Blogs

“Sometimes, the best thing we can do for our patients is to tell them what the best behavior is and then negotiate something they can live with.” —Nancy Dickey, First Female President, American Medical Association.

“For providers, who often report difficulty with using EHR technology, APIs represent an opportunity for internal innovation. Open APIs can allow provider systems to build their own custom user interfaces in-house or shop around for a better solution than the interface that comes standard with their EHR system. EHRs could eventually become a platform on top of which other companies could build more tailored applications and improve usability for clinicians.“

How does one define quality care? There is no one single definition as some say it is determined by the use of sophisticated technology and the prowess of the IT infrastructure, while others tend to focus more on patient-centricity. Patient-centricity, in particular, has been the talk of the town for quite some time. Lately, it has become the driving force behind large-scale structural and cultural revamping of various healthcare organizations. But the question still looms- how can healthcare organizations achieve quality care with patient-centricity?

Payers and providers are the captains of two different ships sailing in similar waters. Both oversee incredibly relevant aspects of the healthcare system. Both the providers and payers are administering care from a quality perspective while keeping a sharp eye on the cost. Cost, quality, and care experience are essential elements that make up the entire landscape of the 21st century US healthcare. The significant disruptions in healthcare are a direct result of recent innovations brought in by the payer-provider dynamics. A lot has been accomplished, and a lot remains to be done.

Since its inception in 1965, the Centers for Medicare and Medicaid Services has been focused on driving quality care and making the healthcare space efficient for its members. Upholding their goal of empowering patients and enhancing the healthcare efficiency, CMS keeps on introducing new regulations and rules. Last few months witnessed some major shifts in healthcare regulations, disrupting nearly every domain. Here are a few that caught everyone’s attention:

Lidia is a Nebraskan in her mid-thirties, who recently discovered that her body had been predisposed to sickness due to a genetic disorder. One of the genes in her body that’s supposed to fix DNA-copying errors during cell division is not functional, and if the body can’t make up for those minor mistakes, the cells could replicate and snowball into a malignant tumor. Lidia’s PCP and her care team realized Lidia’s health status and were fully aware what it could lead to if ignored. A prepared care team and targeted interventions have empowered Lidia to take full charge of her lifestyle habits to improve her odds.