Articles by Industry Expert

Lost in Translation: SGR and ICD-10

In the film Lost in Translation as the end of their time together approaches, Scarlett Johansson tells Bill Murray “Reality changes things…we can’t stay here forever.” One of the core reforms in the SGR bill (H.R. 2) is a move from a physician payment system that rewards volume to one that rewards value. The move to measuring and paying for value means the reality of SGR has changed things.


Robert Wood Johnson Foundation releases Data for Health: Learning What Works

By Karen B. DeSalvo – The Office of the National Coordinator for Health Information Technology (ONC) is committed to advancing an interoperable learning health system that impacts individual, community and population health. To achieve this goal in the next several years will require collective action from all public and private stakeholders, including consumers and community-based groups outside of what is traditionally considered the expected set of technology and health care entities.



Gathering Feedback on the Certification Rule

By John Halamka MD – Over the next 3 months, the HIT Standards Committee will review every detail of the 431 page Certification rule. We’ll also be holding calls to look at the rule as a whole. At least one call will be open to the general public. Think of this as reviewing the “trees” and the “forest”.




Predictive Modeling Can Detect Meaningful Correlations across Claims Denials Data

By Paul Bradley – The reasons claims are denied are so varied that managing denials can feel like chasing a thousand different tails. This situation is not surprising given that a hypothetical denial rate of just 5 percent translates to tens of thousands of denied claims per year for large hospitals—where real-world denial rates often range from 12 to 22 percent.


Patient Engagement Challenges Abide

By Joy Rios – This year, as you may already know, both hospitals and physician practices participating in Meaningful Use must offer patients a way to access their health records electronically. The patient electronic access objective specifically calls for providing patients the ability to view online, download, and transmit their health information. Those familiar with this objective often call it VDT for short.