Healthcare interoperability: Where is the industry at today, where is it going, what's new, what's coming, and most important–what do payers, providers, and vendors need to do in order to participate in healthcare's interoperational future? These questions and more are fielded on today's show by Jitin Asnaani, former Executive Director of CommonWell Health Alliance; Kashif Rathore, VP of Interoperability at Cerner; and Nicole Antonson, VP of Identity and CommonWell Services at Change Healthcare. Covered on today's broadcast: Why we're all students of interoperability (03:58) Meaningful Use Stage Two, the need for an interoperability alliance, and the birth of CommonWell (09:08) Promoting the free exchange of information: Why Cerner became a founding member of CommonWell (16:04) Interoperability: What's in it for providers? (21:40) The greatest barriers to interoperability for providers (26:54) How clinical interoperability exchange can help drive better outcomes (37:12) Where healthcare interoperability sits on the maturity curve (45:07) Coming federal interoperability rules (54:44) What providers can expect from CommonWell in the future (1:05:17) What's next for interoperability in healthcare IT (1:13:37) Next steps for providers: Preparing for an interoperable industry (1:18:17) Episode Resources Jitin Asnaani's bio Kashif Rathore's bio Nicole Antonson's bio CommonWell Health Alliance Cerner CommonWell Health Alliance Awards Change Healthcare Six-Year Contract to be the Provider of Clinical Interoperability Services Interoperability Solutions for Healthcare Show Resources SUBSCRIBE to the podcast using any podcatcher or RSS reader Download the audio and listen offline Get the iOS app Get the Android app Suggest or become a guest Contact Change Healthcare

Using digital technology to attract, engage, and serve consumers; deliver exceptional experiences; and earn loyalty is old hat for many U.S. industries. Healthcare, however, remains woefully behind the times when it comes to delivering contemporary digital experiences to consumers. But that’s changing, and fast. On today's show, experts from Adobe, Microsoft, MDSave, and Change Healthcare have a robust discussion about why healthcare lags behind, the impetus to move quickly, the risks of not doing so, what the personalized patient experience looks like, and much more. It's a must-hear for any payer or provider. Here’s what the panel debated: The digital healthcare experience imperative (04:52) A new notion: the “Orchestrated Digital Journey” (21:27) Price transparency and its connection to patient satisfaction and collections (25:29) What a personalized patient experience looks like (31:44) How we can help patients improve their experience while lowering healthcare costs (42:50) Connecting access points to provide a seamless healthcare experience (53:57) Digital transformation from the platform point of view (59:30) How the orchestrated digital journey can impact care quality and patient health (1:12) Episode Resources Bill Krause's bio Kathleen McGrow's bio Paul Ketchel's bio Tom Swanson's bio Digital Patient Experience Manager Price Transparency in Healthcare Practical Innovation Change Healthcare 2019 Consumer Insights Report Change Healthcare True View Change Healthcare Patient Access Suite Change Healthcare Clearance Estimator Change Healthcare Clearance Authorization Change Healthcare makes strategic investment in MDsave Change Healthcare partners with Adobe and Microsoft Adobe's website Change Healthcare's website MDsave's website Microsoft's website Show Resources SUBSCRIBE to the podcast using any podcatcher or RSS reader Download the audio and listen offline Get the iOS app Get the Android app Suggest or become a guest Contact Change Healthcare

Not long ago healthcare IT systems were information silos, safely isolated inside a payer’s or provider’s data center. The greatest threat to IT security was the unlikely inside job. Fast forward to 2019, and HIT systems are increasingly enmeshed across corporate, government, vendor, and even consumer boundaries. Information is flowing between multiple on-premise and cloud data centers; among vendors, software services, and APIs; and often across the public Internet.

The threat landscape healthcare organizations must mitigate today is greater, more complex, and evolving faster than ever. But while the IT world we work in gets more challenging by the day, the disciplines and how to manage the environment have also improved dramatically. Practices such as HITRUST certification and SOC audits are helping IT teams evaluate their organizations and ensure adherence with the highest security protocols and standards.

On today’s show, Bob Hoover, Vice President of Change Healthcare Consulting, discusses the state of IT security and where HITRUST, SOC 2, and enterprise risk management fit in with Haddon Bennett, Chief Information Security Officer at Change Healthcare; and Rusty Fancher and Susan Richards, Program Directors of Enterprise Information Security at Change Healthcare. Here's what they hit on.

