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Why do I need to know about MACRA?
Medicare is undertaking a significant update to how it pays for physician services. As is typically the case with Medicare, privately managed Medicare will likely follow suit. It is important to understand the details around the MACRA as it will impact many of our health plan clients.
What is the MACRA?
On April 14, 2015, a bipartisan majority in Congress passed the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The MACRA will make comprehensive changes to how Medicare pays for physician services. In particular, the MACRA brings about three major changes:
What are your organization’s most important assets? What is your company’s primary means for creating value? What defines the true valuation of your enterprise? If you were to look at your business’s financial statements, you might assume it’s the value of your plant, property, and equipment. After all, what would happen to your company if, all of a sudden, your physical assets were totally destroyed—vanished and gone forever? How would your organization survive? Would you suddenly be forced out of business? While these might seem like hypothetical questions, they were very real circumstances for one company that was dramatically confronted by the unthinkable on September 11, 2001.
Metadata development is a crucial strategic imperative in the endeavor to effectively manage and exploit a company’s knowledge. The successful implementation of any content-related strategy—data, digital assets, or text—requires the implementation of a holistic metadata schema that is supported by technology, people, and process. Building an asset or content management system, or directing content management and marketing operations without a metadata plan is like trying to focus deeply with an undisciplined mind. Metadata increases the return on investment of a content system, and the content itself, by unlocking the potential to organize, discover, share, and monetize assets.
There has been a big investment over the last couple of years from a number of FinTech startups and big technology firms in researching the power of blockchain technology. While hype about the innovative technology and its potential as a standalone platform is recent, the blockchain architecture has been around for quite some time as the underlying infrastructure for Bitcoin, the crypto currency.
As Internet usage becomes increasingly widespread and used more frequently, information technology is evolving daily and becoming more complex. These rapid increases in usage and complexity mean cyber security is now absolutely critical for businesses. Are you and your organisation effectively prepared to handle cyber security threats from multiple angles? Do you know how to identify these threats and address challenges, and how to apply a cyber security framework? Our experience to date is that, for the majority of businesses, these answers are no.
If your organization owns and relies upon the Google Search Appliance (GSA) for its enterprise or external facing search, then you have probably heard by now that Google is planning to sunset it. Fortune magazine announced earlier this month that the simple set-up-and-search system, based on one of the most ubiquitous and trusted names in search, is moving to a cloud-based search solution. Google will no longer support or sell licenses for the on-premise solution.
By Niamh Lennox-Chhugani, Denni O’Donnell and Jess Britton
“I have not failed. I've just found 10,000 ways that won't work.” - Thomas Edison
There can be few sectors where success and failure is more important to understand and measure than healthcare. When things go wrong, lives and wellbeing are the cost. Health systems the world over recognise this and attempts to understand performance have led to highly complex measurement frameworks in almost all systems. Health systems are refocusing from treating illness to delivering better health and wellbeing for whole populations, but measurement frameworks have yet to catch up.
by Shaun Proudfoot
No industry sectors are immune from a cyber attack. The digital interconnectivity of businesses, operations, suppliers and customers means that any organisation is vulnerable to potentially catastrophic cyber breach, electronic data theft or sabotage. This inter-reliance between organisations and the growing prevalence of cloud computing, social media, mobile computing, IoT, big data and state-sponsored espionage, has catapulted cyber risk into one of the top concerns of business leaders today. Financial institutions, especially, are prime targets for cyber criminals, which puts the industry high on the risk list for network security and data privacy exposures.
by Mindy Carner
The relationship between metadata, controlled vocabularies and taxonomies as used in Information Management (IM) can be confusing. Each is inextricably tied to the others in an IM system’s functional requirements. This almost oneness can make their intersections seem more like redundancies than interdependencies, and can cause confusion when a company is trying to create coherent, usable business requirements. Having a clear understanding of the differences and connections between these concepts will enable teams to create a path to understanding the best ways to classify, describe, store and retrieve their content. In this post, we will define each and explain the roles that they play in the navigational and search experience of information and knowledge management systems. Along the way we will illustrate how each of these important elements – metadata, controlled vocabulary and taxonomy – play a vital role in the successful implementation of the others.
