CitiusTech Blog

@CitiusTech

  • Nov 08, 2016

    MACRA’S FINAL RULE: A BREAKDOWN OF CHANGES AND THEIR IMPLICATIONS

    MACRA’s final rule: a breakdown of changes and their implications

    After the CMS announced MACRA’s brand new quality reporting program—Quality Payment Program (QPP)—physicians across the country took a conscious effort in embracing the new rules. The final rule proposes changes that will have a major impact on providers and propel the healthcare industry into the future. The payment system now steers away from an incentive-based volume reporting to the one that rewards value i.e. based on performance. CMS created the Advanced... Read More

  • Sep 30, 2016

    PICK YOUR PACE: THE MEDICARE ACCESS AND CHIP REAUTHORIZATION ACT

    Pick your Pace: The Medicare Access and CHIP Reauthorization Act

    The Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program (QPP), consisting of the Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APMs), was initially mandated to start January 1, 2017. Because MIPS is a very complex regulation with percentiles, weighted scoring and new technology requirements, the quickly approaching deadline caused recent concern and inhibitions from the healthcare community, despite CMS’ confidence in providers’ ability to successfully begin... Read More

  • Jun 28, 2016

    BIG DATA'S BIG STORAGE PROBLEM

    Big Data

    Accountable Care Organizations (ACOs), Patient-Centered Medical Homes (PCMH) and other value-based care models are demanding a more comprehensive view of patient information than ever before. With the right information in hand, it's possible to detect and treat health conditions at earlier stages, manage specific individual and population health, and utilize resources more efficiently.   However, to manage patients under risk-sharing arrangements, providers need access to tools to make data integration, aggregation and management... Read More

  • Jun 20, 2016

    WHAT TYPES OF TECHNOLOGIES ARE NEEDED TO DESIGN PROFIT-DRIVEN QUALITY IMPROVEMENT PROGRAMS?- PART 2

    What types of technologies are needed to design profit-driven quality improvement programs?- PART 2

    To improve overall profitability and bottom line, payers have a renewed focus on quality improvement programs. In today’s consumer-oriented environment, quality needs to be defined much more holistically. Soon, quality of care will not only be measured by the quality of an acute care episode, but also by the number of episodes that were prevented. As such, clinical quality measurement can be viewed as the core driver of overall business... Read More

  • Jun 15, 2016

    PAYERS CAN INCREASE PROFITS THROUGH QUALITY IMPROVEMENT PROGRAMS- PART 1

    Payers can increase profits through quality improvement programs- Part 1

    The critical need to improve quality of care has been a long-standing concern in the United States. From the initial reports in the 1990s’ to the Institute of Medicine’s (IOM) 2001 Crossing the Quality Chasm report1, to the Institute for Healthcare Improvement’s (IHI) Triple Aim, the quality improvement imperative has grown stronger and clearer. However, while the need to improve healthcare quality has been clear, the means to institutionally achieve... Read More

  • May 24, 2016

    ARE HEALTH PLANS HEADING TOWARDS DATA LAKES OR DATA SWAMPS?

    ARE HEALTH PLANS HEADING TOWARDS DATA LAKES OR DATA SWAMPS?

    Driven by the promise of sophisticated reporting and analytics capabilities that hold the potential to help identify actionable items to improve care quality and cost, raise consumer engagement and reduce overall disease risks, payers have invested significant resources and efforts to create large data repositories commonly referred to as lakes. These data lakes were supposed to ingest all forms of data – from complex clinical provider information to claims data... Read More

  • May 11, 2016

    EARLY SYNOPSIS FOR MACRA PROPOSED FINAL RULE

    EARLY SYNOPSIS FOR MACRA PROPOSED FINAL RULE

    MACRA Overview   The proposed rule would implement changes in the Medicare Access and CHIP Reauthorization Act (MACRA) through a framework called the Quality Payment Program (QPP) which includes two paths:   Merit-based Incentive Payment System (MIPS) or Advanced Alternative Payment Model (APMs) Eligible clinicians can participate in MIPS or meet requirements to be a qualified APM participant.   Timeline for QPP     Merit-based Incentive Payment System (MIPS) promotes better care, healthier people and smarter spending by evaluating clinician performance on... Read More