• HIPAA compliance, HITRUST’s controlled framework, and SOC 2: What’s the difference? (03:05)
• A top-down approach to establishing enterprise information security governance, policy implementation, and performance measurement (08:48)
• Resources and skill sets required to build, troubleshoot, and manage enterprise information security programs (13:22)
• Establishing an information security mindset (18:46)
• Which way to go: Comparative benefits and a rationale for choosing either SOC 2 audits and reports or HITRUST certification (23:32)
• Instituting sound security policies and procedures, risk assessments, and data protection regulations (30:33)
• SOC report types and HITRUST scoring models (36:32)
• How to assess HITRUST certification value for an organization (38:15)

Episode Resources

1. Bob Hoover’s bio
2. Haddon Bennet’s bio
3. Rusty Fancher's bio
4. Susan Richards’ bio
5. Consulting Resource Center
6. Change Healthcare Consulting Services

Show Resources 

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Advances in technology boost providers’ ability to screen the self-pay patient.

by Brian Andrews

Brian Andrews is Senior Vice President & General Manager of Revenue Optimization Solutions at Change Healthcare.

Episode Resources

1. Brian Andrews' bio
2. Coverage Insight

Show Resources

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Payers can reap profound cost savings by moving their provider networks from paper to electronic payment (e-payment). But after 20 years of encouraging various forms of e-payment, only 60% of medical providers are accepting them.¹

Imagine if only 60% of other forms of commerce accepted electronic payments. Why the snail’s pace in healthcare?

Listen in as Bill Barbato and Jason Koch share their answers to this question, and review how e-payment continues to challenge  payers, and ways payers can break the logjam to boost e-payment adoption.

Here are the topics they touched on:

• The lingering impact of early industry missteps when introducing e-payment (02:40)
• New e-payment options that help overcome providers' reluctance (06:17)
• The e-payment approach smaller-volume providers often embrace first (08:39)
• Why offering multiple e-payment options is essential (10:57)
• Obstacles: Enrollment and the lack of EDI delivery (15:02)
• Electronic payment impact on the reconciliation process (18:07)
• How to send high-quality electronic remittance advice (20:48)
• Achieving win-win relationships with providers (26:43)

Episode Resources

1. Bill Barbato's bio
2. Jason Koch's bio
3. Virtual Provider Payments: The Good, The Bad, The Opportunity
4. The Importance of High-Quality Electronic Remittance Advice (ERA)
5. Make It Easy for Providers to Choose Electronic Payments
6. Covenant Administrators Shares Results
7. Change Healthcare Payment Management Solutions

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It's no secret that artificial intelligence (AI) is changing healthcare's approach to imaging. As AI algorithms are added to new and existing solutions, AI is helping clinicians make appropriate clinical decisions faster.

We interviewed Ran Rumianek, Executive Director of Artificial Intelligence and Growth at Change Healthcare, to dig into the rise of AI in imaging, its promise and apparent benefits, and advice for how providers can harness the potential of AI today and in the future.

Here's what was covered in the interview:

• How AI can help automate repetitive tasks for administrators and clinicians (01:30)
• Narrow vs. general AI, and the impact on productivity and patient care (04:34)
• Interpretation and the radiologist’s evolving role in an AI world (07:21)
• The psychological impact of AI on clinician job satisfaction (08:59)
• Obstacles to AI adoption and how to address them (10:41)
• AI's benefits: hype or reality? (13:00)
• The nexus of cloud-based services, AI, and accessibility for imaging (14:20)
• Guidance for IT leaders preparing for AI (16:51)

Episode Resources

1. Ran Rumianek's bio
2. Schedule a demo
3. Enterprise Imaging Solutions
4. Enterprise Imaging resource center

Show Resources 

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Vendor-neutral archives (VNAs) have provided secure, consolidated data storage to providers for years. But the definition and capabilities of the VNA are changing. The VNA is moving to the cloud, and that's raising new questions for providers, because not all cloud VNAs are created equal. Some are rehosted legacy solutions, others are hybrids, and still others are built from the ground up for cloud computing—and those distinctions have implications for VNA implementations.

