Light in the Darkness: How Information Will Create Transparency in Healthcare
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Emdeon is a leader in the national health information network with 155 million patients, 350,000 providers, 1,200 payers, and 5 billion transactions annually. Emdeon aims to make healthcare more efficient by reducing costs and improving quality through increased transparency. However, increasing transparency in healthcare is challenging due to the lack of standardized digital data and pricing information not being available to consumers at the point of service. There are now over 20 separate initiatives underway to increase transparency in healthcare.
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Light in the Darkness: How Information Will Create Transparency in Healthcare
- 1. August 26, 2010 Transparency in Healthcare Miriam Paramore, SVP Strategy & Government Affairs
- 2. Emdeon: A Leader inToday’s National Health Information Network 2 155 million Patients 350,000 1,200 5 billion Providers Payers RCM & Payment Distribution Healthcare Information PBM Services ePrescribing Pharmacies 55,000 Emdeon – We make healthcare efficient.
- 3. efficient healthcare Emdeon – We make healthcare efficient.
- 5. 1. Reduce Cost
- 7. 2. Improve Quality
- 9. Emdeon – We make healthcare efficient. What is Transparency Hard? Price Healthcare is not retail – there is no price at the point of service What a hospital charges is not the “price” What an insurance company pays is the “price” But the consumer can’t buy at that “price” Quality Data is not digital Lack of standards means even digital data is meaningless There is no good clinical information exchange Consumer-friendly communication of medical terms is difficult
- 10. Everybody is asking the same question… HIMSS Financial Systems Steering Committee 6 Public-Private Collaborations 7 State & Local Initiatives 5 Value Driven Healthcare Initiatives 3 Business Coalitions Total = 21 separate initiatives
- 12. 13.5 million insured 101,450 procedure / modifier combinations 725 average good estimates per state
- 14. YEA 219 NAY 212 March 21, 2010
- 16. HIT Over the Next 5 Years
- 18. Quick Poll How many of you can email your doctor? Name 2 other people that you can’t email…
- 19. Emdeon is a Ubiquitous Platform for the NHIN 10 Emdeon – We make healthcare efficient.
- 20. NHIN Direct
- 21. Emdeon X
- 22. I’ll take an e-copy of my records please… http://www.youtube.com/watch?v=UlGXTyIipZA&feature=player_embedded
Editor's Notes
- PPACA (Patient Protection and Affordable Care Act) passes to do one of two things….first to reduce cost
- And secondly to improve quality
- So I ask to consider – what would you do with an extra $30 billion dollars a year?There is a lot you could do – first and foremost help pay for the other things we need to do to address quality – and ensure greater focus on patient care.The first phase of the Index looked at industry data. Now we are gathering numbers in real time from payers, providers and clearinghouses to tell an even more accurate story – and document progress – and savings.I urge you to join our effort – get involved in the Index – and raising awareness of the opportunity to get immediate savings.And help us work together to overcome the few remaining barriers. Today we’re releasing a whitepaper – with the Center for Health Transformation – that looks at these opportunities – and provides a clear roadmap for collaboration.
- PPACA (Patient Protection and Affordable Care Act) passes to do one of two things….
- Welcome to the new healthcare system…pretty easy to navigate, eh?
- And on top of that we have to keep in mind what is going on with HIT over the next 5 years. How do companies try to manage meeting these mandates as well as improving quality and reducing cost through PPACA?