Avicenna Medical Blog

Care Management Weekly News Update 11/22/23

Posted by DeAnn Dennis on Wed, Nov 22, 2023 @ 12:01 PM

The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule Monday that outlines requirements to combat predatory MA marketing payment practices and improve access to behavioral health care as well as the inclusion of an expert in health equity on health plan utilization management committees to curb prior authorization rates.

VA EHR sees no outages in 6 months, but employees still give system low marks 

The Department of Veterans Affairs says its new Electronic Health Record (EHR) hasn’t seen a total outage in more than six months. But the Oracle-Cerner EHR still isn’t meeting a standard in its contract with VA for the system to run incident-free at least 95% of the time.

At the 8th Annual Becker's Health IT + Digital Health + RCM Meeting, Andrew Lockhart, CEO of Fathom, led an executive roundtable discussion with hospital and health system leaders about the challenges and opportunities of automating medical coding with AI technology. He described the current state of medical coding as slow, expensive, and inconsistent and highlighted how COVID-19 exacerbated issues like workforce shortages.

Personalization is a growing trend in many sectors—from customized apps on our phones, TVs and computers to automakers offering vehicle trim levels and increasing software options. In some cases, however, it can be lifesaving. In the medical field, where no two patients are the same, traditional blanket solutions can be both ineffective and discouraging. Using a standard approach for unique patients can lower success rates and lead to costly and inconvenient return visits.

Value-based care leads to a better patient experience—and a better experience for physicians, too, a new study from Humana shows. The insurer released its 10th annual look at the performance of its value-based care arrangements and found that patients treated under a value-based care program reported higher experience scores on the Consumer Assessment of Healthcare Providers and Systems survey compared to those treated in fee-for-service.


Tags: Weekly Industry News