Payer Resources

Payers Use Health Information Technology to Navigate the ACA - March, 12 2013

By:  Tony Schueth, CEO & Managing Partner, Point-of-Care Partners, Member of HIMSS Patient-Centered Payer Roundtable.

Payers are doing a serious set of wind sprints. The requirements of the Affordable Care Act (ACA) set many strategic imperatives for payers, and now it is about delivering results. While compliance may look onerous and costly, there is also more opportunity -- given the right investments -- for payers to flourish in an evolving healthcare market.  Learn more about three market changes stimulated by the ACA are driving health insurance delivery and payment reforms.

HIE: Payers Wanted

5010 Implementation: Beyond the Code: The Process, The People, and The Payer

Real Time Adjudication of Healthcare Claims

ICD-10 PlayBook

The Intersection of Healthcare and Financial Systems

Healthcare Payers/Providers Face Challenges in Clinical Data Use

Resources from the Patient-Centered Payer Roundtable Monthly Meetings

Sept. 2012: News You Can Use: 2-Minute Drill - The Payer’s Perspective of the IOM Report “Best Care at Lower Cost - The Pathway to Continuously Learning Health Care in America” by Shelley Price, HIMSS Director, Payer & Life Sciences

January 2012: 2-Minute Drill - S&I Framework Newsletter (January 2012)

January 2012: 2-Minute Drill - Overview of Health Affairs Blog “PIONEER ACOs PROMISE AND POTENTIAL PITFALLS”

January 2012: HIMSS12 - Payer Program and Points of Interest

October 2011: NeHC Report “SECRETS OF HIE SUCCESS REVEALED--Lessons from the Leaders”