Reimbursement

ChartSwap president Nate Kelly relays how patients and providers benefit from the company's electronic record request fulfillment, allowing them to review authorizations and receive faster payment for their time by automating custodian fees.

David Wolf, MedeAnalytics AVP, and Lynn Carroll, HSBlox COO, highlight value-based care models' crucial components, including contract modeling and performance measurement, and discuss change management for switching to these models.  

Cedar Gate Technologies EVP David Morris compares the new model, which allows for a gradual approach to risk for more conservative and less experienced ACOs, and ACO REACH, which requires a greater tolerance for risk, but has more rewards.    

Khue Tran, chief strategy officer at Azalea Health, shares how the company's products for rural health systems, including EHR and practice management software, RCM automation and touchless charting, drive efficiencies and boost reimbursement rates.

Accountable care organization OneCare Vermont's interim CEO, Abe Berman, and CFO, Tom Borys, relays how the accountable care organization ensures high-quality continuum of care and the impact of CMS' model on Vermont hospital systems.  

National Taiwan University Hospital's vice superintendent, Dr I-Rue Lai, relays the health system's ambition to be a fully value-based, data-enabled care provider, which includes interoperability, internally and with external providers.

Brian Scarpelli, senior global policy counsel at the Connected Health Initiative, discusses how the initiative is working with the AMA to incorporate digital health tools into CPT code sets to improve providers' reimbursement rates.

Digital therapeutics improve access to care, but face reimbursement challenges. Jessica Hauflaire, COO of the Digital Therapeutics Alliance, describes the DTA's work with CMS and policymakers to gain support for this new care model.

At HIMSS23, David Murtagh, VP of operations at MultiPlan, which cofounded the group with United Healthcare, Humana and others, will speak about payer and provider use cases that are emerging for the distributed ledger.

A stand-alone EHR workflow automates prior authorizations via workflow optimization and process modifications, reducing wait times for radiology at Atlantic Health System, according to Danielle Pieloch and Kumar Aditya in their HIMSS23 presentation.