by Rod Collins
In a recent article in Acoustic Guitar, Adam Perlmutter chronicles the unusual career path of Dick Boak, one of Martin Guitar’s most creative luthiers. Today Boak is the historian-in-residence of the 183-year old company and one of the most respected craftsman in his profession, but his entrée and advancement in the revered company is an intriguing and unconventional tale.
by Rod Collins
Despite its long history of success and its continued use by most established businesses, hierarchical management is an unsustainable organizational strategy in world transformed by the digital revolution. The problem with hierarchical management is that it assumes that organizations are essentially machines, which explains why the typical organization chart resembles a mechanical schematic. But as everyone knows—except, perhaps, those who pull the levers of power—people are not cogs in a Borg-like structure, and thanks to the recent digital revolution, resistance is no longer futile.
by Mariana Dates
Public Health England (PHE) has commissioned Optimity Advisors to undertake a review of economic evaluation methods and approaches used to gauge expected return on investment (ROI) in support of decisions that affect wider determinants of health.
The context of this project is that PHE is working with commissioners of public health services (in the National Health Service and local government) to provide tools that might help them make the business case for investing in prevention. Alongside ROI tools and resources that have been developed in the health field, we are keen to understand more about how ROI is applied to inform key decisions in other sectors, such as:
A Call For Evidence
We are issuing a call for evidence covering the following:
By Julia Goodwin
There are a wide array of Digital Asset Management (DAM) vendors that can provide a variety of asset management capabilities for your organization. They offer on-prem, cloud, and hybrid solutions. They have a wide range of features and prices. Most are extremely slick looking, and it’s easy to fall in love. Many times, companies go straight to the chase and purchase the DAM system based on their initial interest or demo. Worse, some make their decision with a list of requirements that does not adequately consider file formats, workflow, and logical and “physical” asset metadata. Before choosing a DAM system, don’t make the mistake of leaving holistic content and metadata analysis out of your requirements.
by John Horodyski
Since its publication in 1946, Dong Gardner’s “All I Want For Christmas Is My Two Front Teeth” has remained a favorite song for the Holidays. Its lyrics are festive, frivolous and frisky, evoking a sense of silliness over what might rather be identified as a significant loss:
“Everybody Pauses and stares at me
These two teeth are gone as you can see
I don't know just who to blame for this catastrophe!
But my one wish on Christmas Eve is as plain as it can be!
All I want for Christmas
is my two front teeth,
my two front teeth,
see my two front teeth!”
Gee, if I could only have those two front teeth back, then all would be okay. Right?
‘NHS Trusts which adopt digital technologies are more cost-effective and ensure better outcomes for patients.’
Our previous blog post explored the regulatory issues surrounding the new Digital Maturity Assessment and Roadmap – introduced by the Five Year Forward View. The second in a series, this blog provides key examples which explain how digital technologies will improve the NHS by 2020.
by Rod Collins
There is a rapidly emerging phenomenon that, while hidden in plain sight, is about to dramatically transform the longstanding fundamentals of business. While this nonpareil is often touted as a defining attribute of most business organizations, the simple reality is that, for too many business leaders, their aspirations are nothing more than lip service. That’s because their core organizational structures are not designed to support the cultivation of this increasingly vital phenomenon: a fully human work culture.
“This is not one of those random technology initiatives – this is part of the commissioning infrastructure and part of the CQC inspection.” Tim Kelsey - NHS England’s National Director for Patients and Information
The ‘Five Year Forward View’ and Personalised Health and Care 2020 – A Framework for Action sets out a vision to make NHS patient data interoperable and paperless by 2020. If CCGs and Providers fail to engage with two key steps, the Digital Maturity Assessment and Digital Road Map, they may find themselves in special measures.
Here are the 3 things you need to know to avoid that:
Treating the Digital Maturity Assessment as a ‘Tick-box’ Exercise