Dr. Mark Roche is a former Northwestern University professor and NIH researcher focused on medical informatics and healthcare interoperability. He also served a physician advisor for ONC and HHS/
The lack of an overarching CMS reimbursement policy on CAR T-Cell therapy has meant that coverage decisions have generally landed on the desk of local Medicare Administrative Contractors.
Closing cancer health equity gaps require medical breakthroughs made possible by new funding approaches.
During the opening keynote panel at HIMSS, former U.S. CTO Aneesh Chopra said the latest CMS proposed rule is critical because the healthcare industry didn't self-organize to drive interoperability.
New proposed rules from HHS would require government health plans and health plans sold on the federal ACA exchanges to give patients free access and control over their health information by 2020 and to implement an HL7 FHIR-based API to open up data access to third party apps and developers.
The "What's Covered" app is free to download on both the iOS and Google Play stores and will allow users to see if specific items or services are covered under their traditional Medicare Part A and Part B benefits
Healthtech entrepreneurs working in the Medicaid space share their thoughts on a new effort to fund Medicaid through block grants and the argument that it may spur innovation.
The future looks bright for the integrated specialty pharmacy model – for health systems, providers, and most importantly, for patients.
A new price transparency rule from CMS requires hospitals to post their retail list prices online, but critics are saying it doesn't go nearly far enough.
As we reflect on this year’s advancements around patient experience and look toward what we can expect in 2019, we are sure to see a sharper focus and range of continued changes that help deliver an improved experience for patients.
Current ACA subsidy programs are required to be based on income. Under the rules laid out by CMS states would be able to base subsidies on other factors potentially leaving lower-income, older and sicker patients with less comprehensive coverage options.
The new rule includes additional amendments designed to accelerate the use of virtual check-ins and Remote Patient Monitoring in the market. Here's a look at why the rule is good but not great.
As technology advances, AI-powered tools will increasingly reduce the administrative burdens on healthcare providers.
In a speech at a University of Southern California-Brookings Institution event, Seema Verma pointed to 2016 figures showing more than $1 billion in missed savings.
BPCI Advanced runs from October 1, 2018, to December 31, 2023, and builds on the work of the original BPCI initiative, which wrapped up on September 30, 2018.
Seema Verma, administrator of the Centers for Medicare & Medicaid Services, said it’s wrong to have ACOs that can only make profits but not risk any losses. “We want to put the accountability back into Accountable Care Organizations,” she said during a briefing with reporters.
About 1.4 million Californians buy coverage through the state’s Obamacare exchange, Covered California, and nearly 4 million have joined Medicaid as a result of the program’s expansion under the law.
The search for such an expert appears to be a way to further the agency's interest in advancing interoperability-related efforts. The application deadline is July 20.