  • Sep 30, 2015

    KEY TAKEAWAYS FROM THE BLUES IM SYMPOSIUM 2015

    KEY TAKEAWAYS FROM THE BLUES IM SYMPOSIUM 2015

    CitiusTech was a proud Platinum Sponsor at the Blue Cross Blue Shield Information Management Symposium 2015 in Amelia Island, Florida. The CitiusTech Payer Team was at the event and exchanged ideas with Blues leaders and other healthcare professionals who attended. We would like to thank and congratulate the BCBS Florida team for organizing a successful show this year. The event was a very well rounded one with an agenda focused on... Read More

    TAG:
    • CitiusTech Payer Team
  • Jul 01, 2015

    THE FAST CHANGING LANDSCAPE OF PAYER ANALYTICS

    THE FAST CHANGING LANDSCAPE OF PAYER ANALYTICS

    With the evolving Affordable Care Act reforms and widespread digitization of healthcare data, payers are likely to make significant investments in analytics and business intelligence. Quality measurement is becoming more complex Reporting of quality measures continues to generate interest, and health plans have to evolve their systems to manage changing measure sets and introduce new measures from various federal and commercial institutions (National Committee for Quality Assurance and Centers for Medicare &... Read More

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    • CitiusTech Payer Team
  • Mar 16, 2015

    ENHANCING PATIENT RECRUITMENT & RETENTION: WHAT IF WE USED BIG DATA?

    ENHANCING PATIENT RECRUITMENT & RETENTION: WHAT IF WE USED BIG DATA?

    Every time clinical researchers start planning for a clinical trial they find a big elephant in the room. Patient recruitment and retention are, and always have been, a problem everyone knows exists, and the success rate of clinical studies often depends on the quality, speed, cost and efficacy of the recruitment process. We’ve already heard and read enough about the challenges and barriers around improving patient recruitment.    Let’s come to... Read More

    TAG:
    • CitiusTech Life Sciences Team
  • Mar 02, 2015

    MAKING CLINICAL DATA ACTIONABLE FOR PAYERS

    MAKING CLINICAL DATA ACTIONABLE FOR PAYERS

    Written by Parag Nasikkar & Mayuri Potdar for Healthcare IT News ( Source)   Parag Nasikkar is a Senior Healthcare Consultant at CitiusTech Parag Nasikkar is a Healthcare Consultant at CitiusTech   Payers’ involvement in patient care, and their access to clinical data, has remained limited. They have traditionally relied on claims data, and the limited clinical data available on claims forms, to build care management applications as well as manage cost reduction programs.   For example,... Read More

    TAG:
    • CitiusTech Payer Team
  • Dec 10, 2014

    IMPROVING CARE OUTCOMES WITH GOOGLE GLASS

    Improving care outcomes with Google Glass

    Written by Vinil Menon & Arundhati Pawaskar for mHealthNews (Source) Vinil Menon is the Chief Technology Officer at CitiusTech Arundhati Pawaskar is a Software Engineer at CitiusTech Google’s new wearable technology, Google Glass, is seen as one of the most anticipated, transformative and breakthrough devices since the smartphone. With hands-free web and camera access capability, Google Glass has the ability to redefine various industries and in the healthcare space, this type of technology... Read More

  • Nov 20, 2014

    WILL APPLE'S NEW HEALTH APP BRIDGE THE GAP BETWEEN CONSUMER ENGAGEMENT AND MOBILE HEALTH?

    Will Apple

    Written by Vinil Menon for mHealthNews (Source) Vinil Menon is the Chief Technology Officer at CitiusTech. Along with the recent iOS 8 release, Apple has introduced a new health app that allows the user to monitor and track personal health metrics such as sleep, movement and caffeine intake. The new app (and the underlying HealthKit framework) is likely to find significant uptake considering Apple’s enormous user base for iOS devices, and it's... Read More

  • Sep 16, 2014

    ARE PAYERS USING CLINICAL DATA EFFECTIVELY ENOUGH?

    Are payers using clinical data effectively enough?

