Tim O'Brien

https://lnkd.in/epcXuFNy The Centers for Medicare & Medicaid Services (CMS) approved an amendment to Vermont’s section 1115 demonstration, “Global Commitment to Health.” Approval gives the state authority to provide health-related social needs (HRSN) services and infrastructure support, close the Substance Used Disorder (SUD) Community Intervention and Treatment (CIT) coverage gap by expanding eligibility for the CIT expansion group for eligible beneficiaries up to and including 225 percent of the federal poverty level (FPL), expand Developmental Disabilities Services benefits, and support transition of most Community Rehabilitation and Treatment (CRT) and Mental Health Under 22 services currently covered under the demonstration to the Medicaid state plan.

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Providers and health plans have been working on their Fee for Service payment processes for decades (still work to be done there), but the data flows needed to support Value Based Care arrangements are in their infancy. Organizations involved in Value Based Care (VBC) should consider using modern processes (like APIs) and standards (like HL7 FHIR) to exchange: · Rosters of members attributed to VBC populations · Financial performance on VBC contracts · VBC contract details · Patient care gaps for VBC contracts · Clinical quality performance · And the list goes on In his interview with Rick Daly from HMFA, Deepak Sadagopan talks about why his team is building the data infrastructure to support VBC and why it should matter to you. https://lnkd.in/ggKeA985

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More interesting #news today on #carecoordination and transitions of care, this time specific to bundled payments for hospitals and the #TEAM model. #CMS #Healthcare #reimbursement

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⛑️ Transforming Disaster Preparedness: Tech Responses When Natural Disaster HIt 🥽 As an IT leader and professional in the senior care industry, I've learned that disaster preparedness is far more than a technical checklist; it's a holistic approach to organizational resilience. Natural disasters are an ever present reality, are increasing in frequency and their impact on senior care communities can be profound. This insightful article from LeadingAge CAST VP Scott Code, MBA shares the experiences of two LPC's and their technology challenges during two extremely destructive natural disasters.    Myself with Givens Communities and Joe Velderman with Cypress Cove share our experiences with Hurricane Helene and Hurricane Ian through this article as a catalyst to start the conversation of transforming disaster response strategies in our industry and ensuring the safety and well-being of residents and team members in times of crisis. At Givens Communities , we understand that preparedness is not just about having the right tools; it's about fostering a culture of collaboration and innovation across our industry. From real-time communication platforms to predictive analytics and resilient IT infrastructures, the potential of technology to safeguard our communities is immense. 𝐊𝐞𝐲 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬 𝐟𝐫𝐨𝐦 𝐦𝐲𝐬𝐞𝐥𝐟 𝐚𝐧𝐝 Joe Velderman “In response to the increasing frequency of catastrophic events that were historically considered centennial or millennial in nature, we’ll continue to refine our disaster preparedness approach by listening to residents, team members, and collaborating with others in our industry to use innovation and flexible technologies to effectively mitigate and respond to emerging environmental challenges.” Richard Foor "A community's resilience is measured not by how it plans for the best days, but by how it prepares for the worst." Joe Velderman 𝐒𝐨𝐦𝐞 𝐏𝐫𝐚𝐜𝐭𝐢𝐜𝐚𝐥 𝐓𝐞𝐜𝐡 𝐑𝐞𝐜𝐨𝐦𝐦𝐞𝐧𝐝𝐚𝐭𝐢𝐨𝐧𝐬 𝐟𝐫𝐨𝐦 𝐭𝐡𝐞 𝐚𝐫𝐭𝐢𝐜𝐥𝐞: ·        Develop communication "kits" with non-technical restoration instructions ·        Preposition failover connectivity tools: fiber, cellular, satellite options ·        Create flexible IT infrastructure that can operate with minimal technical intervention ·        Create split technical response teams ·        Develop robust social media communication strategies ·        Provide emergency charging stations for critical resident devices ·        Vendor Support Matters: Leverage partnerships with tech providers. #DisasterPreparedness #SeniorCareTechnology #ITResilience #LeadingAge #leadingAgeCast #CCRC #LPC 💥 How is your organization preparing its technological infrastructure for potential disruptions? ❓ https://lnkd.in/eeN3qWya

