On Uncovering The Dark Data In The Cost Cycle." Boost financial performance, decision-making, and patient outcomes by prioritizing dark data in 2024. #spendmend #healthcareData #darkdata #hospitals

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Signify Research Ltd’s discusses the recent announcements in its latest insight, signaling a significant shift in US healthcare data exchange: • Official unveiling of the first cohort of Qualified Health Information Networks (QHINs), including eHealth Exchange, Epic Nexus, and more, fostering nationwide interoperability. • Final ruling of HTI-1, enhancing transparency and support for health data access, crucial for advancing healthcare delivery. • CMS Interoperability and Prior Authorization Final Rule aims to streamline processes, improving efficiency and access to care. Read the full article: https://buff.ly/3xQPvsn #TEFCA #Interoperability #healthcaretechnology #marketintelligence

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"Every day, brilliant at the basics will eat technology for lunch" 💥 Joseph “Augie” D. and Steve Cagle, MBA, HCISPP, CHISL get tactical in this #healthcaredefenders #podcast episode. It's a must-listen for #healthcare CIOs and CISOs and for aspiring #cybersecurity leaders, too. Listen to the full episode here: https://lnkd.in/e_X76iYd

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An insightful article in Health Data Management by Jared Jeffery, MBA, FACHDM, Fellow of the American College of Health Data Management and CEO of healthKERI, and Philip Feairheller, CTO of healthKERI, discusses the critical need for trust in the source of incoming health data. It highlights a powerful point: "The implications of what GLEIF has quietly accomplished reach far beyond the financial sector. For the first time, the world has access to a framework for organizational ID that can be cryptographically trusted. This represents a milestone in the march towards a more secure internet. If we seize the moment, it also means a more secure healthcare ecosystem. The vLEI enables organizations to use non-repudiable digital signatures on their data exchange. (…) In other words, businesses can now prove their data." Imagine a future where every piece of data is verified, every transaction secure, and trust is integral to our digital world. The verifiable Legal Entity Identifier (vLEI) from GLEIF aims to establish a foundation of trust across industries, from finance to healthcare. Read the article to explore how the vLEI is paving the way for a more secure, reliable digital ecosystem. 📖 https://lnkd.in/dmJ5knQp #GLEIF #vLEI #DigitalTrust #DataSecurity #Healthcare #Innovation #DigitalTransformation #HealthData

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Intus Care, a PACE market technology leader, will host a virtual roundtable on 'PACE and the Future of Healthcare Data Interoperability.' Moderated by Intus Care CEO Robbie Felton, the discussion will feature Shawn Bloom of the National PACE Association, Dr. David Feinberg of Oracle Health, and Stephanie Rock of Intus Care. The conversation will center on healthcare system interoperability, its importance, and the challenges that remain, particularly for PACE (Programs of All-Inclusive Care for the Elderly) as the model expands. With an aging U.S. population, the need for PACE to scale effectively will increase, requiring technology that meets its needs, including unified documentation systems. 'The future of interoperability in PACE lies in seamless data sharing across care teams, empowering providers to deliver truly coordinated, patient-centered care,' said Felton. 'While progress has been made, there are still regulatory and technological hurdles for this to be truly realized for PACE organizations, but its realization will unlock unprecedented value and transform how we care for our aging population.' The virtual roundtable is scheduled for November 14 at 1 p.m. ET. A recording will be available after the event. Intus Care #healthcare #interoperability #pace

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In their new Forefront article, William J. Gordon, Zoe Hruban, Velda McGhee, Todd Couts, Purva Rawal, and Elizabeth Fowler from the Centers for Medicare & Medicaid Services Innovation Center and Brigham and Women's Hospital discuss how, given the role and importance of data to the work they do and to their model participants, they are advancing their data-sharing strategy with a primary goal of identifying additional data-sharing needs across CMS Innovation Center models that ensures proper security, risk management, and privacy obligations are employed in tandem with sharing goals. "The CMS Innovation Center has already taken significant steps to improve how we share data. For example, we continue to release CMS Innovation Center model data through the CMS Virtual Research Data Center—to date, more than 20 models have released data through this mechanism. Additionally, the CMS Innovation Center recently made bundled-payment data available to ACOs as part of our specialty strategy. These data, which includes claims data for services, supplies, and their associated payments grouped into episodes of care, provide ACOs with insights into care patterns and support ACOs looking to develop their own payment initiatives. Another example is our work sharing claims data with regional data aggregation entities in support of our Primary Care First (PCF) model to facilitate event-alerting notifications (such as admission, discharge, or transfer messages) to PCF practices for PCF-aligned beneficiaries." Read the full article here: https://bit.ly/4fTrYJ2

