Jeff Herman

To lead effectively amid the 2025 Medicare Advantage and Part D Final Rule changes, leverage data-driven compliance measures, employing predictive analytics to anticipate and prevent regulatory breaches. Champion ethical marketing practices, employing sentiment analysis to ensure transparency and authenticity in communications. Forge partnerships with community organizations to enhance access to behavioral health services, utilizing geospatial analysis and machine learning to optimize resource allocation. By pioneering these strategies, healthcare analytics leaders can navigate regulatory complexities while ensuring equitable care delivery. #DataDrivenCompliance #EthicalMarketingr #EquitableCare #PredictiveAnalytics. https://lnkd.in/eq3vf6qs

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Implementing an electronic health record (EHR) or migrating to a new one is a complex process. It requires you to keep track of timelines and stay on budget – all while keeping clinicians happy and not interrupting patient care. In its latest report, Gartner® notes that when implementing a new EHR “healthcare provider CIOs can avoid setbacks and position for success by undertaking an organizational readiness assessment and mitigating risks during the strategy and planning phase.” Access the complimentary Gartner® report, Gauge Readiness and Mitigate Risk to Succeed in EHR Implementations, to learn more. Read the report: https://bit.ly/3KCgZVY #EHR #EHRmigration #EMR #EMRmigration #healthcare #interoperability #digitalhealthenablement

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Behavioral healthcare has many facets. Can your #EHR handle your complex needs? Core's recent blog post shares valid food for thought. 

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Healthcare systems must recognize the importance of both HHS-HCC and CMS-HCC risk adjustment models. While the CMS-HCC model remains crucial for Medicare Advantage plans, the HHS-HCC model provides essential insights for managing risks in the broader ACA market. Understanding and integrating both models ensures that healthcare systems can deliver high-quality care, maintain financial stability, and comply with regulatory requirements across different patient populations. By doing so, they can better navigate the complexities of modern healthcare delivery and funding, directly impacting our quality of care. Healthcare systems benefit from integrating knowledge of both models to: 1. Enhance Comprehensive Care: By addressing the needs of diverse populations. 2. Improve Accuracy: In risk assessment and resource allocation. 3. Ensure Compliance: With federal regulations and market requirements. 4. Promote Equity: In healthcare access and funding.

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What are the hardest Part D Star Measures?   As part of the 2025 Star Ratings release this year, CMS also posted a couple tables containing the 2022-2025 Average Star Rating by Measure.   The hardest measure, defined by the lowest average Star score, is D12 (Statin Use in Persons with Diabetes (SUPD)). It is the only Part D measure with an average below 3 Stars in the past two years. 

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Challenges and Solutions for Inpatient Capacity Management - HIT Consultant Title: Challenges and Solutions for Inpatient Capacity Management #CriticalChallenges In a recent report on inpatient capacity management, several critical challenges were identified. These challenges include inefficient patient flow, lack of real-time data, and inadequate communication among healthcare teams. #InefficientPatientFlow One of the major challenges in inpatient capacity management is inefficient patient flow. This can lead to bottlenecks in the system, increased wait times, and decreased patient satisfaction. Healthcare IT solutions can help streamline patient flow and optimize resource utilization. #LackofRealTimeData Another challenge highlighted in the report is the lack of real-time data. Without access to up-to-date information on bed availability, staffing levels, and patient status, healthcare providers may struggle ai.mediformatica.com #health #management #report #staffing #discharge #healthsystems #healthcare #leantaas #insights #provider #staffingshortages #aipowered #digitalhealth #healthit #healthtech #healthcaretechnology @MediFormatica (https://buff.ly/4dv4UyJ)

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The HCAHPS Survey is evolving, and your strategy needs to keep up. NRC Health's latest article explains the new changes and our CAHPS Insider Live webcast offers actionable tips. Check them out here: https://bit.ly/4euy4yB #PatientExperience #NRCHealth #HealthcareInnovation

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Join us for a crucial session where we delve into the Health Equity Index. Learn how it's calculated and its significant impact on quality and Star metrics for Medicare Advantage plans. View the SOA Health Meeting agenda here: https://optumin.co/ssw6cc #Optum #SOA #HealthEquity #Medicare #Payer

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I've been joking since last fall that we are in an MTM Renaissance period and it really rings true with the release of the MTM changes in the Final Rule. Expanding MTM eligibility will bring more pharmacist-driven clinical care to more patients which is something I can always get behind. If you're looking for the MTM-specific Spark Notes, peek at our blog. #MTMRenaissance

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Prior authorization improvements will be motivated by CMS mandated improvements and ONC information sharing requirements on providers and payers and there is no time to lose in improving the collaboration of providers and payers. Better collaboration among providers and payers can reduce unneeded denials and appeals resulting from inadequate and delayed sharing of payer requirements and provider documentation. Better information sharing earlier in patient episodes will also improve transitions in care, outcomes, and unneeded denials. Actual improvements sought by measuring approvals, denials, appeals beginning next year (to report in 2026) will only happen by motivation to collaborate more than comply. Patients depend on this today, no time to lose! https://lnkd.in/e4Z-jfPQ

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Two key outcomes as the result of technology supporting information transitions 1) time saved from the workforce 2 ) reduction of medication errors! Everyone working in senior living check this out! #seniorliving #seniorcare

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Migrating data from a legacy EHR system to a new system can be like trying to fit a square peg into a round hole. Check out our newsletter to learn ways you can OVERCOME Data Mapping Challenges. Aesto's data mapping services are just one piece of the puzzle to shorten gap periods and improve speed to go-live for our clients. Share your thoughts on shrinking project timelines in the comments! https://zurl.co/SWCM

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Migrating data from a legacy EHR system to a new system can be like trying to fit a square peg into a round hole. Check out our newsletter to learn ways you can OVERCOME Data Mapping Challenges. Aesto's data mapping services are just one piece of the puzzle to shorten gap periods and improve speed to go-live for our clients. Share your thoughts on shrinking project timelines in the comments! https://zurl.co/SWCM

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Migrating data from a legacy EHR system to a new system can be like trying to fit a square peg into a round hole. Check out our newsletter to learn ways you can OVERCOME Data Mapping Challenges. Aesto's data mapping services are just one piece of the puzzle to shorten gap periods and improve speed to go-live for our clients. Share your thoughts on shrinking project timelines in the comments! https://zurl.co/ydnE

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CMS' and the OIG's focus and corresponding actions are clear. Increased scrutiny of risk adjustment practices means health plans must be more vigilant than ever. At Vatica, we’ve always found that empowering primary care physicians (PCPs) to take the lead in coding and documentation is essential for both compliance and better patient care. Our latest report breaks down the strategies that can help your organization avoid the pitfalls of non-compliance while enhancing overall performance. Dive into the details here: https://bit.ly/3Tqw0yM Vatica Health

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One common misconception about eCQM reporting, and the necessary QRDA I files produced by certified EMR systems, is that these QRDA I files are aggregated for the population. This is not the case. QRDA 1 files are per patient, per measure, and the quantity of these files can add up quickly with large populations. See the below to watch the full video about how Nebraska Health Network is tackling this challenge.

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How will AI and ambient listening transform EHRs in 10 years? Steven Hendrick, SVP of Implementation and Selection at Healthlink Advisors, discusses the future of EHRs and tech integration In this #newsday: https://loom.ly/8-liTpc #TWH #HealthIt

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Take a listen to this insightful discussion on the future of EHRs and tech with our very own Steven Hendrick and This Week Health!

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