Healthcare

TEFCA: The On-Ramp to Interoperability

The U.S. Department of Health and Human Services (HHS) has been given the colossal task of creating a Trusted Exchange Framework and Common Agreement (TEFCA) that supports a network-to-network exchange…

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One Health Plan’s Practical Example with Provider Directories

In a recent blog, we looked at provider directories, regulations around them, and fines levied against health plans for inaccurate directories. Now, we’ll look at how one organization improved the…

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Ending Data Co-Dependence; Acquisition

Chapter 1 The IQVIA Healthcare Center of Excellence is part consulting firm, part advisory service and part relationship counselor. We help organizations realize that they don’t have to be in…

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NCQA Distinction: Helping Coordinate LTSS

More than 3 million people in the United States rely on Medicaid for Long-Term Services and Support (LTSS) in nursing homes, home care, and community-based settings. LTSS supports people with…

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Ending Data Co-Dependency [or, How to Love your Data Again]

Preface Data is critical to everyday processes in healthcare. Data helps tackle operational issues, offers insight into performance, improve quality, safety and standardizes process, and allows us to better understand…

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HighPoint Participating in Information Management Symposium

HighPoint is proud to be a Gold Sponsor at this year’s Information Management (IM) Symposium 2019 in Boise, Idaho. The IM Symposium provides plan business and technical representatives an opportunity…

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Project Status: It’s Not Easy Staying Green

Is your project’s status report green….really?? Healthcare executives typically get color coded “cliff notes” on the status of their projects. These small cheat sheets, snippets of a status report, as…

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CMS Releases Proposed Policy Changes for 2020

On July 29, 2019, CMS released its proposed changes for Chronic Care Management  2020. Here’s IQVIA’s Healthcare Center of Excellence (COE) take on the changes. Overall there are some great new…

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What Do NCQA’s Five-Star Ratings Mean?

There are numerous rating systems these days: Rating the top movies, the best restaurants, or that little yellow full-or-half-star on popular e-commerce sites that indicate how satisfied customers were with…

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Configuration Issues Addressed after Critical System Failure

An East Coast health plan experienced one of the worst critical system failures and service issues imaginable. It struggled with getting members on individual health insurance products. The issues deteriorated…

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