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A leading ACO in Massachusetts transformed its healthcare management with Master Data Management (MDM) integration with Artha Solutions. By tackling challenges like HIX compliance, provider system replacement, and HIE integration, they created a unified, accurate data source for members and providers. The result? Automated data integration, improved operational efficiency, and seamless clinical data management. #HealthcareInnovation #MDMIntegration #DataManagement #ACO #DigitalTransformation #DataGovernance #Healthcare #ArthaSolutions

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In Healthcare IT News' article on the HHS info blocking disincentives, CliniComp’s Sandra Johnson, SVP of Client Service, shared her insights on the critical need for advanced technology to handle ever-evolving data for true #interoperability. Sandra stated, "What is required to handle all incoming data is technology designed to seamlessly integrate and present data from disparate sources, ensuring a holistic view of patient health. By facilitating unrestricted access to electronic health information, we can advance coordinated and efficient care across the healthcare system." Read full article here: https://lnkd.in/gvdj72zz #HealthcareIT #HealthcareInnovation #HealthIT #CliniComp #Interoperability #PatientCare #DataIntegration #EHR  

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Getting access to your own patient records becomes even easier! Nowadays patient records are available in many (completely different) ways including Patient Right of Access APIs, TEFCA and proprietary connections. At b.well, we are committed to making all of this data available to patients. We do all the hard work to establish and maintain the largest set of live health data connections in the country. Patients get their data with a simple user experience no matter how the data is made available in the backend. Today we announced that b.well is the first third party application to integrate with TEFCA and make the data in TEFCA available to patients. b.well is the first company that can seamlessly integrate data from PROA APIs and TEFCA. This now enables patients to get their data from even more places so they can save time, make better healthcare decisions and save on out-of-pocket costs.

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What real impacts are AI having in the world of healthcare? Our Senior Director of Continuous Improvement and Automation, John Hataway, recently weighed in for this piece in Healthcare IT Today. Read the whole article here: https://bit.ly/45R76gN #RevenueCycleManagement #Savista #HealthcareAI #HealthcareITToday

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The Maribel Health team is comprised of clinical, operational and technology leaders with a unique depth and breadth of Hospital-at-Home (HaH) program launch, transformation, optimization, and process automation experience. Whether your organization is starting a new HaH program or enhancing an existing offering, it is critical to remain laser-focused on Growth and Optimization. Common Growth and Optimization points of program failure include: 💠 An exclusive (or primary) focus on the most common medical diagnoses without expanding into higher levels of medical acuity and specialty areas (e.g., post-surgical care, oncology) 💠 A predominant focus on early discharge for length of stay reduction rather than ED diversion and hyper-early transfer which offer maximum capacity creation; once length of stay reduction becomes the default, it is much harder to move to ED diversion subsequently 💠 Getting comfortable with the status quo after reaching early census goals rather than staying relentlessly focused on achieving break-even and driving to target volumes 💠 Lack of robust and continuous engagement with hospital-based teams, including attending huddles and daily report-outs 💠 Failure to aggressively expand payers early in the program journey 💠 Failure to effectively deploy care orchestration software to enable safe and effective program scaling Maribel is pleased to share insights to help guide you through your HaH journey. Let’s shape the future of healthcare together! #HospitalatHome #HealthCareInnovation #CMS #MaribelHealth

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In this Healthcare IT News article, clinical IT leaders discuss meeting CMS' mandate for patient data access https://hubs.li/Q02QkTT-0

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“This tension forces you to either compromise your product's user experience to satisfy buyer requirements, or risk failing to gain institutional adoption despite having happy users.”