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💡 Dr. Brian Covino, Cohere Health's Chief Medical Officer, penned a new piece for Answers Media Network on harnessing AI-powered prior authorization to unlock equitable care: https://lnkd.in/gywdYqSc 👉 Dr. Covino explores the importance of SDOH data and three key ways that intelligent prior authorization can advance health equity.

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Guests Errol Weiss, Chief Security Officer, Health-ISAC, and Darren Shou, Chief Strategy Officer, RSAC, discuss the healthcare sector's unique challenges in utilizing #AI in this #RSAC Podcast. https://lnkd.in/ebQipb9E Discussion topics in this podcast include the following: • How can healthcare prepare for combatting AI-driven cyber threats • What steps should be taken now, next weeks, next months • Strategy for the adoption of AI for cybersecurity • Upskilling your team • Realistic expectations #cybersecurity #healthsystem #healthit

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90% of patients would consider switching providers based on a poor digital experience, and 26% would choose a new provider for a better digital experience, Gozio research shows. So how can healthcare leaders determine the right path for getting there? When does it make sense to build or buy a mobile app? In this Becker's Healthcare roundtable wrap up, Joshua Titus, CEO/Founder, Gozio, shares 4 key considerations in making a "build vs. buy" decision around a #healthcare mobile app. Read the article. #digital #digitalstrategy #mobile #mobileapp #innovation https://lnkd.in/gNRnm2mz

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Google Cloud executive, Amy Waldron, recently stated that "data should be healthcare's superpower" while moderating a panel at League Connect with Richard Clarke (Chief Data & Analytics Officer, Highmark Health) and Stephen Love (VP & Head of Product, Indiana University Health). The discussion went on to highlight ways of unlocking the potential of healthcare data to create unique healthcare consumer experiences. Watch the full session now on-demand --> https://bit.ly/4d2QCow

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Linus Health Chief Product Officer John Showalter, MD, challenged Jessica Hagen of MobiHealthNews to imagine a world without early detection of chronic diseases like hypertension and cancer. While we have come a long way in detecting many chronic diseases such as these earlier, we still have work to do when it comes to routine screenings for mild cognitive impairment. However, evidence-based digital screenings are helping healthcare providers efficiently drive the early detection of mild cognitive impairment–and care pathways focused on lifestyle are making a difference for the better. https://lnkd.in/gqmP3N4D I #AlzheimersDisease #BrainHealth #MCI #AlzheimersAwareness #PreventativeCare #PrimaryCare #HIMSS24

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In a recent article on Digital Health Insights, author Jennifer Bresnick discusses how CMS is lighting a fire under payers to compete on value with 1upHealth's CSO Donald Rucker. Topics include the power of modern data standards (i.e., FHIR) and CMS-mandated APIs to provide transparency around outcomes and cost (i.e., value). 🔥 Don says in part, “FHIR creates the ability to bring financial and clinical data together in a meaningful way so that we can finally draw back the veil on why we spend the most but have some of the worst outcomes in the world. We can begin to codify and compute our definitions of value – and start to compete on that value. You can choose to be threatened by that, or you can choose to make it work for you. The organizations that are going to survive are the ones that pick the latter.” 📰 Read the full article to learn more.  https://lnkd.in/eaYdEqBr #fhir #cmsapis #value

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ICYMI: What are healthcare purchasers’ motivations and plans for adopting digital health technologies in the future? PHTI’s inaugural State of Digital Health Purchasing Survey helps digital health companies better understand how purchasers intend to grow their digital health offerings in the coming year. Gain insight: https://bit.ly/4eZVlYI #DigitalHealth #HealthPurchasing

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