tci Medicare Compliance & Reimbursement - 2006 Issue 2
HEALTH IT: Insurers Leading The Health Care Technology Charge
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Article Overview
This piece examines a health plan industry report on how insurers are promoting health information technology in ways that affect members, physicians, and administrative workflows. It is relevant to readers tracking payer-led innovation, personal health records, care management tools, remote monitoring, and the movement toward standardized electronic prescribing. The article also places these developments in the context of 2006 implementation planning and federal Medicare Part D e-prescribing standards.
Why This Topic Matters
Health plan-led technology initiatives can influence how data is shared, how care is coordinated, and how patients interact with their coverage and providers. The article is useful for understanding payer-driven trends in health IT and the broader push toward interoperability and standardization.
Article Sections
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Health plans and health information technology adoption
An overview of how insurers are using health information technology to support operations, consumer access, and care-related services. The section also notes concerns about variation across products and implementations.
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PHRs especially valuable in current treatment climate
A discussion of personal health records and the types of features health plans are emphasizing for members and providers. It also highlights planned development areas described for 2006.
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Medical care benefits from plans' health IT push
Examples of health plan technology projects that extend beyond personal health records, including remote monitoring and related care support tools.
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E-prescribing programs beginning to take hold -- and upcoming standardization will help
Coverage of collaborative prescribing initiatives and the broader move toward standardized electronic prescribing requirements associated with Medicare Part D.
What You Will Learn
- How health insurers are influencing health IT adoption
- What broad categories of technology initiatives are being highlighted by health plans
- Why personal health records are receiving attention from payers
- How payer-led tools can support providers and patients
- How electronic prescribing efforts are evolving toward standardization
Who Should Read This
- Health information management professionals
- Medical coders and billing staff
- Payer and health plan administrators
- Healthcare IT stakeholders
- Clinicians interested in care coordination tools
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