Operations
Plans are hampered by current CMS policy and provider coding that often does not reflect social needs, Urban Institute report says.
There were noteworthy differences between what physicians recorded in their EHRs vs. what observers witnessed in clinical encounters.
The expansion into the ACA for Cigna and other insurers comes at a time when CMS reports declining unsubsidized enrollment.
The pressure on physicians and hospitals to address social determinants will likely increase, as they've been a focus of payers and providers.
Technology can improve internal communications to maximize reimbursement and avoid billing errors.
The decision saves hospitals from a $760 million rate cut in 2020.
Still, Medicare spent $2 billion more for brand-name drugs with rebates in 2015 than in 2011.
Steve Wretling, chief technology and innovation officer at HIMSS, says understanding the "why" is key to achieving a spectrum of innovation that is essential to creating change.
To date, attacks that have led to patient data being exposed; Going forward, attackers will seek to disrupt hospitals' operations, Moody's says.
Health 2.0 co-founder Matthew Holt will be among a panel of experts to speak on "Big Bets in Insurtech."