Healthcare IT News - October 2008 - (Page 49)

48 Healthcare IT News ■ October 2008 payERS www.HealthcareITNews.com Anthem takes part in Indiana HIE quality initiative By molly mErrIll, Associate Editor INDIANAPOLIS – In an effort to help physicians manage patients with chronic diseases, Anthem Blue Cross and Blue Shield in Indiana will participate in the Indiana Health Information Exchange’s Quality Health First (QHF) program. The program will serve as Anthem’s quality reporting tool for primary care physicians in the nine-county Indianapolis area. Designed by the Indiana Health Information Exchange and the Employers’ Forum of Indiana, the QHF program aggregates and delivers patient information such as lab results, reports, medication histories and treatment histories in a standardized electronic format. The Indianapolis-based Regenstrief Institute, an informatics and healthcare research organi- zation, operates this system, called the Indiana Network for Patient Care (INPC). “The Indiana Health Information Exchange is widely recognized as the trendsetter for medical information exchange,” said David Lee, MD, vice president of healthcare management for Anthem Blue Cross and Blue Shield in Indiana. “As a leading health benefits company in Indiana, we are pleased to according to quality metsupport the Quality Health rics will receive a 10 percent First program because increase in reimbursement timely, accurate informafrom Anthem for the most tion is essential to improvcommonly billed medical ing the quality and, ultiservices. For a typical cenmately, the cost of healthtral Indiana primary care care. We encourage other physician, this could transstakeholders to lend their J. Marc Overhage, MD late to $10,000 to $20,000 support.” Anthem-network primary care a year in additional reimbursement physicians in central Indiana who from Anthem. Currently 700 physicians have perform in the top 20 percent signed up to participate in the service. Physicians will receive monthly reports to monitor those patients who are due or overdue for certain tests and screenings. For example, they can view which patients are getting tests completed, those results, and which patients have yet to come in for testing. “The Indianapolis-area healthcare community - physicians, physician groups, health plans, hospitals, employers and other key stakeholders - has come together through this program for one common purpose: to support patient care. Ultimately, it is our aim that patients will have fewer complications and physicians will have more satisfaction with healthier patients,” said J.Marc Overhage, president and CEO of the Indiana Health Information Exchange. Some components of the QHF program include: ■ The use of clinical data from the INPC and claims data from participating health insurers; ■ An incentive based on the physician group score across all participating health insurers; and ■ A focus on measures that the Indianapolis-area medical community has identified as priorities (asthma care, breast cancer screening, cholesterol screening and management and diabetes screening and management). ■ More at HealthcareITNews.com e Connect: iNDiaNa 1008 ● HumaNa Continued from page 45 “As the Global War on Terror continues and the need for behavioral health resources increases for service members and families, Humana Military and our valued partner ValueOptions will be here to meet those needs,” said Dave Baker, president and CEO of Humana Military Healthcare Services. Humana added new videos to the portal recently, including Life Manager, a Web-based instrument that brings together TRICARE resources, benefit information and services to assist members and their families with their individual needs. The tool helps beneficiaries assess moods, focus on concerns, and identify solutions to life’s challenges. ■ More at HealthcareITNews.com e Connect: HUMaNa 1008 ● e ● Connect: orioN 1008 http://www.HealthcareITNews.com http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=10103 http://www.capsts.org http://www.HealthcareITNews.com http://www.healthcareitnews.com/story.cms?id=10102 http://www.healthcareitnews.com/eConnect.cms?id=10145 http://www.capsts.org

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Healthcare IT News - October 2008 Contents Seattle's Slate Board 2.0 MGMA Newsmaker IT Battles Infection Beyond Adoption Excellence in Maine Carrot and Stick HP Layoffs Mobile Workstations Automating Offices

Healthcare IT News - October 2008

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