Analyst Connection: Risk Management and Compliance in Healthcare

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Healthcare organizations are facing unprecedented change in IT and compliance requirements are growing increasingly complex. This IDC Analyst Connection delves into how providers are responding to these changes, what top compliance initiatives healthcare organizations are implementing, and why taking a strategic approach is important when it comes to risk management and compliance...

Spotlight

HealthPartners

Founded in 1957, HealthPartners is the largest consumer-governed, non-profit health care organization in the nation. It is dedicated to improving the health of its members, patients and the community. HealthPartners provides a full-range of health plan services including insurance, administration and health and well-being programs. It serves more than 1.4 million medical and dental health plan members nationwide, and is the top-ranked commercial plan in Minnesota. Its Medicare plan has the highest rating (five stars), which only 11 plans in the nation achieved in 2013.

OTHER ARTICLES

Will Healthcare Ever Be the Same Again After COVID-19?

Article | April 1, 2020

The world is caught up in the dual health and economic crises of the novel coronavirus and resultant disease COVID-19. Globally, the healthcare industry has rallied around the challenge in unprecedented ways: drug companies and medical researchers are racing to find therapeutics and vaccines that can treat, cure, or prevent the disease. Diagnostics companies are developing tests at an unprecedented rate and scaling up production of test kits and diagnostic instruments. Medical device companies are working overtime to manufacture more of everything from personal protective equipment (PPE) to ventilators. Regulators are fast-tracking innovations, and government is rushing to add treatment capacity through ad-hoc medical facilities.

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Getting Ahead of Privacy and the CCPA – Healthcare Needs to Move Beyond HIPAA

Article | April 1, 2020

Privacy concerns are on the rise. Over the last couple of years, survey after survey have clearly shown a dramatic rise in overall consumer privacy awareness and concern – driven primarily by the never-ending litany of ongoing data breaches that make the news. The healthcare industry has been somewhat shielded from this, seemingly due to the trust that patients extend to their doctors and, by proxy, the organizations they work with. HITECH and HIPAA legislation have acted as a perceived layer of safety and protection. But healthcare is not immune from privacy issues. Most people aren’t even aware of the hundreds of data breaches of unsecured health information in the last 24 months which are being investigated by the U.S. Department of Health & Human Services Office for Civil Rights. In fact, research indicates that consumers still trust healthcare organizations with their data more so than many other industries.

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Telehealth emerges as access tool in healthcare transformation

Article | April 1, 2020

Healthcare organizations are faced with addressing the “triple aim” of improving cost, quality and access to medical care. Telehealth has been seen as a tool to improve access with its convenience and availability with mobile apps or personal computers. Regulators are seeing the value of the technology with states loosening rules about the practice of telehealth and reimbursement improving, the American Telemedicine Association said. However, it will take some time for telehealth to reach its full potential to blend telehealth into current care processes. Right now, telehealth is separate from many of the healthcare workflows, which is keeping the technology from reaching its fullest potential – in terms of quality and patient experience. This can be overcome by addressing the economics, whether that is in health plan design and also how providers are compensated. Despite recent improvements in telehealth reimbursements, many of the payments are tied to in-person visits. Healthcare providers, payers and regulators need to figure out what treatments need to be reimbursed. Telemedicine, which involves clinician-to-clinician remote consults, is immensely important in emergency care and has shown a great deal of use in treating stroke, since not every facility has neurology covered around the clock. Certain medical specialties, such as psychiatry or dermatology, have a real opportunity to capitalize upon telehealth, as well as non-emergency, urgent care.

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Health IT coalition to use data analytics in battle against COVID-19

Article | April 1, 2020

Healthcare organizations, technology firms, nonprofits, and academia are banding together to use their collective expertise, data, and insights for rapid deployment of innovative, open-source solutions to the global pandemic. The COVID-19 Healthcare Coalition, a private-sector led response, aims to mitigate the worst effects of the coronavirus by flattening the curve. A key component of this effort will be the use of real-time data for analytics that will help preserve the healthcare delivery system. LUMEDX client partners HCA Healthcare, the Mayo Clinic, and Intermountain Healthcare have joined big tech companies such as Amazon, Google, Microsoft, and others. For a full list, visit the website here. All coalition work is voluntary, and members are asked to pledge open cooperation and sharing. In addition to combining the best sources of information from around the world to provide data, analytics and insights to all, the coalition’s priorities include

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Spotlight

HealthPartners

Founded in 1957, HealthPartners is the largest consumer-governed, non-profit health care organization in the nation. It is dedicated to improving the health of its members, patients and the community. HealthPartners provides a full-range of health plan services including insurance, administration and health and well-being programs. It serves more than 1.4 million medical and dental health plan members nationwide, and is the top-ranked commercial plan in Minnesota. Its Medicare plan has the highest rating (five stars), which only 11 plans in the nation achieved in 2013.

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