Healthcare IT News - June 2008 - (Page 28)

28 Healthcare IT News ■ June 2008 PayERS to any redesign within the MaineCare program as needed or required by federal law. It will also provide a connection to Maine’s eligibility system. “We look forward to working with Unisys to implement a proven and successful innovative system and fiscal agent services to support the management and evolution of MaineCare,” said Brenda Harvey, commissioner of the Maine DHHS. “This new MMIS will serve as our platform for attaining the state’s vision for healthcare excellence.” More at HealthcareITNews.com e Connect: MaINe 0608 www.HealthcareITNews.com in a more aggressive fashion.” The patient-centered medical home is another hot topic that will be discussed at Institute 2008. Richard Popiel, MD, vice president and CMO of Horizon Blue Cross Blue Shield of New Jersey and co-presenter on the topic of value-based care, said that payer-collaboration pilots on such concepts as the patient-centered medical home could be the delivery model that improves value and addresses primary care physician sustainability. “A lot of work has to be done,” he said. “We need to validate these models and address enormous gaps in care.” All C-level health-plan executives are thinking on a daily basis what else they can do, said Popiel. ■ More at HealthcareITNews.com e Connect: aHIP 0608 MaINE Continued from page 27 aHIP Continued from page 1 in failed attempts to upgrade its IT. The department had to suspend hundreds of thousands of claims and delay payments to the state’s providers. Unisys will design, develop, implement and operate the MMIS and assist the state in managing the Medicaid program, known as MaineCare. The new MMIS is designed to meet Maine’s current program needs and will allow for flexibility and the ability to adjust ● session speaker. BCBS of Minnesota is part of the state’s collaborative health information exchange initiative. “Health plans need to take a leadership role in their communities to make this happen,” he said. Ubl said the conference’s focus will be on what leadership role health plans can play to facilitate moving the industry forward. “The healthcare industry needs to move information from Point A to Point B to the benefit of patients,” he said. Health plans have the data and means, and Ubl said, “We need to move SOME THING S COME AND GO ● are you attending aHIP Institute 2008? let us know about your top take-away. E-mail Contributing Editor Patty Enrado at patty.enrado@medtechpublishing.com. wEllPoINT Continued from page 27 fascinating,” he said. While location-based services have been around for years, DeBeasi said, the healthcare industry is at the cusp of widespread use with more service providers and Mark Boxer others offering new types of services. DeBeasi said applications such as wellness services for heart healthy living could provide consumers with location-based information for restaurants, fitness centers, physicians and specialists. “The possibilities are endless,” he said. “There will be all kinds of experimentation,” he said. “This is just the tip of the iceberg.” While he said the potential applications seem “somewhat futuristic,” their deployment is “not that far away.” ■ The Great Pyramid of Giza - 4567 years old More at HealthcareITNews.com e Connect: WeLLPoINt 0608 ● OTHERS STAND THE TE ST OF TIME In 20 short years, The SSI Group, Inc. has built itself from a small healthcare software company into an industry leader in the revenue cycle management arena. Our customers trust us as a singlesource provider - from insurance eligibility data and real-time claims status reporting to document management and business office services. We provide an extensive suite of products, to help our customers develop right along with us. Let us create a custmoized revenue cycle recovery solution for you. Celebrating success, our customers and 20 years! aETNa Continued from page 27 www.thessigroup.com / 8 0 0 - 8 81- 2 7 3 9 e ● Connect: SSI 0608 impact of PHR access, said Arnold. The analytics-driven PHR, which includes multi-source data, provides meaningful information for providers and is the makings of an information exchange solution, said Michael Hodgkins, MD, chief medical officer of NaviMedix. “The most important part of this PHR is its decision-support capability,” he said. Later this year, physicians will also be able to receive electronic Care Alerts about their patients. “This is what physicians want out of PHRs,” Hodgkins said. Linking Aetna’s PHR with the NaviNet platform “creates an active reason to use personal health records as a tool and not a static e-file folder,” said Lynne Dunbrack, program manager for Health Industry Insights, an IDC company. “This is a much more powerful implementation of a PHR,” she said. While this implementation is an emerging practice, Dunbrack said other payers may roll out their PHRs to physicians via NaviMedix’s multi-payer platform. ■ More at HealthcareITNews.com e Connect: aetNa 0608 ● www.HealthcareITNews.com HealthcareITNews.com HealthcareITNews.com lishing.com HealthcareITNews.com ww.thessigroup.com HealthcareITNews.com

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Healthcare IT News - June 2008

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