On today’s show, Todd Doherty, Director of Product Management and Data Services at Change Healthcare, reviews the evolution of VNAs, updates us on where the industry is at today and where it's heading, and what we can expect to see in the future.

Here's what we talked about.

• A brief history of VNAs (01:55)
• The difference between cloud-based, cloud-native, and on-premise (06:05)
• How SaaS (software as a service) impacts financial forecasting and budgeting (07:52)
• Supporting emerging use cases through data accessibility and open systems (10:30)
• The VNA of tomorrow (13:23)
• Jump-starting your organization’s VNA vision (16:14)

Episode Resources

1. Todd Doherty's bio
2. Schedule a demo
3. Enterprise Imaging Solutions
4. Enterprise Imaging resource center

Show Resources 

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Healthcare organizations increasingly see enterprise imaging as crucial to the development of a more comprehensive electronic health record. And as more providers consolidate their medical imaging infrastructure, they’re learning how integrating with the EHR can help increase the value of their existing HIT investments.

On today’s show, Steve Harrold, Senior Manager of Enterprise Imaging at Change Healthcare, talks about the potential advantages of multitenancy, the need for a cybersecurity infrastructure, and how telling the story of the patient’s condition through imaging can lead to better outcomes.

Here's what we discussed:

• How enterprise imaging can help reduce clinical variance and combat physician burnout (01:19)
• The C-suite’s focus on EHRs and enterprise imaging (02:43)
• How concentrated integration can improve information flow (03:37)
• Why role-based views of images and reports matter for results interpretation and patient consults (04:37)
• The trend toward EHR and cloud-native imaging convergence (07:06)
• What "cloud-native" architecture means (09:26)
• How display protocols can increase diagnostic confidence (13:38)

Episode Resources

1. Steve Harrold's bio
2. Schedule a demo
3. Enterprise Imaging Solutions
4. Enterprise Imaging resource center

Show Resources 

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• Download the audio and listen offline
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As more organizations adopt enterprise imaging solutions that cross service lines, improvements in care team coordination are having a positive impact on throughput, clinical collaboration, and patient outcomes.

On today’s show, Steve Harrold, Senior Manager of Enterprise Imaging at Change Healthcare, talks about these improvements, including the importance of workflow engines, advancements in AI algorithms, and how to keep diagnosticians on the front lines of healthcare.

Here's what we covered: 

• Improving patient throughput and intra-department communications (01:55)
• Incorporation of AI algorithms into workflow engines and the impact on clinicians (03:48)
• How intelligent views can reveal disease progression (06:03)
• Adjusting turnaround times around specific conditions to support better outcomes (07:57)
• How a mobile experience can make or break encounter-based capture (09:18)

Episode Resources

1. Steve Harrold's bio
2. Schedule a demo
3. Enterprise Imaging Solutions
4. Enterprise Imaging resource center

Show Resources 

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Revenue cycle management (RCM) is more than simple claims management and bill processing. Today, RCM is a rapidly changing, multi-billion dollar market with a complex set of challenges and a growing roster of healthcare IT (HIT) vendors promising to solve them.

On today's show, Thomas Laur, executive vice president at Change Healthcare and president of the company’s Technology Enabled Services business, brings us inside this rapidly evolving space and talks about what’s driving change, the role of new technologies such as advanced analytics and artificial intelligence, and how forward-thinking providers can mix HIT and services to optimize RCM and engage patients more effectively.

Here's what's covered in today's show:

• How revenue cycle management is evolving
• Data analytics, arbitrage, and their role in increasing collections
• Key areas for RCM disruption in the next five years
• How providers can drive new payment paradigms and adoption of intelligent technologies
• Do intelligent RCM technologies require providers to add new skill sets?
• Balancing technology, professional services, and consulting to maximize ROI from intelligent RCM technologies
• Revenue cycle is becoming more patient-centric

Episode Resources

1. Thomas Laur’s bio
2. Artificial Intelligence Equals Real Transformation for Revenue Cycle Management
3. Revenue Optimization Resource Library
4. Revenue Cycle Optimization Webinar Series for Hospitals and Health Systems
5. COVID-19 Updates and Resources
6. COVID-19 Updates Newsletter

Show Resources

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• Contact Change Healthcare