Avicenna Medical Blog

Care Management Weekly News Update 6/19/24

Posted by DeAnn Dennis on Wed, Jun 19, 2024 @ 11:45 AM

Executives at major health plans spoke of the importance of moving the healthcare system towards value-based care. Providence Health Plan CEO Don Antonucci said the time is now for payers and providers to embrace the shift, particularly as more of the financial burden from the traditional Medicare system is pushed onto employers. The Centers for Medicare and Medicaid Services (CMS) previously set a goal to transition Medicare, and most Medicaid, beneficiaries to value-based arrangements by 2030.

The U.S. Department of Veterans Affairs announced the award of the second option period for its contract with Oracle Health in support of VA’s Federal Electronic Health Record modernization, with an emphasis on improved fiscal and performance accountability. Through this agreement, VA and Oracle Health continue to partner to deploy the Federal EHR as part of the reset announced last year. The 11-month option period award announced today is a continuation of VA’s focus on improving the Federal EHR for Veterans while supporting the six VA health care facilities actively using the Federal EHR

Most Americans said they would be willing to participate in hospital-at-home programs to return home sooner, according to a new survey. An overwhelming majority of US adults are likely to participate in a hospital-at-home monitoring program to get back home more quickly, with 39.15 percent saying they are very likely and 45.27 percent saying they are somewhat likely to participate in these programs. Only 15.58 percent said they are not likely to participate in a hospital-at-home program to return home sooner.

HHS is warning the healthcare sector of a cybersecurity vulnerability that could affect a "massive" number of servers. The vulnerability exists in Hypertext Preprocessor, or PHP, an open-source scripting language on Windows and Linux systems, according to HHS' Office of Information Security and Health Sector Cybersecurity Coordination Center.

Regulatory requirements are often seen as a distraction from “more important” organizational initiatives. In some cases, though, such mandates align well with business priorities and provide the necessary urgency to move key initiatives forward. The CMS Interoperability and Prior Authorization Final Rule, CMS-0057-F, released in January 2024, represents just such an opportunity for payers. The rule requires investment by impacted payers in interoperability infrastructure. The mandated application programming interfaces (APIs) are accompanied by a host of aggressive operational, policy, and workflow requirements affecting the entire business.


Tags: Weekly Industry News