Healthcare IT News - August 2007 - (Page 31)

www.HealthcareITNews.com payERS August 2007 ■ Healthcare IT News 31 vErMoNT Continued from page 29 CErTIfICaTIoN Continued from page 29 Links with multiple pharmacies and SureScripts will help gather data from selfpay plans. Medicare Part D members pose a logistical issue, given the high number of sponsoring plans. However, the project will be able to retrieve data from Part D plans using RxHub’s electronic connectivity. “Everybody wants quality and efficiency of care for Vermont,” Farnum said. “The payers obviously understand this tool can prevent adverse drug events for their covered lives.” Lynn Dunbrack, program director for Health Industry Insights, an IDC company, said that VITL’s medication history project has delivered impressive early numbers. Dunbrack, who once worked with MASHARE, the regional collaborative initiative operated by the Massachusetts Health Data Consortium, said all the payers in the Boston metro market participated in MA-SHARE’s e-prescribing project. “It is critical to have cooperation among all payers to be successful,” she said. “VITL plays a unique role as neutral convener,” said Steve Larose, communications director. VITL served as the forum to bring all stakeholders to the table and work together. “This is the product of that cooperation,” he said. ■ More at HealthcareITNews.com e Connect: verMoNt 0807 Cigna providers can obtain preauthorization from either Cigna for HealthCare Professionals Web site, which provides additional services, or through NaviMedix’s NaviNet, an online provider communications portal that supports multiple payers. Tom Morrison, executive vice president, marketing and product management, for NaviMedix, said that as an early adopter Cigna understands the need to enhance its providers’ experience and create better processes makes it a challenge,” she workflow for its providers. said. The market is evolving from simUltimately, said Dunbrack, techply presenting information to taknology will help facilitate the simpliing complicated business processes fication of health plan processes. that are proprietary to health plans Morrison anticipates adoption to and automating complex transacbe strong, given that Cigna physicians tions such as online precertificaTom Morrison are already using NaviNet for their tion, he said. Lynn Dunbrack, program director for patients who are on other health plans. Once the service is completely rolled Health Industry Insights, an IDC company, agreed that health plans are looking for ways out, Shearer said, “We will continue to to make communications with their provid- evaluate how we can better serve our network providers.” ■ ers and members more convenient. “The technology is there, but working More at HealthcareITNews.com through the business rules and health plan ●Connect: CertIFICatIoN 0807 e ● aHIP Continued from page 1 America’s health insurers.” It represents nearly 1,300 member companies, such as Unum, Cigna, Aetna and UnitedHealth Group. Dua diverted $947,000 from AHIP from May 2004 to January 2007, while he was employed as the information technology manager with the association, according to court papers. As IT manager, Dua was authorized to order computer hardware, software and software licenses. Dua ordered $939,778 worth of computer products for AHIP from a Maryland company known as Network Circle. AHIP paid for the products. Unbeknownst to AHIP, Taylor said, Dua was the sole director, employee and shareholder of Network Circle. None of the products AHIP paid Network Circle for was ever received by AHIP. “In addition, during the same period, Dua ordered about $7,500 worth of computer products from other, legitimate companies, paid for by AHIP and ostensibly for AHIP’s use, but secured by Dua for his own personal use,” Taylor said. Dua directed the companies to ship some of these items directly to his residence. Some of the products, including a $6,500 HewlettPackard computer server, were seized during execution of a search warrant at Dua’s home. Under the terms of his plea agreement with the government, Dua must forfeit more than $9,200 in funds remaining from a bank account in the name of Network Circle, $42,000 in currency and traveler’s checks seized during the search of his residence, the balance of his AHIP 401(k) plan, as well as other assets. Sentencing is set for Jan. 28. Dua faces an advisory sentencing guideline range of 27 to 33 months in prison. He is also subject to deportation. ■ More at HealthcareITNews.com e Connect: aHIP 0807 Leading Health Information Technology experts agree that Electronic Document Management (EDM) is a key foundation for the EHR. Combining electronically generated data with scanned records provides an organized, centrally located, legally compliant medical record which is critical to improve efficiencies, patient care and cash flow. Let Alpha Systems help guide you with our safe and trustworthy EDM solutions. e ● Connect: alPHa 0807 The nation's leading healthcare providers trust Alpha Systems for rock solid EDM software and award winning scanning services. Our EDM solutions efficiently manage over 500 million electronic documents with another 1 million added each day. Proven. Secure. Compliant. www.alphaemr.com • 800.732.9644 Next Generation IT Provides Solutions not just Systems Monitors Patient Safety Tracks and Verifies Patients IT saves lives at John Muir Health IT Group At John Muir Health, people react very favorably to fresh challenges, intellectual stimulation and the fact that they can go to others for help – with no holds barred. Highly integrated, cutting edge information technology generates opportunities for career advancement, and the fulfillment of having a direct impact on quality patient care makes this an uplifting place to work. We are an Equal Opportunity Employer. e ● Connect: joHNMuIr 0807 johnmuirhealth.com/it ● http://www.HealthcareITNews.com http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=7522 http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=7520 http://www.alphaemr.com http://www.healthcareitnews.com/eConnect.cms?id=7571 http://www.healthcareitnews.com/eConnect.cms?id=7572 http://johnmuirhealth.com/it http://johnmuirhealth.com/it http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=7547

Table of Contents Feed for the Digital Edition of Healthcare IT News - August 2007

Contents AHIC Redux IT Saving Lives IT, Wal-Mart Style OR Workflow Counting on Quality PHR Position Tapping Talent Slimming Down E-Prescribing Claims Processing

Healthcare IT News - August 2007

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