    Written by Gokul Gangadharan for Healthcare Payer News (Source) Gokul Gangadharan is a Senior Healthcare Consultant at CitiusTech. With increasing regulatory pressure, payers are keen to adopt new technologies, improve efficiencies, implement analytics and build interoperable platforms, but are left looking for ways to access clinical data from providers and other caregivers. The challenge is often in getting a single, standard view of patient data and translating this data into actionable intelligence. Addressing... Read More

  • May 22, 2014

    BUNDLED PAYMENTS: QUALITY MEASUREMENT AND THE ROLE OF ANALYTICS

    Bundled payments: Quality measurement and the role of analytics

    Written by Shyam Manoj and Shivam Mundra for Health Management Technology (Source)   Shyam Manoj is the Assistant Vice President at CitiusTech. Shivam Mundra is a healthcare IT consultant at CitiusTech.   In January 2013, CMS put its weight behind bundled payments by launching the Bundled Payments for Care Improvement (BPCI) initiative, subsequently enrolling more than 500 healthcare organizations into the program. The widespread adoption of bundled payments has the potential to benefit multiple stakeholders within... Read More

  • Mar 21, 2014

    BIG DATA: A CATALYST FOR PERSONALIZED MEDICINE

    BIG DATA: A CATALYST FOR PERSONALIZED MEDICINE

    Written by Nilesh Teli for Executive Insight (source).  Nilesh Teli is the AVP of Healthcare Business Intelligence at CitiusTech. Big data and predictive analytics are having a moment in healthcare. In fact, a 2013 report by the Institute for Health Technology Transformation (iHT2) noted that by 2011, U.S. healthcare organizations had generated 150 exabytes-that's 150 billion gigabytes-of data. Having aided in efforts for care coordination and population health management, these technology enablers... Read More

  • Jan 03, 2014

    4 KEY TECHNOLOGY THEMES FROM RSNA 2013

    4 Key Technology Themes from RSNA 2013

    Written by Dhaval Shah and Shujah Das Gupta for Diagnostic Imaging (source). Dhaval is Vice President of ISV/Devices Market at CitiusTech Shujah is Senior Consultant, Medical Imaging at CitiusTech RSNA 2013 continued the recent trend of evolutionary product releases from vendors, in light of the recent debate around the Affordable Care Act. However, we saw enough to suggest that the road ahead looks exciting, especially for technology innovation in the field of radiology.  Discussions at... Read More

  • Nov 01, 2013

    MAKING ACOS A REALITY -HIT VENDORS STEP UP TO ENABLE CARE COORDINATION

    Making ACOs a Reality -HIT vendors step up to enable care coordination

    Written by Manish Sharma and Shyam Manoj for Accountable Care News Manish is Vice President of Provider Solutions at CitiusTech Shyam is Principal Consultant at CitiusTech   Since CMS finalized the new rules of the Medicare Shared Savings Program under the Affordable Care Act in 2011, the healthcare industry has been abuzz with the promise of the ACO model, and all for good reason. With the power to bring together stakeholders across the care continuum, adopt... Read More

  • Sep 10, 2013

    MEANINGFUL USE AND INTEROPERABILITY: KEY EHR CHALLENGES

    Meaningful Use and Interoperability: Key EHR Challenges

    Written by Shyam Manoj for CHIME CIO Connection.  Shyam is Sr. Healthcare Consultant at CitiusTech. With Meaningful Use Stage 2 putting greater focus on electronic transmission of EHR data, and with less than six months before attestation is underway, vendors and providers are hard pressed to develop, test and deploy a variety of new features for effective, standards-based information exchange. In addition to the time crunch, providers also need to keep in mind that successful health information exchange for Stage 2 compliance would require much more than just the implementation of EHR... Read More

  • Aug 15, 2013

    PATIENT ENGAGEMENT, MOBILE HEALTH AND MEANINGFUL USE

    Patient Engagement, Mobile Health and Meaningful Use

    Written by Vinil Menon for mHealthNews (source).  Vinil is the Vice President of Technology Leadership at CitiusTech. With the proliferation of smartphones and tablets, mobile technologies are quickly being adopted as a means to alleviate certain physician pain points and strengthen patient self-management. The recently released Meaningful Use Stage 2 objectives hold a larger focus on patient engagement, and mobile health holds promise as a key tool in helping organizations address these... Read More

