Published on March 3, 2014
Future holds promise for HIEs © CureMD Healthcare
Health Information Exchanges • The future for Health Information Exchanges is looking better for 2014 but there will be some • Achieving success in this area will require knowledge and the technical flexibility to adapt • Broadly, there are three HIE groups based on technological and operational preparedness • The first group has deferred investments in technology foreseeing low enrollments. • The second group predicts high enrollments and is going “all-out” on the exchange market, making technological investments and allowing for automation and flexibility
Health Information Exchanges • The third group is taking a careful approach. These payers estimate an unknown number of enrollments and have invested in some services, but not all of them • The federal and state exchange preparedness has been tough in this first-ever public exchange enrollment period • Plans have been frequently changed in order to cope up with changing requirements • It is still uncertain what the 2014-15 reporting period will hold as people continue enrolling
Next Challenge • The next challenge will be in January 2014 when first billing and claims will be submitted • Payers will have to deal with both electronic and paper systems in addition to calculating/reconciling subsidies and credits • Claims processing will be tough because of subsidy calculations against out of pocket expenses and new networks created for the products • Any new market faces challenges in the beginning and this will be no different • Well thought-out plans will be an advantage in this situation
Read more on blog.curemd.com • To read more on this topic, visit: • http://blog.curemd.com/future-holds-promise-forhies/
Thank you! CureMD Healthcare 55 Broad Street, New York, NY 10004 Ph: 212.509.6200 www.curemd.com
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