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Health reform...It’s here to stay
Better care, better outcomes, a healthier population at lower costs
Healthcare has changed. People live longer, but not necessarily healthier. Care has become costly and inefficient. That’s where health reform comes in. Health reform is not any one government or commercial program. It’s care delivery reform, payment reform, and community health reform. Combined. All with the goal of better care a healthier population at lower costs. And QSI can help.
Health Reform Legislation
Federal health reform efforts have in large part been driven by the HITECH Act of 2009, The Affordable Care Act (ACA) in 2010, and more recently, the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). As a result, about 17% of the economy – healthcare – has shifted from a paper driven, fee-for-service model to automation and value-based payment models.
HIT Drives Health Reform
EHR and other HIT technologies have become the drivers for the outcomes-based rules and requirements in health reform – from the use of technology to gather data in a single patient record and improve outcomes and population health, to the ICD-10 disease coding transition, to the ability to share data across disparate systems, to managing and optimizing new payment models. And QSI is there, with the solutions that help clients navigate health reform and thrive.
Our population is aging and payers can no longer afford to cover care costs, particularly for patients with chronic illnesses. Things needed to change and they are. Fee-for service has given way to value-based reimbursement models which are designed to improve patient outcomes and reduce care costs. In fact, value-based models are now driving health reform, incorporating financial incentives to providers that are aligned with patient-centered care, better outcomes, and cost containment goals. QSI offers a robust suite of interoperability solutions to help providers thrive in this new care delivery and payment environment.
Read our Definitive Guide to Value-Based Care eBook.
Improving Population Health
The key to success for value-based care and payment models is managing and improving the health of a practice’s entire patient population, not only those actively seeking healthcare. Providers must know the health of all their patients and take action to engage them automatically and proactively to achieve better outcomes. That is, they drive better population health with better individual engagement and care. QSI offers a robust HIT solutions suite to help providers drive better outcomes and reduce costs across an entire patient population.
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Without interoperability, the ability to securely share information across disparate systems, healthcare reform won’t really work. There’s no meaningful data sharing. Better care and clinical outcomes can’t happen without it, and the ability to improve patient engagement doesn’t exist. The ONC says it’s a key element to transform the health care delivery system into one that provides better care, smarter spending, and healthier people. QSI offers robust interoperability solutions, powered by Mirth, to help providers, care teams and patients exchange information to drive better population health with better individual care at reduced costs.
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To demonstrate value-based care and maximize payments, it is not enough just to adopt EHR; the EHR technology must meet certain criteria and physicians must be able to show meaningful use of their EHR system. Specific criteria include but aren’t limited to:
- ONC Certified® EHR
- ePrescribing functionality
- Interoperability and communication with external EHR systems
- Patient engagement and care coordination capabilities
- Ability to help improve quality, safety, and efficiency
QSI solutions meet all of these critical required elements and its clients have already attested for more than $700 million and growing in MU incentives.
QSI solutions help providers manage health reform, keeping practices ahead of regulatory changes, value-based reimbursement, interoperability, coordinated care and population health management. We also help ensure they have the right data, benchmarks, and actionable analytics to demonstrate better quality and outcomes. And we offer services that help providers optimize and speed revenue.