  • Jun 18, 2013

    BIG DATA & CLINICAL ANALYTICS: DERIVING VALUE FROM THE HEALTHCARE DATA DELUGE

    Big Data & Clinical Analytics: Deriving Value from the Healthcare Data Deluge

    Written by Harshad Patil for CHIME CIO Connection.  Harshad is Senior Consultant - Healthcare Informatics at CitiusTech. Driven by healthcare reform and consumer driven technology (mobile health), we are seeing an exponential growth in the volume and types of healthcare data. Healthcare decision makers have the opportunity to enhance clinical outcomes by unlocking this data to generate actionable intelligence. Analysts point out that the value derived from big data could potentially be worth $300 billion per year... Read More

  • May 22, 2013

    A STRUCTURED APPROACH TO ACTIONABLE CLINICAL INTELLIGENCE

    A Structured Approach to Actionable Clinical Intelligence

    Written by Dennis Swarup for Group Practice Journal (source) To many in healthcare, the term "patient-centered care" is a fairly recent buzzword describing the industry's transformation to collaborative systems where patients and their families partner with practitioners to reduce costs and achieve better healthcare outcomes. But for other organizations, such as Holzer Health Systems, it has been at the heart of their mission for decades: "The patient is at the center of... Read More

  • May 06, 2013

    THE DIRECT PROJECT: MEANINGFUL, SECURE AND EFFECTIVE PATIENT ENGAGEMENT

    The Direct Project: Meaningful, Secure and Effective Patient Engagement

    Meaningful Use Stage 2 final rules lay strong emphasis on patient engagement. And for good reason. A survey conducted in 2011 by the Commonwealth Fund (link) found that patients who were more engaged in their health care were less likely to report medical errors and in general hold the medical system in higher regard. To achieve this, however, physicians and patients need to be able to exchange information seamlessly, and... Read More

  • Mar 12, 2013

    MANAGING COMPLEXITY IN CLINICAL QUALITY MEASUREMENT

    Managing Complexity In Clinical Quality Measurement

    Written by Dennis Swarup for Healthcare Technology Online (source) Dennis Swarup is Vice President and Head of Healthcare BI & Analytics at CitiusTech. He has extensive experience in technology consulting and development for Fortune 500 clients, around healthcare BI/analytics, clinical quality and performance management. Dennis holds a Bachelor’s degree in Technology and has a Master’s Degree in Information Systems. Healthcare industry dynamics are quickly changing due to greater focus on population health management... Read More

  • Feb 13, 2013

    ON THE JOURNEY TO EFFECTIVE CLINICAL QUALITY MANAGEMENT: EXPECT A BUMPY RIDE

    On the Journey to Effective Clinical Quality Management: Expect a Bumpy Ride

    Written by Vikram Sukthankar for Healthcare IT News (source)   Vikram Sukthankar is a Senior Healthcare Informatics Consultant at CitiusTech. He is a domain expert in meaningful use compliance, healthcare business intelligence, regulatory P4P reporting, ACOs and payer workflows (AHIP certified).   Improving the quality, safety and efficiency of healthcare is a national priority. While clinical quality measures have been around for some time, they are now taking center stage through federal, state and... Read More

  • Dec 28, 2012

    PRACTICAL ISSUES FACED IN RADIOLOGY – LEARNINGS FROM RSNA 2012

    Practical Issues Faced in Radiology – Learnings from RSNA 2012

    RSNA 2012 offered a great array of innovations in healthcare which spanned across the entire breadth of radiology today. In addition, the conference also provided a forum for customers to voice their opinions on some of the key pain areas faced in radiology which need to be addressed by vendors or by evolving better healthcare standards.    In this post, we've tried to capture areas which offer the maximum scope for innovation in... Read More

  • Dec 10, 2012

    LEVERAGING OPERATING HIES FOR ACCOUNTABLE CARE

    Leveraging Operating HIEs for Accountable Care

    IT infrastructure for managing ACO operations and managing lives under "shared risk" is going to be a big challenge for most organizations. Connecting to regional HIEs may play an important role in addressing this challenge. For ACO participants to effectively implement care co-ordination strategies, reduce operational costs, and meet quality performance requirements, they need to be able to access high quality data from a number of sources, including: Claims data from Payer... Read More

  • Nov 23, 2012

    WHAT WE WANT TO SEE AT RSNA 2012 – WISH LIST!

    What We Want to See at RSNA 2012 – Wish List!