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Our Vice President of Business Development Greg Miller was recently quoted in a Healthcare IT News article on the reaction to the Department of Health and Human Services final rule that levies financial penalties on provider organizations found to have committed information blocking. “Data is the single most important ingredient in our ability as a nation to transform healthcare,” Greg said. “The access and dissemination of quality data is essential to improving patient outcomes. Limiting data access and interoperability is harmful to patient care quality, increases costs, and substantially reduces customer (patient) satisfaction.” Read what other leaders have to say about the final rule here: https://lnkd.in/g_dTBwrs #HealthData #EHR #HealthcareLeaders #Interoperability

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Good #cybersecurity posture needs to include understanding where your vulnerabilities are. This year's events brought the EDI Gateway to the forefront of the conversation. Check out some quick tips as a starting point to having this conversation with your team.

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Find out how real-time data sharing is empowering providers to deliver more personalized care experiences.​ Avaneer Coverage Direct​: - Provides immediate hard savings from improved administrative efficiencies and reduced denial rework​ - Reduces write-offs​ - Eliminates retroactive prior authorizations​ - Improves regulatory posture (No Surprises Act)​ - Improves patient financial experience and patient retention​ - Lowers clearinghouse costs​ Transform your revenue cycle workflow. Sign up for a demo here​ https://hubs.li/Q02PpRTb0 #HealthcareTransformation #DataDrivenCare ​

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In the recent #CTN episode, "Finding Harmony in Healthcare IT: Patient Value, Team Productivity and Cost-Efficiency," hosted by Sanjog Aul, the focus is on overcoming challenges and developing digital transformation strategies in healthcare. Jackie Rice, VP, CIO, Frederick Health, a key figure in healthcare IT, shares insights on handling internal challenges, fostering teamwork, and ensuring successful organizational change. She emphasizes the importance of staff retention and clear communication in achieving seamless digital transformation. Key insights from Jackie Rice: 1. Staff Retention and Teamwork: Jackie highlights the difficulty of replacing experienced employees and stresses the value of retaining knowledgeable staff and fostering teamwork. Regular "all in days" help create unity and collaboration. 2. Standardization and Cost Reduction: She discusses the need for standardizing applications to streamline processes and cut costs, including using AI and voice recognition to boost operational efficiency. 3. Vendor Negotiation: Jackie points out the importance of negotiating long-term contracts with vendors to ensure cost-effectiveness and better terms. Tune in to this discussion for valuable insights from Jackie Rice and other industry experts on improving healthcare IT for better patient care and operational efficiency. https://lnkd.in/gJcm5zvR #HealthcareIT #HealthTech #CloudComputing #AIinHealthcare #DigitalTransformation #PatientEngagement #TechInnovation #HealthcareChallenges #ITSecurity #CostEfficiency

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🚀 Exciting news! Next week, I’ll be attending the 2024 Association for Value-Based Cancer Care Conference in New York, and couldn’t be more thrilled to share the stage with some of the brightest minds in oncology and technology. 💡🎤 We’ll be diving deep into "The Practice Analytics Imperative: Better Measurement for Better Management." 🔍 In today’s data-driven world, oncology practices are sitting on vast amounts of information, but unlocking the real value requires breaking down silos and improving interoperability. I'll be sharing my thoughts on: - The most persistent barriers to interoperability 🧩 - How AI and technology are shaping the future of practice analytics ⚙️ - Solutions to help practices leverage their data, even when they lack in-house expertise 💼 It’s going to be an insightful discussion, and I can’t wait to hear perspectives from industry leaders and share Navista's vision on how we can help practices harness the full potential of their data. If you’re attending, let’s connect! Looking forward to learning, sharing, and driving innovation in the oncology space. #AVBCC2024 #OncologyAnalytics #ValueBasedCare #Interoperability #HealthcareInnovation #DataDrivenDecisions #Navista #OncologyLeadership

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