    The world of medical imaging is evolving rapidly – given advances in technology and evolution of medical imaging practices and standards worldwide. Here are the potential innovations in the healthcare informatics space which we would like to see at RSNA this year: Effective integration of Clinical Decision Support (CDS) in the Radiology Tools and technologies which can anticipate a radiologist’s requirements when a case is brought up for review. Some of the... Read More

  • Oct 30, 2012

    BI/ANALYTICS PROVIDES MEDICAL GROUPS A STRUCTURED, INTEGRATED APPROACH TO MAXIMISE GAINS FROM INCENTIVE PROGRAMS

    BI/Analytics Provides Medical Groups a Structured, Integrated Approach to Maximise Gains from Incentive Programs

    Medical Groups: Focus on Federal and Commercial Incentive Programs Medical groups are quickly moving from the traditional fee-for-service model to outcome-driven models for patient care, such as accountable care and medical homes. This trend is fuelled by commercial payers and health plans as well as multiple federal incentive programs such as PQRS, eRx, Meaningful Use, ACO and PCMH. BI/Analytics: An Effective Way to Maximize Gains from Incentive Programs Most outcome-driven incentive programs require... Read More

  • Sep 28, 2012

    HL7 INFOBUTTON TO ENHANCE PATIENT ENGAGEMENT & DECISION SUPPORT

    HL7 Infobutton to Enhance Patient Engagement & Decision Support

    With the MU2 guidelines laying strong emphasis on patient engagement and decision support, we thought it would be good to have a relook at the Health Level 7 (HL7) International Context Aware Knowledge Retrieval Standard, commonly known as the HL7 Infobutton, which has been prescribed as a functional standard for context-sensitive functionalities such as patient-specific education resources and referential decision support. HL7 Infobutton has been around for over 5 years now... Read More

  • Aug 18, 2012

    MOBILE HEALTH: DELIVERING HEALTH SERVICES ACROSS THE CONTINUUM OF CARE

    Mobile Health: Delivering Health Services across the Continuum of Care

    Higher patient engagement and use of mobile technology are seen to be one of the primary enablers of long-term care management. The ability of mobile health to access and delivery healthcare information across healthcare systems and entities has far-reaching implications. Mobile health applications can support healthcare workflows across the care continuum - physicians, facilities, sponsors, communities and patients. Most important, and often least discussed aspect of care management, dimension of care... Read More

    TAG:
    • Priyank Chopra
  • Jul 12, 2012

    MEANINGFUL USE STAGE 2: DRIVING CONTINUOUS QUALITY IMPROVEMENT THROUGH EFFECTIVE PERFORMANCE MANAGEMENT AND ACTIONABLE INTELLIGENCE

    Meaningful Use Stage 2: Driving Continuous Quality Improvement Through Effective Performance Management and Actionable Intelligence

    The focus on improving quality of care has increased manifold over the past couple of years with multiple federal and state regulations mandating clinical quality measurement and reporting, making it a national priority. MU Stage 2 proposes to take this health outcomes priority to the next level in ensuring care providers are encouraged to implement systems and processes to implement a full circle of performance management right from identification of... Read More

  • Jun 09, 2012

    MEANINGFUL USE STAGE 2: ENGAGING AND EMPOWERING THE CONSUMER OF CARE

    Meaningful Use Stage 2: Engaging and Empowering the Consumer of Care

    One of the key focus areas of Meaningful Use is engaging patients and families in their own care. In the proposed rule, a couple of the Stage 1 objectives around providing health information access to patients have been consolidated into an umbrella objective viz., View, Download and Transmit personal health information in a secure manner. The push towards greater patient engagement is evident in decisions such as making optional objectives... Read More

  • May 20, 2012

    MEANINGFUL USE STAGE 2: EVOLVING HEALTHCARE PRACTICE AND SYSTEMS FOR BETTER CLINICAL DECISIONS

    Meaningful Use Stage 2: Evolving healthcare practice and systems for  better clinical decisions

    Meaningful Use Stage 1 was more about implementing systems and processes capturing and reporting clinical data in electronic format. However, the recent measures proposed by CMS for Stage 2 seem to a more evolutionary objective. As part of Stage 2 reforms, hospitals and physicians are expected to evolve practices and systems, that were set up for Stage 1 compliance, to meet three primary objectives: Improve quality of healthcare services at point-of care Exchange... Read More

    TAG:
    • CitiusTech Payer Team
    • ,
    • Priyank Chopra